Benson, Gloria S., Bauer, Chris, Hausner, Lucrezia, Couturier, Samuel, Lewczuk, Piotr, Peters, Oliver ORCID: 0000-0003-0568-2998, Huell, Michael, Jahn, Holger ORCID: 0000-0003-3607-7651, Jessen, Frank, Pantel, Johannes, Teipel, Stefan J., Wagner, Michael ORCID: 0000-0003-2589-6440, Schuchhardt, Johannes, Wiltfang, Jens, Kornhuber, Johannes and Froelich, Lutz (2022). Don't forget about tau: the effects of ApoE4 genotype on Alzheimer's disease cerebrospinal fluid biomarkers in subjects with mild cognitive impairment-data from the Dementia Competence Network. J. Neural Transm., 129 (5-6). S. 477 - 487. WIEN: SPRINGER WIEN. ISSN 1435-1463

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Abstract

ApoE4, the strongest genetic risk factor for Alzheimer's disease (AD), has been shown to be associated with both beta-amyloid (A beta) and tau pathology, with the strongest evidence for effects on A beta, while the association between ApoE4 and tau pathology remains inconsistent. This study aimed to investigate the associations between ApoE4 with CSF A beta 42, total tau (t-tau), phospho-tau181 (p-tau), and with the progression of decline in a large cohort of MCI subjects, both progressors to AD and other dementias, as well as non-progressors. We analyzed associations of CSF A beta 42, p-tau and t-tau with ApoE4 allele frequency cross-sectionally and longitudinally over 3 years of follow-up in 195 individuals with a diagnosis of MCI-stable, MCI-AD converters and MCI progressing to other dementias from the German Dementia Competence Network. In the total sample, ApoE4 carriers had lower concentrations of CSF A beta 42, and increased concentrations of t-tau and p-tau compared to non-carriers in a gene dose-dependent manner. Comparisons of these associations stratified by MCI-progression groups showed a significant influence of ApoE4 carriership and diagnostic group on all CSF biomarker levels. The effect of ApoE4 was present in MCI-stable individuals but not in the other groups, with ApoE4 + carriers having decreased CSF A beta 42 levels, and increased concentration of t-tau and p-tau. Longitudinally, individuals with abnormal t-tau and A beta 42 had a more rapid progression of cognitive and clinical decline, independently of ApoE4 genotype. Overall, our results contribute to an emerging framework in which ApoE4 involves mechanisms associated with both CSF amyloid-beta burden and tau aggregation at specific time points in AD pathogenesis.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Benson, Gloria S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bauer, ChrisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hausner, LucreziaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Couturier, SamuelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lewczuk, PiotrUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Peters, OliverUNSPECIFIEDorcid.org/0000-0003-0568-2998UNSPECIFIED
Huell, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jahn, HolgerUNSPECIFIEDorcid.org/0000-0003-3607-7651UNSPECIFIED
Jessen, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pantel, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Teipel, Stefan J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wagner, MichaelUNSPECIFIEDorcid.org/0000-0003-2589-6440UNSPECIFIED
Schuchhardt, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wiltfang, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kornhuber, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Froelich, LutzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-694988
DOI: 10.1007/s00702-022-02461-0
Journal or Publication Title: J. Neural Transm.
Volume: 129
Number: 5-6
Page Range: S. 477 - 487
Date: 2022
Publisher: SPRINGER WIEN
Place of Publication: WIEN
ISSN: 1435-1463
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
APOLIPOPROTEIN-E; DIAGNOSIS; ALLELE; MCIMultiple languages
Clinical Neurology; NeurosciencesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69498

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