Thicker macula in asymptomatic APOE Ɛ4 middle-aged adults at high AD risk

Ygal Rotenstreich, Inbal Sharvit-Ginon, Ifat Sher, Ofira Zloto, Ido Didi Fabian, Amir Abd-Elkader, Aron Weller, Anthony Heymann, Michal Schnaider Beeri, Ramit Ravona-Springer

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Introduction: We compared retinal layers’ thickness between apolipoprotein E (APOE) Ɛ4 carriers and non-carriers in a cohort of cognitively normal middle-aged adults enriched for Alzheimer's disease (AD) risk. Methods: Participants (N = 245) underwent spectral domain optical coherence tomography. Multivariate analyses of covariance adjusting for age, sex, education, and best corrected vision acuity was used to compare retinal thickness between APOE groups. Results: Participants’ mean age was 59.60 (standard deviation = 6.42) with 66.4% women and 32.2% APOE Ɛ4 carriers. Greater macular full thickness was observed in APOE Ɛ4 carriers compared to non-carriers (P =.017), reaching statistical significance for the inner and outer nasal (P =.009 and P =.005, respectively), inner superior (P =.041), and inner and outer inferior (P =.013 and P =.033, respectively) sectors. The differences between APOE groups were mainly driven by the ganglion cell layer (P <.05) and the inner plexiform layer (P <.05). Discussion: A thicker macula is observed already in midlife asymptomatic APOE Ɛ4 carriers at high AD risk.

Original languageEnglish
Article numbere12275
JournalAlzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
Volume14
Issue number1
DOIs
StatePublished - 2022

Bibliographical note

Publisher Copyright:
© 2021 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association.

Funding

This work was supported by the Israel Science Foundation research grant (ISF#1845/16), The National Network of Excellence (NNE) research grant (Teva Pharmaceuticals, NNE#PO AG10077820), the Bader Philanthropies, The LeRoy Schecter Foundation, and Dr. Marina Nissim. The funding organizations had no role in the design or conduct of this research.

FundersFunder number
NNE
National Network of Excellence
Teva Pharmaceutical IndustriesAG10077820
Bader Philanthropies
LeRoy Schecter Foundation
Israel Science FoundationISF#1845/16

    Keywords

    • Alzheimer's disease
    • apolipoprotein E Ɛ4 genotype
    • high risk for Alzheimer's disease
    • offspring of Alzheimer's disease patients
    • optical coherence tomography
    • retinal biomarkers
    • retinal layers
    • retinal sectors

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