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载脂蛋白 E-ε4 的基因型对认知正常个体静息状态连接的影响支持大脑功能代偿。

Genotypic effects of APOE-ε4 on resting-state connectivity in cognitively intact individuals support functional brain compensation.

机构信息

Barcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Wellington 30, 08005 Barcelona, Spain.

Hospital del Mar Medical Research Institute (IMIM), 08005 Barcelona, Spain.

出版信息

Cereb Cortex. 2023 Mar 10;33(6):2748-2760. doi: 10.1093/cercor/bhac239.

Abstract

The investigation of resting-state functional connectivity (rsFC) in asymptomatic individuals at genetic risk for Alzheimer's disease (AD) enables discovering the earliest brain alterations in preclinical stages of the disease. The APOE-ε4 variant is the major genetic risk factor for AD, and previous studies have reported rsFC abnormalities in carriers of the ε4 allele. Yet, no study has assessed APOE-ε4 gene-dose effects on rsFC measures, and only a few studies included measures of cognitive performance to aid a clinical interpretation. We assessed the impact of APOE-ε4 on rsFC in a sample of 429 cognitively unimpaired individuals hosting a high number of ε4 homozygotes (n = 58), which enabled testing different models of genetic penetrance. We used independent component analysis and found a reduced rsFC as a function of the APOE-ε4 allelic load in the temporal default-mode and the medial temporal networks, while recessive effects were found in the extrastriate and limbic networks. Some of these results were replicated in a subsample with negative amyloid markers. Interaction with cognitive data suggests that such a network reorganization may support cognitive performance in the ε4-homozygotes. Our data indicate that APOE-ε4 shapes the functional architecture of the resting brain and favor the idea of a network-based functional compensation.

摘要

对处于阿尔茨海默病(AD)遗传风险的无症状个体进行静息态功能连接(rsFC)研究,能够在疾病的临床前阶段发现最早的大脑改变。APOE-ε4 变体是 AD 的主要遗传风险因素,先前的研究已经报道了携带 ε4 等位基因的个体的 rsFC 异常。然而,尚无研究评估 APOE-ε4 基因剂量对 rsFC 测量的影响,并且只有少数研究包括认知表现测量以帮助进行临床解释。我们在一组认知正常的 429 名个体中评估了 APOE-ε4 对 rsFC 的影响,这些个体中包含大量 ε4 纯合子(n=58),这使得可以测试不同的遗传外显率模型。我们使用独立成分分析发现,随着 APOE-ε4 等位基因负荷的增加,颞叶默认模式和内侧颞叶网络的 rsFC 降低,而在枕叶和边缘网络中则存在隐性效应。其中一些结果在具有阴性淀粉样蛋白标志物的亚样本中得到了复制。与认知数据的相互作用表明,这种网络重组可能支持 ε4 纯合子的认知表现。我们的数据表明,APOE-ε4 塑造了静息大脑的功能结构,并支持基于网络的功能补偿的观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04f0/10016049/a5bea6cb3723/bhac239f1.jpg

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