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NEUROLOGY 2006;67:1221-1224
© 2006 American Academy of Neurology

Regional brain atrophy in cognitively intact adults with a single APOE {varepsilon}4 allele

H. A. Wishart, PhD, A. J. Saykin, PsyD, T. W. McAllister, MD, L. A. Rabin, PhD, B. C. McDonald, PsyD, L. A. Flashman, PhD, R. M. Roth, PhD, A. C. Mamourian, MD, G. J. Tsongalis, PhD and C. H. Rhodes, MD

From the Departments of Psychiatry (H.A.W., A.J.S., T.W.M., L.A.R., B.C.M., L.A.F., R.M.R.), Radiology (A.J.S., A.C.M.), and Pathology (G.J.T., C.H.R.), Dartmouth Medical School, Lebanon, NH.

Address correspondence and reprint requests to Dr. H. Wishart, Neuropsychology Program and Brain Imaging Laboratory, Department of Psychiatry, Dartmouth Medical School/DHMC, One Medical Center Drive, Lebanon, NH 03756-0001.

Objective: To determine whether cognitively intact adults with the APOE {varepsilon}3/{varepsilon}4 genotype show reduced gray matter density on voxel-based morphometry (VBM) vs those homozygous for the {varepsilon}3 allele.

Methods: Participants were healthy, cognitively intact, right-handed adults, age 19 to 80, who completed genotyping, neuropsychological testing, and MRI. Forty-nine participants had the {varepsilon}3/{varepsilon}3 genotype and 27 had the {varepsilon}3/{varepsilon}4 genotype. Gray matter data were analyzed using the general linear model as implemented in the Statistical Parametric Mapping package, adjusting for age and sex.

Results: The {varepsilon}3/{varepsilon}4 participants showed lower gray matter density than the {varepsilon}3/{varepsilon}3 participants in right medial temporal and bilateral frontotemporal regions as well as other areas. There were no regions in which {varepsilon}3/{varepsilon}4 participants showed higher gray matter density than {varepsilon}3/{varepsilon}3 participants.

Conclusions: Regionally reduced gray matter density is detectable in cognitively intact adults with a single copy of the APOE {varepsilon}4 allele.


Supported by the National Institute on Aging (R01 AG19771), Alzheimer's Association (Hedco Foundation), Hitchcock Foundation, National Alliance for Medical Imaging Computing (NA-MIC, NIH U54 EB005149, NIGMS/NIH), National Science Foundation, and New Hampshire Hospital.

Disclosure: The authors report no conflicts of interest.

Received August 1, 2005. Accepted in final form May 24, 2006.




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