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 language | English |
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Article number | e12275 |
Journal | Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring |
Volume | 14 |
Issue number | 1 |
DOIs | |
State | Published - 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.
Funders | Funder number |
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NNE | |
National Network of Excellence | |
Teva Pharmaceutical Industries | AG10077820 |
Bader Philanthropies | |
LeRoy Schecter Foundation | |
Israel Science Foundation | ISF#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