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APOE genotype and MRI markers of cerebrovascular disease: Systematic review and meta-analysis

Identifieur interne : 005124 ( Main/Exploration ); précédent : 005123; suivant : 005125

APOE genotype and MRI markers of cerebrovascular disease: Systematic review and meta-analysis

Auteurs : Sabrina Schilling [France] ; Anita L. Destefano [États-Unis] ; Perminder S. Sachdev [Australie] ; SEUNG HOAN CHOI [États-Unis] ; Karen A. Mather [Australie] ; Charles D. Decarli [États-Unis] ; WEI WEN [Australie] ; Peter H Gh [Danemark] ; Naftali Raz [États-Unis] ; Rhoda Au [États-Unis] ; Alexa Beiser [États-Unis] ; Philip A. Wolf [États-Unis] ; José Rafael Romero [États-Unis] ; Yi-Cheng Zhu [France] ; Kathryn L. Lunetta [États-Unis] ; Lindsay Farrer [États-Unis] ; Carole Dufouil [France] ; Lewis H. Kuller [États-Unis] ; Bernard Mazoyer [France] ; Sudha Seshadri [États-Unis] ; Christophe Tzourio [France] ; Stéphanie Debette [France, États-Unis]

Source :

RBID : Pascal:13-0253699

Descripteurs français

English descriptors

Abstract

Objective: We aimed to examine the association of APOE ε genotype with MRI markers of cerebrovascular disease (CVD): white matter hyperintensities, brain infarcts, and cerebral microbleeds. Methods: We performed a systematic review and meta-analysis of 42 cross-sectional or longitudinal studies identified in PubMed from 1966 to June 2012 (n = 29,965). This included unpublished data from 3 population-based studies: 3C-Dijon, Framingham Heart Study, and Sydney Memory and Ageing Study. When necessary, authors were contacted to provide effect estimates for the meta-analysis. Results: APOE ε4 carrier status and APOE ε44 genotype were associated with increasing white matter hyperintensity burden (sample size-weighted z score meta-analysis [meta]-p = 0.0034 and 0.0030) and presence of cerebral microbleeds (meta odds ratio [OR] = 1.24, 95% confidence interval [CI] [1.07, 1.43], p = 0.004, and 1.87 [1.26, 2.78], p = 0.002), especially lobar. APOE ε2 carrier status was associated with increasing white matter hyperintensity load (z score meta-p = 0.00053) and risk of brain infarct (meta OR = 1.41(1.09, 1.81], p = 0.008). Conclusions: APOE ε4 and APOE ε2 were associated with increasing burden in MRI markers for both hemorrhagic and ischemic CVD. While the association of APOE ε4 with an increased burden of CVD could be partly contributing to the relationship between APOE ε4 and AD, APOE ε2 was associated with MRI markers of CVD in the opposite direction compared to AD.


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Le document en format XML

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<name sortKey="Wolf, Philip A" sort="Wolf, Philip A" uniqKey="Wolf P" first="Philip A." last="Wolf">Philip A. Wolf</name>
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<name sortKey="Zhu, Yi Cheng" sort="Zhu, Yi Cheng" uniqKey="Zhu Y" first="Yi-Cheng" last="Zhu">Yi-Cheng Zhu</name>
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<name sortKey="Farrer, Lindsay" sort="Farrer, Lindsay" uniqKey="Farrer L" first="Lindsay" last="Farrer">Lindsay Farrer</name>
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<s1>Department of Neurology Boston University School of Medicine, Framingham Heart Study</s1>
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<name sortKey="Dufouil, Carole" sort="Dufouil, Carole" uniqKey="Dufouil C" first="Carole" last="Dufouil">Carole Dufouil</name>
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<name sortKey="Mazoyer, Bernard" sort="Mazoyer, Bernard" uniqKey="Mazoyer B" first="Bernard" last="Mazoyer">Bernard Mazoyer</name>
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<name sortKey="Debette, Stephanie" sort="Debette, Stephanie" uniqKey="Debette S" first="Stéphanie" last="Debette">Stéphanie Debette</name>
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<s1>Department of Epidemiology Raymond Poincaré Hospital, University of Versailles St Quentin en Yvelines</s1>
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<s1>Department of Neurology Boston University School of Medicine, Framingham Heart Study</s1>
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<front>
<div type="abstract" xml:lang="en">Objective: We aimed to examine the association of APOE ε genotype with MRI markers of cerebrovascular disease (CVD): white matter hyperintensities, brain infarcts, and cerebral microbleeds. Methods: We performed a systematic review and meta-analysis of 42 cross-sectional or longitudinal studies identified in PubMed from 1966 to June 2012 (n = 29,965). This included unpublished data from 3 population-based studies: 3C-Dijon, Framingham Heart Study, and Sydney Memory and Ageing Study. When necessary, authors were contacted to provide effect estimates for the meta-analysis. Results: APOE ε4 carrier status and APOE ε44 genotype were associated with increasing white matter hyperintensity burden (sample size-weighted z score meta-analysis [meta]-p = 0.0034 and 0.0030) and presence of cerebral microbleeds (meta odds ratio [OR] = 1.24, 95% confidence interval [CI] [1.07, 1.43], p = 0.004, and 1.87 [1.26, 2.78], p = 0.002), especially lobar. APOE ε2 carrier status was associated with increasing white matter hyperintensity load (z score meta-p = 0.00053) and risk of brain infarct (meta OR = 1.41(1.09, 1.81], p = 0.008). Conclusions: APOE ε4 and APOE ε2 were associated with increasing burden in MRI markers for both hemorrhagic and ischemic CVD. While the association of APOE ε4 with an increased burden of CVD could be partly contributing to the relationship between APOE ε4 and AD, APOE ε2 was associated with MRI markers of CVD in the opposite direction compared to AD.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Danemark</li>
<li>France</li>
<li>États-Unis</li>
</country>
<region>
<li>Aquitaine</li>
<li>Massachusetts</li>
<li>Nouvelle-Aquitaine</li>
<li>Nouvelle-Galles du Sud</li>
<li>Pennsylvanie</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Bordeaux</li>
<li>Boston</li>
<li>Paris</li>
<li>Pittsburgh</li>
<li>Sydney</li>
<li>Versailles</li>
</settlement>
<orgName>
<li>Université de Pittsburgh</li>
</orgName>
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<country name="France">
<region name="Île-de-France">
<name sortKey="Schilling, Sabrina" sort="Schilling, Sabrina" uniqKey="Schilling S" first="Sabrina" last="Schilling">Sabrina Schilling</name>
</region>
<name sortKey="Debette, Stephanie" sort="Debette, Stephanie" uniqKey="Debette S" first="Stéphanie" last="Debette">Stéphanie Debette</name>
<name sortKey="Debette, Stephanie" sort="Debette, Stephanie" uniqKey="Debette S" first="Stéphanie" last="Debette">Stéphanie Debette</name>
<name sortKey="Dufouil, Carole" sort="Dufouil, Carole" uniqKey="Dufouil C" first="Carole" last="Dufouil">Carole Dufouil</name>
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<name sortKey="Mazoyer, Bernard" sort="Mazoyer, Bernard" uniqKey="Mazoyer B" first="Bernard" last="Mazoyer">Bernard Mazoyer</name>
<name sortKey="Schilling, Sabrina" sort="Schilling, Sabrina" uniqKey="Schilling S" first="Sabrina" last="Schilling">Sabrina Schilling</name>
<name sortKey="Schilling, Sabrina" sort="Schilling, Sabrina" uniqKey="Schilling S" first="Sabrina" last="Schilling">Sabrina Schilling</name>
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<name sortKey="Zhu, Yi Cheng" sort="Zhu, Yi Cheng" uniqKey="Zhu Y" first="Yi-Cheng" last="Zhu">Yi-Cheng Zhu</name>
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<name sortKey="Destefano, Anita L" sort="Destefano, Anita L" uniqKey="Destefano A" first="Anita L." last="Destefano">Anita L. Destefano</name>
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<name sortKey="Au, Rhoda" sort="Au, Rhoda" uniqKey="Au R" first="Rhoda" last="Au">Rhoda Au</name>
<name sortKey="Beiser, Alexa" sort="Beiser, Alexa" uniqKey="Beiser A" first="Alexa" last="Beiser">Alexa Beiser</name>
<name sortKey="Beiser, Alexa" sort="Beiser, Alexa" uniqKey="Beiser A" first="Alexa" last="Beiser">Alexa Beiser</name>
<name sortKey="Debette, Stephanie" sort="Debette, Stephanie" uniqKey="Debette S" first="Stéphanie" last="Debette">Stéphanie Debette</name>
<name sortKey="Decarli, Charles D" sort="Decarli, Charles D" uniqKey="Decarli C" first="Charles D." last="Decarli">Charles D. Decarli</name>
<name sortKey="Farrer, Lindsay" sort="Farrer, Lindsay" uniqKey="Farrer L" first="Lindsay" last="Farrer">Lindsay Farrer</name>
<name sortKey="Farrer, Lindsay" sort="Farrer, Lindsay" uniqKey="Farrer L" first="Lindsay" last="Farrer">Lindsay Farrer</name>
<name sortKey="Kuller, Lewis H" sort="Kuller, Lewis H" uniqKey="Kuller L" first="Lewis H." last="Kuller">Lewis H. Kuller</name>
<name sortKey="Lunetta, Kathryn L" sort="Lunetta, Kathryn L" uniqKey="Lunetta K" first="Kathryn L." last="Lunetta">Kathryn L. Lunetta</name>
<name sortKey="Rafael Romero, Jose" sort="Rafael Romero, Jose" uniqKey="Rafael Romero J" first="José" last="Rafael Romero">José Rafael Romero</name>
<name sortKey="Raz, Naftali" sort="Raz, Naftali" uniqKey="Raz N" first="Naftali" last="Raz">Naftali Raz</name>
<name sortKey="Seshadri, Sudha" sort="Seshadri, Sudha" uniqKey="Seshadri S" first="Sudha" last="Seshadri">Sudha Seshadri</name>
<name sortKey="Seung Hoan Choi" sort="Seung Hoan Choi" uniqKey="Seung Hoan Choi" last="Seung Hoan Choi">SEUNG HOAN CHOI</name>
<name sortKey="Wolf, Philip A" sort="Wolf, Philip A" uniqKey="Wolf P" first="Philip A." last="Wolf">Philip A. Wolf</name>
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<country name="Australie">
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<name sortKey="Sachdev, Perminder S" sort="Sachdev, Perminder S" uniqKey="Sachdev P" first="Perminder S." last="Sachdev">Perminder S. Sachdev</name>
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<name sortKey="Mather, Karen A" sort="Mather, Karen A" uniqKey="Mather K" first="Karen A." last="Mather">Karen A. Mather</name>
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<name sortKey="Wei Wen" sort="Wei Wen" uniqKey="Wei Wen" last="Wei Wen">WEI WEN</name>
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<country name="Danemark">
<noRegion>
<name sortKey="H Gh, Peter" sort="H Gh, Peter" uniqKey="H Gh P" first="Peter" last="H Gh">Peter H Gh</name>
</noRegion>
</country>
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</affiliations>
</record>

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