title: Functional network endophenotypes unravel the effects of apolipoprotein E epsilon 4 in middle-aged adults.
abstract: Apolipoprotein E-ε4 (APOE-ε4) accentuates memory decline, structural volume loss and cerebral amyloid deposition in cognitively healthy adults. We investigated whether APOE-ε4 carriers will show disruptions in the intrinsic cognitive networks, including the default mode (DMN), executive control (ECN) and salience (SN) networks, relative to noncarriers in middle-aged healthy adults; and the extent to which episodic-memory performance is related to the altered functional connectivity (Fc) in these networks. Resting-state functional connectivity MRI (R-fMRI) was used to measure the differences in the DMN, ECN and SN Fc between 20 APOE-ε4 carriers and 26 noncarriers. Multiple linear regression analyses were performed to determine the relationship between episodic-memory performance and Fc differences in the three resting-state networks across all subjects. There were no significant differences in the demographic and neuropsychological characteristics and the gray-matter volumes in the carriers and noncarriers. While mostly diminished DMN and ECN functional connectivities were seen, enhanced connections to the DMN structures were found in the SN in ε4 carriers. Altered DMN and ECN were associated with episodic memory performance. Significant Fc differences in the brain networks implicated in cognition were seen in middle-aged individuals with a genetic risk for AD, in the absence of cognitive decline and gray-matter atrophy. Prospective studies are essential to elucidate the potential of R-fMRI technique as a biomarker for predicting conversion from normal to early AD in healthy APOE-ε4 carriers.
authors: Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, United States of America.
authors: Joseph S
authors: JS
authors: Goveas
authors: Chunming
authors: C
authors: Xie
authors: Gang
authors: G
authors: Chen
authors: Wenjun
authors: W
authors: Li
authors: B Douglas
authors: BD
authors: Ward
authors: Malgorzata B
authors: MB
authors: Franczak
authors: Jennifer L
authors: JL
authors: Jones
authors: Piero G
authors: PG
authors: Antuono
authors: Shi-Jiang
authors: SJ
authors: Li
mesh_terms: D000328:Adult; D000368:Aged; D001057:Apolipoproteins E / Q000235:genetics*; D001481:Basal Metabolism / Q000502:physiology; D003071:Cognition / Q000502:physiology; D058068:Endophenotypes; D056344:Executive Function / Q000502:physiology; D005260:Female; D059907:Functional Neuroimaging; D006801:Humans; D008297:Male; D061212:Memory, Episodic; D008875:Middle Aged; D009415:Nerve Net / Q000378:metabolism / Q000502:physiology*; D009483:Neuropsychological Tests
chemical_list: D001057:Apolipoproteins E