Difference between revisions of "Week4"

From Pheno Wiki
Jump to: navigation, search
Line 35: Line 35:
  
 
*Abstract
 
*Abstract
 +
Background: The APOE {varepsilon}4 allele is associated with the risk of late-onset Alzheimer's disease. The age at which memory decline diverges among persons who are homozygous for the APOE {varepsilon}4 allele, those who are heterozygous for the allele, and noncarriers is unknown.
 +
 +
Methods: Using local advertisements, we recruited cognitively normal subjects between the ages of 21 and 97 years, who were grouped according to their APOE {varepsilon}4 status. We then followed the subjects with longitudinal neuropsychological testing. Anyone in whom mild cognitive impairment or dementia developed during follow-up was excluded. We compared the rates of decline in predetermined cognitive measures between carriers and noncarriers of the APOE {varepsilon}4 allele, using a mixed model for longitudinal change with age.
 +
 +
Results: We analyzed 815 subjects: 317 APOE {varepsilon}4 carriers (79 who were homozygous for the APOE {varepsilon}4 allele and 238 who were heterozygous) and 498 noncarriers. Carriers, as compared with noncarriers, were generally younger (mean age, 58.0 vs. 61.4 years; P<0.001) and were followed for a longer period (5.3 vs. 4.7 years, P=0.01), with an equivalent duration of formal education (15.4 years) and proportion of women (69%). Longitudinal decline in memory in carriers began before the age of 60 years and showed greater acceleration than in noncarriers (P=0.03), with a possible allele–dose effect (P=0.008). We observed similar although weaker effects on measures of visuospatial awareness and general mental status.
 +
 +
Conclusions: Age-related memory decline in APOE {varepsilon}4 carriers diverges from that of noncarriers before the age of 60 years, despite ongoing normal clinical status.
  
 
*Keywords
 
*Keywords

Revision as of 18:29, 13 January 2010

Back to NS210b Class page

MANUSCRIPT ID

  • Title
  • Reference
  • Abstract
  • Keywords
  • Input Author


MANUSCRIPT DETAILS

  • Introduction/Aims
  • Methods
  • Results
  • Summary
  • Discussion


MANUSCRIPT ID

  • Title
  • Reference
  • Abstract

Background: The APOE {varepsilon}4 allele is associated with the risk of late-onset Alzheimer's disease. The age at which memory decline diverges among persons who are homozygous for the APOE {varepsilon}4 allele, those who are heterozygous for the allele, and noncarriers is unknown.

Methods: Using local advertisements, we recruited cognitively normal subjects between the ages of 21 and 97 years, who were grouped according to their APOE {varepsilon}4 status. We then followed the subjects with longitudinal neuropsychological testing. Anyone in whom mild cognitive impairment or dementia developed during follow-up was excluded. We compared the rates of decline in predetermined cognitive measures between carriers and noncarriers of the APOE {varepsilon}4 allele, using a mixed model for longitudinal change with age.

Results: We analyzed 815 subjects: 317 APOE {varepsilon}4 carriers (79 who were homozygous for the APOE {varepsilon}4 allele and 238 who were heterozygous) and 498 noncarriers. Carriers, as compared with noncarriers, were generally younger (mean age, 58.0 vs. 61.4 years; P<0.001) and were followed for a longer period (5.3 vs. 4.7 years, P=0.01), with an equivalent duration of formal education (15.4 years) and proportion of women (69%). Longitudinal decline in memory in carriers began before the age of 60 years and showed greater acceleration than in noncarriers (P=0.03), with a possible allele–dose effect (P=0.008). We observed similar although weaker effects on measures of visuospatial awareness and general mental status.

Conclusions: Age-related memory decline in APOE {varepsilon}4 carriers diverges from that of noncarriers before the age of 60 years, despite ongoing normal clinical status.

  • Keywords
  • Input Author


MANUSCRIPT DETAILS

  • Introduction/Aims
  • Methods
  • Results
  • Summary
  • Discussion


INFORMATICS: GenBank

GenBank is an open-access database of annotated sequences of DNA, mRNA, and the corresponding proteins. One can add [1] to the database, submitting sequences, further annotations, and corrections. Alternatively (and likely more usefully), one can search GenBank. Searches are conducted via Entrez Nucleotide [2].