2017
DOI: 10.1016/j.dadm.2017.05.008
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Familiarity deficits in cognitively normal aging individuals with APOE ε4: A follow‐up investigation of medial temporal lobe structural correlates

Abstract: IntroductionThe apolipoprotein E ε4 (APOE ε4) allele is a well-documented risk factor for Alzheimer's disease (AD). Accordingly, aging individuals carrying one or more ε4 alleles are at considerably greater risk of developing AD over time. In an effort to characterize early cognitive manifestations of AD, we previously outlined selective deficits in familiarity-based recognition in otherwise asymptomatic carriers of the APOE ε4 allele (Schoemaker et al., 2016). In this follow-up report, we aimed to explore the… Show more

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Cited by 4 publications
(5 citation statements)
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“…Lesion research that followed up on our research in NB in other patients, however, has revealed similarly selective impairments in association with damage to perirhinal and/or entorhinal cortex, in combination with hippocampal sparing. These findings provide critical evidence to suggest, that damage to rhinal cortices is sufficient to produce deficits in familiarity assessment (Martin et al 2012;Brandt et al 2016Brandt et al , 2018Schoemaker et al 2016Schoemaker et al , 2017. In addition, there is substantial evidence from functional neuroimaging research, intracranial recordings, as well as lesion and recording studies in non-human species that implicates perirhinal cortex, and more recently entorhinal cortex, in item-based familiarity assessment.…”
Section: Implications and Conclusionmentioning
confidence: 74%
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“…Lesion research that followed up on our research in NB in other patients, however, has revealed similarly selective impairments in association with damage to perirhinal and/or entorhinal cortex, in combination with hippocampal sparing. These findings provide critical evidence to suggest, that damage to rhinal cortices is sufficient to produce deficits in familiarity assessment (Martin et al 2012;Brandt et al 2016Brandt et al , 2018Schoemaker et al 2016Schoemaker et al , 2017. In addition, there is substantial evidence from functional neuroimaging research, intracranial recordings, as well as lesion and recording studies in non-human species that implicates perirhinal cortex, and more recently entorhinal cortex, in item-based familiarity assessment.…”
Section: Implications and Conclusionmentioning
confidence: 74%
“…Results revealed a significant impairment in familiarity-based discrimination with intact recollection for APOE ε4 carriers, relative to noncarriers. Importantly, familiarity-based discrimination performance was also found to be significantly correlated with MR-based volumetric assessments of the integrity of entorhinal and perirhinal cortices in APOE ε4 carriers (Schoemaker et al 2017).…”
Section: Selective Familiarity Impairments Can Be Observed In Other Cmentioning
confidence: 81%
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“…Although the MMSE is used to help diagnose dementia and for screening in primary care practice, studies have shown that its sensitivity and specificity depend on a number of factors, including demographics [ 79 ]. Previous work has shown that in assessment at the ADRC, the MMSE had more noise than the DRS, showed a moderate floor effect and a slight ceiling [ 80 ]. It was only one of a battery of tests of cognitive function used for diagnosis in the ADRC.…”
Section: Discussionmentioning
confidence: 99%
“…We observed that women with ε4/ε4 show significantly lower executive functioning, psychomotor speed, reaction time, complex attention as well as cognitive flexibility compared to those with other APOE genotypes. The study of Schoemaker et al [ 26 ] revealed significant positive correlations between familiarity performance and the volume of the perirhinal and entorhinal cortices as well as between recollection performance and hippocampal volume in carriers of APOE ε4. Levels of ApoE were found to be higher in women and related to lifespan and cognitive function [ 27 ].…”
Section: Discussionmentioning
confidence: 99%