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APOE ?4-specific associations of VEGF gene family expression with cognitive aging and Alzheimer's disease.

ABSTRACT: Literature suggests vascular endothelial growth factor A (VEGFA) is protective among those at highest risk for Alzheimer's disease (AD). Apolipoprotein E (APOE) ?4 allele carriers represent a highly susceptible population for cognitive decline, and VEGF may confer distinct protection among APOE-?4 carriers. We evaluated interactions between cortical expression of 10 VEGF gene family members and APOE-?4 genotype to clarify which VEGF genes modify the association between APOE-?4 and cognitive decline. Data were obtained from the Religious Orders Study and Rush Memory and Aging Project (N = 531). Linear regression assessed interactions on global cognition. VEGF genes NRP1 and VEGFA interacted with APOE-?4 on cognitive performance (p.fdr < 0.05). Higher NRP1 expression correlated with worse outcomes among ?4 carriers but better outcomes among ?4 noncarriers, suggesting NRP1 modifies the risk for poor cognitive scores based on APOE-?4 status. NRP1 regulates angiogenesis, and literature suggests vessels in APOE-?4 brains are more prone to leaking, perhaps placing young vessels at risk for ischemia. Results suggest that future therapeutics targeting brain angiogenesis should also consider ?4 allele status.

SUBMITTER: Moore AM

PROVIDER: S-EPMC7064375 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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APOE ε4-specific associations of VEGF gene family expression with cognitive aging and Alzheimer's disease.

Moore Annah M AM Mahoney Emily E Dumitrescu Logan L De Jager Philip L PL Koran Mary Ellen I MEI Petyuk Vladislav A VA Robinson Renã As RA Ruderfer Douglas M DM Cox Nancy J NJ Schneider Julie A JA Bennett David A DA Jefferson Angela L AL Hohman Timothy J TJ

Neurobiology of aging 20191105

Literature suggests vascular endothelial growth factor A (VEGFA) is protective among those at highest risk for Alzheimer's disease (AD). Apolipoprotein E (APOE) ε4 allele carriers represent a highly susceptible population for cognitive decline, and VEGF may confer distinct protection among APOE-ε4 carriers. We evaluated interactions between cortical expression of 10 VEGF gene family members and APOE-ε4 genotype to clarify which VEGF genes modify the association between APOE-ε4 and cognitive decl ...[more]

PMID: 31791659

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Project description:BackgroundAPOE ε4 carrier status is known to increase odds of amnestic presentations with Alzheimer's pathology. It is unknown how APOE ε4 carrier status impacts odds of specific initial cognitive symptoms in the presence of Lewy body pathology. Here we evaluate the impact of APOE ε4 genotype on initial cognitive symptoms among those with Alzheimer's disease pathology (ADP) and Lewy-related pathology (LRP).MethodsA retrospective cohort study of 2288 participants with neuropathology confirmed ADP or LRP in the National Alzheimer's Coordinating Center database, who had initial cognitive symptoms documented and had a Clinical Dementia Rating-Global (CDR-G) score ≤ 1 (cognitively normal, MCI, or early dementia). Unadjusted and adjusted logistic regression models taking into account age at evaluation, sex, and education examined the relationship between APOE ε4 genotype and initial symptoms (memory, executive, language visuospatial) among ADP with LRP and ADP-LRP groups.ResultsOne thousand three hundred three participants met criteria for ADP alone, 90 for LRP alone, and 895 for co-existing ADP and LRP (ADP-LRP). Younger age increased odds of non-amnestic symptoms across all three groups. In the adjusted model among ADP, APOE ε4 carriers had higher odds of amnestic initial symptoms 1.5 [95% CI, 1.7-2.14, p = 0.003] and lower odds of initial language symptoms 0.67 [95% CI, 0.47-0.96, p = 0.03] than non-carriers. The odds for these two symptoms were not different between ADP and mixed ADP-LRP groups. Female sex and higher education increased odds of initial language symptoms in the ADP group in the adjusted model. In the unadjusted model, APOE ε4 carriers with LRP had a higher odds of visuospatial initial symptoms 21.96 [95% CI, 4.02-110.62, p < 0.0001], while no difference was noted for initial executive/attention symptoms. Among LRP, the odds of APOE ε4 on amnestic symptom was not significant; however, the interaction effect evaluating the difference in odds ratios of amnestic symptom between ADP and LRP groups also did not reach statistical significance.ConclusionsThe odds of specific initial cognitive symptoms differed between ADP and LRP among APOE ε4 carriers compared to non-carriers. The odds of initial amnestic symptom was higher among ADP APOE ε4 carriers and the odds of visuospatial initial symptom was higher with LRP APOE ε4 carriers. This supports the hypothesis that APOE ε4 differentially impacts initial cognitive symptoms together with underlying neuropathology.

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APOE ?4-specific associations of VEGF gene family expression with cognitive aging and Alzheimer's disease.

Publications

APOE ε4-specific associations of VEGF gene family expression with cognitive aging and Alzheimer's disease.

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