Middle-Aged Children of Persons With Alzheimer’s Disease: APOE Genotypes and Cognitive Function in the Wisconsin Registry for Alzheimer’s Prevention

Journal of Geriatric Psychiatry and Neurology - Tập 18 Số 4 - Trang 245-249 - 2005
Pau Pástor1, Bruce P. Hermann2, Asenath La Rue3
1Wisconsin Alzheimer's Institute, Department of Medicine, University of Wisconsin-Madison, 53719, USA.
2Wisconsin Alzheimer’s Institute, Department of Medicine, Department of Neurology, University of Wisconsin-Madison
3Wisconsin Alzheimer’s Institute, Department of Medicine, University of Wisconsin-Madison

Tóm tắt

Adult children of persons with Alzheimer’s disease are at increased risk of developing Alzheimer’s disease because of hereditary, environmental, and health risk factors shared with affected parents. The Wisconsin Registry for Alzheimer’s Prevention (WRAP) has completed baseline assessments on 452 middle-aged persons (mean = 53 years) who have at least 1 parent with AD. Forty-five percent had 1 or more apolipoprotein (APOE) ε4 alleles. There were few significant differences between ε4 carriers and noncarriers in demographics, health, and lifestyle measures or in neuropsychological performance. The high percentage of WRAP participants who are carriers of APOE ε4 underscores their increased risk for developing Alzheimer’s disease, but the absence of differences related to APOE status and high mean scores on cognitive tests suggests that the APOE ε4 gene has yet to have a clinical impact on cognitive functioning. The WRAP cohort may be a valuable group to follow prospectively to characterize the nature of cognitive change in relation to risk factors and to identify underlying preclinical neurobiological changes.

Từ khóa


Tài liệu tham khảo

10.1097/01.GIM.0000132679.92238.58

Payami H, 1997, Am J Hum Genet, 60, 948

10.1080/01688639208402842

10.1080/13803399508406582

10.1017/S1041610294001596

10.1212/01.WNL.0000129533.26544.BF

Levy JA, 2004, J Int Neuropsychol Soc, 10, 362

10.1016/S0028-3932(02)00132-X

10.1037/0894-4105.19.2.199

10.1212/WNL.34.7.939

Wechsler D., 1999, Wechsler Abbreviated Intelligence Scale

Kaplan E, 1983, The Boston Naming Test, 2

10.1146/annurev.ps.45.020194.000245

Wilkinson G., 1993, WRAT3 administrative manual

Spreen O, 1998, A compendium of neuropsychological tests, 2

Wechsler D., 1997, Wechsler Memory Scale, 3

Kongs SEA, 2000, Wisconsin Card Sorting Test—64 Card Version

Wechsler D., 1997, Wechsler Adult Intelligence Scale, 3

Trenerry M, 1989, Stroop Neuropsychological Screening Test

Reitan RM, 1993, The Halstead-Reitan Neuropsychological Test Battery: Theory and clinical interpretation, 2

10.1177/014662167700100306

10.1037/0882-7974.19.4.592

Blazer DG II, 1995, Comprehensive textbook of psychiatry, 7, 1298

10.1001/jama.287.3.337

10.1212/WNL.59.3.364

10.1001/archpsyc.56.5.425

10.1001/archpsyc.56.3.261

10.1093/gerona/59.2.M178