Background: Carriers of the APOE ε4 allele are at increased risk of developing Alzheimer’s disease (AD), and have been shown to have reduced cerebral metabolic rate of glucose (CMRgl) in the same brain areas frequently affected in AD. These individuals also exhibit reduced plasma levels of apolipoprotein E (apoE) attributed to a specific decrease in the apoE4 isoform as determined by quantification of individual apoE isoforms in APOE ε4 heterozygotes. Whether low plasma apoE levels are associated with structural and functional brain measurements and cognitive performance remains to be investigated.
Methods: Using quantitative mass spectrometry we quantified the plasma levels of total apoE and the individual apoE3 and apoE4 isoforms in 128 cognitively normal APOE ε3/ε4 individuals included in the Arizona APOE cohort. All included individuals had undergone extensive neuropsychological testing and 25 had in addition undergone FDG-PET and MRI to determine CMRgl and regional gray matter volume (GMV).
Results: Our results demonstrated higher apoE4 levels in females versus males and an age-dependent increase in the apoE3 isoform levels in females only. Importantly, a higher relative ratio of apoE4 over apoE3 was associated with GMV loss in the right posterior cingulate and with reduced CMRgl bilaterally in the anterior cingulate and in the right hippocampal area. Additional exploratory analysis revealed several negative associations between total plasma apoE, individual apoE isoform levels, GMV and CMRgl predominantly in the frontal, occipital and temporal areas. Finally, our results indicated only weak associations between apoE plasma levels and cognitive performance which further appear to be affected by sex.
Conclusions: Our study proposes a sex-dependent and age-dependent variation in plasma apoE isoform levels and concludes that peripheral apoE levels are associated with GMV, CMRgl and possibly cognitive performance in cognitively healthy individuals with a genetic predisposition to AD.
Although the majority of late-onset Alzheimer's disease (AD) patients are labeled sporadic, multiple genetic risk variants have been identified, the most powerful and prevalent of which is the e4 variant of the Apolipoprotein E (APOE) gene. Here, we generated human induced pluripotent stem cell (hiPSC) lines from the peripheral blood mononuclear cells (PBMCs) of a clinically diagnosed AD patient [ASUi003-A] and a non-demented control (NDC) patient [ASUi004-A] homozygous for the APOE4 risk allele. These hiPSCs maintained their original genotype, expressed pluripotency markers, exhibited a normal karyotype, and retained the ability to differentiate into cells representative of the three germ layers.
First, I propose a surface fluid registration system, which extends the traditional image fluid registration to surfaces. With surface conformal parameterization, the complexity of the proposed registration formula has been greatly reduced, compared to prior methods. Inverse consistency is also incorporated to drive a symmetric correspondence between surfaces. After registration, the multivariate tensor-based morphometry (mTBM) is computed to measure local shape deformations. The algorithm was applied to study hippocampal atrophy associated with Alzheimer's disease (AD).
Next, I propose a ventricular surface registration algorithm based on hyperbolic Ricci flow, which computes a global conformal parameterization for each ventricular surface without introducing any singularity. Furthermore, in the parameter space, unique hyperbolic geodesic curves are introduced to guide consistent correspondences across subjects, a technique called geodesic curve lifting. Tensor-based morphometry (TBM) statistic is computed from the registration to measure shape changes. This algorithm was applied to study ventricular enlargement in mild cognitive impatient (MCI) converters.
Finally, a new shape index, the hyperbolic Wasserstein distance, is introduced. This algorithm computes the Wasserstein distance between general topological surfaces as a shape similarity measure of different surfaces. It is based on hyperbolic Ricci flow, hyperbolic harmonic map, and optimal mass transportation map, which is extended to hyperbolic space. This method fills a gap in the Wasserstein distance study, where prior work only dealt with images or genus-0 closed surfaces. The algorithm was applied in an AD vs. control cortical shape classification study and achieved promising accuracy rate.