Apolipoprotein E and cognitive performance:: A meta-analysis

被引:351
作者
Small, BJ
Rosnick, CB
Fratiglioni, L
Bäckman, L
机构
[1] Univ S Florida, Sch Aging Studies, Tampa, FL 33620 USA
[2] Karolinska Inst, Div Geriatr Epidemiol, Aging Res Ctr, Stockholm, Sweden
关键词
D O I
10.1037/0882-7974.19.4.592
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
The epsilon4 allele of the apolipoprotein E (APOE) gene is a known risk factor for Alzheimer's disease and may also affect cognitive performance in normal aging. Evidence of the presence and magnitude of epsilon4-related cognitive deficits was examined with a meta-analysis of the available literature. Thirty-eight studies were included, and cognitive performance was collapsed into 8 domains. Results indicated significant APOE-epsilon4 group differences for global cognitive functioning, episodic memory, and executive functioning, in favor of non-epsilon4 carriers. In addition, older age and APOE-epsilon4 heterozygosity was associated with smaller epsilon4-related impairments. The meta-analysis results suggest that APOE-epsilon4 genotype does affect cognitive performance in healthy aging, although the influence is relatively small and specific to certain domains of cognitive performance.
引用
收藏
页码:592 / 600
页数:9
相关论文
共 77 条
[1]   The relationship of APOE genotype to neuropsychological performance in long-term cancer survivors treated with standard dose chemotherapy [J].
Ahles, TA ;
Saykin, AJ ;
Noll, WW ;
Furstenberg, CT ;
Guerin, S ;
Cole, B ;
Mott, LA .
PSYCHO-ONCOLOGY, 2003, 12 (06) :612-619
[2]  
[Anonymous], 2004, Neuropsychological Assessment
[3]   Education, activity, health, blood pressure and apolipoprotein E as predictors of cognitive change in old age: A review [J].
Anstey, K ;
Christensen, H .
GERONTOLOGY, 2000, 46 (03) :163-177
[4]   Early effect of ApoE-epsilon 4 allele on cognitive results in a group of highly performing subjects: The EVA study [J].
Berr, C ;
Dufouil, C ;
Brousseau, T ;
Richard, F ;
Amouyel, P ;
Marceteau, E ;
Alperovitch, A .
NEUROSCIENCE LETTERS, 1996, 218 (01) :9-12
[5]   Episodic memory changes are associated with the APOE-epsilon 4 allele in nondemented older adults [J].
Bondi, MW ;
Salmon, DP ;
Monsch, AU ;
Galasko, D ;
Butters, N ;
Klauber, MR ;
Thal, LJ ;
Saitoh, T .
NEUROLOGY, 1995, 45 (12) :2203-2206
[6]   Neuropsychological function and Apolipoprotein E genotype in the preclinical detection of Alzheimer's disease [J].
Bondi, MW ;
Salmon, DP ;
Galasko, D ;
Thomas, RG ;
Thal, LJ .
PSYCHOLOGY AND AGING, 1999, 14 (02) :295-303
[7]   Patterns of brain activation in people at risk for Alzheimer's disease [J].
Bookheimer, SY ;
Strojwas, MH ;
Cohen, MS ;
Saunders, AM ;
Pericak-Vance, MA ;
Mazziotta, JC ;
Small, GW .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (07) :450-456
[8]   APOE-ε4 count predicts age when prevalence of AD increases, then declines -: The Cache County Study [J].
Breitner, JCS ;
Wyse, BW ;
Anthony, JC ;
Welsh-Bohmer, KA ;
Steffens, DC ;
Norton, MC ;
Tschanz, JT ;
Plassman, BL ;
Meyer, MR ;
Skoog, I ;
Khachaturian, A .
NEUROLOGY, 1999, 53 (02) :321-331
[9]   The role of APOE-ε4 in longitudinal cognitive decline -: MacArthur studies of successful aging [J].
Bretsky, P ;
Guralnik, JM ;
Launer, L ;
Albert, M ;
Seeman, TE .
NEUROLOGY, 2003, 60 (07) :1077-1081
[10]   Preclinical memory decline in cognitively normal apolipoprotein E-ε4 homozygotes [J].
Caselli, RJ ;
Graff-Radford, NR ;
Reiman, EM ;
Weaver, A ;
Osborne, D ;
Lucas, J ;
Uecker, A ;
Thibodeau, SN .
NEUROLOGY, 1999, 53 (01) :201-207