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APOE ε4 positivity predicts centrality of episodic memory nodes in patients with mild cognitive impairment: A cohort-based, graph theory-informed study of cognitive networks.

Lookup NU author(s): Dr Laura WrightORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Abstract Introduction: Published research reports inconsistent links between APOE-ε4 and cognition. We hypothesised that these links can be reliably captured by graph-theory analyses. Methods: Cognitive networks were calculated in 8,118 controls, 3,482 MCI patients and 4,573 Alzheimer’s dementia patients, recruited as part of the National Alzheimer’s Coordinating Center (NACC) database. Differences in nodal centrality were tested in two independent NACC sub-cohorts between ε4-carriers and non-carriers. Results: A significant APOE-dependant effect emerged from the analysis of the Logical-Memory nodes in MCI patients in both sub-cohorts. While non-carriers showed equal centrality in immediate and delayed recall, the latter was significantly less central among carriers. These findings were replicated in the sub-groups of sole amnestic-MCI patients (n = 2,971). No effects were found in the other two diagnostic groups. Discussion: APOE ε4 influences nodal properties of cognitive networks at the MCI stage. This highlights the importance of characterising the impact of risk factors on the wider cognitive network.


Publication metadata

Author(s): De Marco M, Wright LM, Valera-Bermejo JM, Ferguson C

Publication type: Article

Publication status: Published

Journal: Neuropsychologia

Year: 2024

Volume: 192

Print publication date: 10/01/2024

Online publication date: 29/11/2023

Acceptance date: 23/11/2023

Date deposited: 19/02/2024

ISSN (print): 0028-3932

ISSN (electronic): 1873-3514

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.neuropsychologia.2023.108741

DOI: 10.1016/j.neuropsychologia.2023.108741

Data Access Statement: Data used in this study was obtained from the National Alzheimer’s Coordinating Center initiative (https://naccdata.org/).


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Funding

Funder referenceFunder name
Alzheimer’s Association Research Grant (23AARG-1030190)
Neurocare (United Kingdom), under Grant agreement No.181924

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