TY - JOUR T1 - Relationship between <em>APOE</em> Genotype and Structural MRI Measures throughout Adulthood in the Study of Health in Pomerania Population-Based Cohort JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. SP - 1636 LP - 1642 DO - 10.3174/ajnr.A4805 VL - 37 IS - 9 AU - M. Habes AU - J.B. Toledo AU - S.M. Resnick AU - J. Doshi AU - S. Van der Auwera AU - G. Erus AU - D. Janowitz AU - K. Hegenscheid AU - G. Homuth AU - H. Völzke AU - W. Hoffmann AU - H.J. Grabe AU - C. Davatzikos Y1 - 2016/09/01 UR - http://www.ajnr.org/content/37/9/1636.abstract N2 - BACKGROUND AND PURPOSE: The presence of the apolipoprotein E ε4 allele is the strongest sporadic Alzheimer disease genetic risk factor. We hypothesized that apolipoprotein E ε4 carriers and noncarriers may already differ in imaging patterns in midlife. We therefore sought to identify the effect of apolipoprotein E genotype on brain atrophy across almost the entire adult age span by using advanced MR imaging–based pattern analysis.MATERIALS AND METHODS: We analyzed MR imaging scans of 1472 participants from the Study of Health in Pomerania (22–90 years of age). We studied the association among age, apolipoprotein E ε4 carrier status, and brain atrophy, which was quantified by using 2 MR imaging–based indices: Spatial Pattern of Atrophy for Recognition of Brain Aging (summarizing age-related brain atrophy) and Spatial Pattern of Abnormality for Recognition of Early Alzheimer Disease (summarizing Alzheimer disease-like brain atrophy patterns), as well as the gray matter volumes in several Alzheimer disease- and apolipoprotein E–related ROIs (lateral frontal, lateral temporal, medial frontal, and hippocampus).RESULTS: No significant association was found between apolipoprotein E ε4 carrier status and the studied ROIs or the MR imaging–based indices in linear regression models adjusted for age, sex, and education, including an interaction term between apolipoprotein E and age.CONCLUSIONS: Our study indicates that measurable apolipoprotein E–related brain atrophy does not occur in early adulthood and midlife and suggests that such atrophy may only occur more proximal to the onset of clinical symptoms of dementia.ADAlzheimer diseaseAPOEapolipoprotein EMCImild cognitive impairmentSHIPStudy of Health in PomeraniaSNPsingle nucleotide polymorphismSPARE-ADSpatial Pattern of Abnormality for Recognition of Early Alzheimer DiseaseSPARE-BASpatial Pattern of Atrophy for Recognition of Brain Aging ER -