2018
DOI: 10.1016/j.neurobiolaging.2018.05.023
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APOE ε4 status in healthy older African Americans is associated with deficits in pattern separation and hippocampal hyperactivation

Abstract: African Americans are 1.4 times more likely than European Americans to carry the apolipoprotein E (APOE) ε4 allele, a risk factor for Alzheimer's disease (AD). However, little is known about the neural correlates of cognitive function in older African Americans and how they relate to genetic risk for AD. In particular, no past study on African Americans has examined the effect of APOE ε4 status on pattern separation-mnemonic discrimination performance and its corresponding neural computations in the hippocampu… Show more

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Cited by 39 publications
(67 citation statements)
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“… [ 66 ] Less impaired MCI patients showed this increase, while more impaired MCI patients showed a decrease in activity similar to mild AD cases [ 67 ] More impaired MCI patients showed a decrease in activity similar to mild AD cases [ 68 ] The extent of hippocampal hyperactivation at baseline predicted cognitive decline as measured by the CDR-SB scores over four years after scanning. [ 69 ] High-resolution fMRI studies have shown that this hippocampal hyperactivity is specific to the DG/CA3 subregions of the hippocampus [ 70 , 71 ] Reduced signaling in the LEC coupled with increased signaling in DG/CA3 in the absence of structural thinning of the regions. [ 73 ] Hippocampal activation is associated with longitudinal amyloid accumulation and cognitive decline [ 74 ] Resting-State fMRI Widespread changes in DMN connectivity in MCI and AD [ 58 61 ] Hyperconnectivity in the anterior DMN and hypoconnectivity in the posterior DMN in AD [ 63 , 186 ] Aß+ and tau-PET signal specific profiles [ 62 , 187 ] Age-related decrease in connectivity between the entorhinal cortex and the dentate and CA3 regions of the hippocampus, the extent of which was correlated with memory deficits.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“… [ 66 ] Less impaired MCI patients showed this increase, while more impaired MCI patients showed a decrease in activity similar to mild AD cases [ 67 ] More impaired MCI patients showed a decrease in activity similar to mild AD cases [ 68 ] The extent of hippocampal hyperactivation at baseline predicted cognitive decline as measured by the CDR-SB scores over four years after scanning. [ 69 ] High-resolution fMRI studies have shown that this hippocampal hyperactivity is specific to the DG/CA3 subregions of the hippocampus [ 70 , 71 ] Reduced signaling in the LEC coupled with increased signaling in DG/CA3 in the absence of structural thinning of the regions. [ 73 ] Hippocampal activation is associated with longitudinal amyloid accumulation and cognitive decline [ 74 ] Resting-State fMRI Widespread changes in DMN connectivity in MCI and AD [ 58 61 ] Hyperconnectivity in the anterior DMN and hypoconnectivity in the posterior DMN in AD [ 63 , 186 ] Aß+ and tau-PET signal specific profiles [ 62 , 187 ] Age-related decrease in connectivity between the entorhinal cortex and the dentate and CA3 regions of the hippocampus, the extent of which was correlated with memory deficits.…”
Section: Discussionmentioning
confidence: 99%
“…High-resolution fMRI studies have shown that this hippocampal hyperactivity is specific to the dentate and CA3 subregions of the hippocampus [ 70 ]. Recent work has also shown that this effect is noted in cognitively intact APOE ε4 carriers [ 71 ]. Studies in aged rodents with memory deficits suggest that CA3 hyperactivity may be due, at least in part, to the loss of GABAergic drive in hilar inhibitory interneurons, particularly somatostatin-positive (SOM+) interneurons [ 72 ].…”
Section: Imaging Neural Injury and Neurodegenerationmentioning
confidence: 99%
“…Cognitively-intact children at genetic risk for fAD showed an early hypersynchronisation of the DMN, which coincided with significant higher plasma levels of Aβ 1-42 [46]. Furthermore, healthy young adult APOE-ε4 carriers (known as greatest genetic risk factor for sAD) displayed increased activation in the DMN [47, 48] and in the hippocampus [49]. This hyperactivation seems to be persistent in the hippocampus of older adult APOE-ε4 carriers [50].…”
Section: Discussionmentioning
confidence: 99%
“…Once the atlas set was normalized to the unlabeled subject, the regional labeling was determined using weighted averaging where the weighting takes into account the unique intensity information contributed by each atlas member. This approach which combines label information and intensity information has been used in a number of recent publications to segment hippocampal subfields (Brown, Kulikova, et al, 2019;Sinha et al, 2018).…”
Section: Anatomical Regions Of Interestmentioning
confidence: 99%