APOE epsilon4 and the cognitive genetics of multiple sclerosis.

Abstract:

BACKGROUND:Evidence linking APOE to myelin repair, neuronal plasticity, and cerebral inflammatory processes suggests that it may be relevant in multiple sclerosis (MS). The purpose of this study was to determine whether the epsilon4 allele of APOE is associated with cognitive deficits in patients with MS. METHOD:Using a case-control design, 50 patients with MS with the epsilon4 allele (epsilon4+) and 50 epsilon4-negative (epsilon4-) patients with MS were tested using a comprehensive battery of tests evaluating the cognitive domains most often affected in MS. RESULTS:The epsilon4+ and epsilon4- patients with MS were well-matched with respect to demographic variables (age, gender, ethnicity, education, employment status, premorbid IQ) and disease variables (disease course, disease duration, Expanded Disability Status Scale, 25-foot timed walk, 9-hole pegboard test). In addition, the groups were similar in depressive symptoms, in the proportion of patients receiving disease-modifying therapy, and in carriage of the APOE epsilon2 allele. Results showed that none of the 11 cognitive outcome variables differed between epsilon4+ and epsilon4- patients with MS. Cognitive measures were also unrelated to epsilon4 interactions with age and gender. The incidence of overall cognitive dysfunction did not differ between epsilon4+ and epsilon4- groups, nor did failure on any test, and epsilon4 carriage was not a significant predictor of any adverse cognitive outcome. These negative results endured with the exclusion of epsilon2+ subjects from the analyses. CONCLUSION:This study does not support a role for the epsilon4 allele in cognitive dysfunction in multiple sclerosis.

journal_name

Neurology

journal_title

Neurology

authors

Ghaffar O,Reis M,Pennell N,O'Connor P,Feinstein A

doi

10.1212/WNL.0b013e3181e074a7

subject

Has Abstract

pub_date

2010-05-18 00:00:00

pages

1611-8

issue

20

eissn

0028-3878

issn

1526-632X

pii

74/20/1611

journal_volume

74

pub_type

杂志文章
  • A distinctive autosomal dominant vacuolar neuromyopathy linked to 19p13.

    abstract:OBJECTIVE:To characterize a kindred with a distinctive autosomal dominant neuromuscular disorder. BACKGROUND:The authors studied a large Italian family affected by a progressive neuromyopathy. Ten individuals over three generations were affected. The disease was characterized by onset from the late teens to early 50s ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.4.830

    authors: Servidei S,Capon F,Spinazzola A,Mirabella M,Semprini S,de Rosa G,Gennarelli M,Sangiuolo F,Ricci E,Mohrenweiser HW,Dallapiccola B,Tonali P,Novelli G

    更新日期:1999-09-11 00:00:00

  • Increased MRI activity and immune activation in two multiple sclerosis patients treated with the monoclonal anti-tumor necrosis factor antibody cA2.

    abstract::There is evidence that treatment with an antibody to tumor necrosis factor alpha (TNF alpha) improves an animal model of multiple sclerosis (MS) and is beneficial in two systemic inflammatory disease in humans, but there are no reports about anti-TNF treatment of MS. Therefore, we treated two rapidly progressive MS pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.6.1531

    authors: van Oosten BW,Barkhof F,Truyen L,Boringa JB,Bertelsmann FW,von Blomberg BM,Woody JN,Hartung HP,Polman CH

    更新日期:1996-12-01 00:00:00

  • Arterial thrombosis induced by IVIg and its treatment with tPA.

    abstract::IV immunoglobulin therapy can lead to vascular events through increased serum viscosity and possibly other mechanisms. The authors describe the successful use of tissue plasminogen activator in three of four patients who developed cerebral and peripheral arterial thrombosis after treatment with IV immunoglobulin. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000068334.04500.08

    authors: Okuda D,Flaster M,Frey J,Sivakumar K

    更新日期:2003-06-10 00:00:00

  • Multimodal characterization of older APOE2 carriers reveals selective reduction of amyloid load.

    abstract:OBJECTIVE:To comprehensively assess neurobiological effects of the protective APOE2 allele in the aged brain using a cross-sectional multimodal neuroimaging approach. METHODS:Multimodal neuroimaging data were obtained from a total of 572 older individuals without dementia (cognitively normal and mild cognitive impairm...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003585

    authors: Grothe MJ,Villeneuve S,Dyrba M,Bartrés-Faz D,Wirth M,Alzheimer's Disease Neuroimaging Initiative.

    更新日期:2017-02-07 00:00:00

  • The spectrum of acute encephalitis: causes, management, and predictors of outcome.

    abstract:OBJECTIVE:To describe and analyze etiologies, clinical presentations, therapeutic management, and outcomes of patients with acute encephalitis and identify outcome predictors. METHODS:We conducted a retrospective review of patients diagnosed with acute encephalitis at Mayo Clinic Rochester between January 2000 and Dec...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001190

    authors: Singh TD,Fugate JE,Rabinstein AA

    更新日期:2015-01-27 00:00:00

  • Prevalence of Alzheimer's disease and other dementias in rural India: the Indo-US study.

    abstract:OBJECTIVE:To determine the prevalence of AD and other dementias in a rural elderly Hindi-speaking population in Ballabgarh in northern India. DESIGN:The authors performed a community survey of a cohort of 5,126 individuals aged 55 years and older, 73.3% of whom were illiterate. Hindi cognitive and functional screening...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.4.1000

    authors: Chandra V,Ganguli M,Pandav R,Johnston J,Belle S,DeKosky ST

    更新日期:1998-10-01 00:00:00

  • Epilepsy and sleep apnea syndrome.

    abstract::We identified seven patients with refractory partial epilepsy and sleep apnea. Treatment of the sleep apnea with nasal continuous positive airway pressure (CPAP), protriptyline, trazodone, acetazolamide, or tracheostomy reduced seizure frequency and severity in six patients. Success with CPAP depended largely on compl...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.11.2060

    authors: Devinsky O,Ehrenberg B,Barthlen GM,Abramson HS,Luciano D

    更新日期:1994-11-01 00:00:00

  • A case-control study of Alzheimer's disease in China.

    abstract::We conducted a case-control study to assess possible factors associated with Alzheimer's disease (AD) with 70 clinically diagnosed AD patients and 140 age- and sex-matched nondemented neighborhood controls in China. Factors significantly associated with AD cases were family history of dementia in first-degree relative...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.8.1481

    authors: Li G,Shen YC,Li YT,Chen CH,Zhau YW,Silverman JM

    更新日期:1992-08-01 00:00:00

  • Subclinical cerebrovascular disease in mild cognitive impairment.

    abstract:BACKGROUND:Cerebrovascular disease (CVD) may contribute to mild cognitive impairment (MCI). We sought to determine the relation of white matter hyperintensity (WMH) volume and infarcts in brain MRI to MCI in a community-based sample. METHODS:A total of 679 elderly persons without dementia underwent brain MRI. WMH and ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181b1636a

    authors: Luchsinger JA,Brickman AM,Reitz C,Cho SJ,Schupf N,Manly JJ,Tang MX,Small SA,Mayeux R,DeCarli C,Brown TR

    更新日期:2009-08-11 00:00:00

  • Gender, cognitive decline, and risk of AD in older persons.

    abstract:BACKGROUND:Cross-sectional studies suggest gender differences in cognitive function and risk of AD in older persons. However, longitudinal studies comparing change in cognitive function and risk of AD in men and women have had mixed results. The authors investigated gender differences in rate of decline for different c...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000065892.67099.2a

    authors: Barnes LL,Wilson RS,Schneider JA,Bienias JL,Evans DA,Bennett DA

    更新日期:2003-06-10 00:00:00

  • Mechanism of action of dopaminergic agents in Parkinson's disease.

    abstract::As the substantia nigra degenerates in Parkinson's disease (PD), the nigrostriatal pathway is disrupted, reducing striatal dopamine and producing PD symptoms. Although dopamine does not readily cross the blood-brain barrier, its precursor, levodopa, does. Levodopa is absorbed in the small bowel and is rapidly cataboli...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.50.6_suppl_6.s11

    authors: Koller WC,Rueda MG

    更新日期:1998-06-01 00:00:00

  • TENS for the treatment of writer's cramp dystonia: a randomized, placebo-controlled study.

    abstract::Manipulation of afferent inputs may temporarily modulate dystonic spasms. Ten patients with writer's cramp were enrolled in a double-blind, randomized, crossover study in which the effects of transcutaneous electrical stimulation (TENS) and placebo treatment were compared. Patients were evaluated using four measures o...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.WNL.0000163851.70927.7E

    authors: Tinazzi M,Farina S,Bhatia K,Fiaschi A,Moretto G,Bertolasi L,Zarattini S,Smania N

    更新日期:2005-06-14 00:00:00

  • Postmenopausal estrogen use and Parkinson's disease with and without dementia.

    abstract::We investigated the effects of estrogen replacement therapy (ERT) on the risk of development of dementia in 87 women with Parkinson's disease without dementia (PDND), 80 women with Parkinson's disease with dementia (PDD), and 989 nondemented healthy women from the same community. ERT was protective for the development...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.50.4.1141

    authors: Marder K,Tang MX,Alfaro B,Mejia H,Cote L,Jacobs D,Stern Y,Sano M,Mayeux R

    更新日期:1998-04-01 00:00:00

  • Acute late-onset encephalopathy after radiotherapy: an unusual life-threatening complication.

    abstract::Unusual late-onset complications of brain irradiation, characterized by reversible neurologic focal signs, seizures, and MRI alterations, have recently been reported and classified as stroke-like migraine attacks after radiation therapy (SMART)(1) and peri-ictal pseudoprogression (PIPG).(2.) ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182a43b1f

    authors: Di Stefano AL,Berzero G,Vitali P,Galimberti CA,Ducray F,Ceroni M,Bastianello S,Colombo AA,Simoncelli A,Brunelli MC,Giometto B,Diamanti L,Gaviani P,Salmaggi A,Silvani A,Marchioni E

    更新日期:2013-09-10 00:00:00

  • Symptomatic dysferlin gene mutation carriers: characterization of two cases.

    abstract:OBJECTIVE:To describe two symptomatic dysferlin gene mutation carriers. METHODS:One patient had limb girdle weakness. His brother was diagnosed with limb girdle muscular dystrophy 2B with two mutations in the dysferlin gene (D625Y and E1734G). The second patient had distal weakness. He had two sons with Miyoshi myopat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000256768.79353.60

    authors: Illa I,De Luna N,Domínguez-Perles R,Rojas-García R,Paradas C,Palmer J,Márquez C,Gallano P,Gallardo E

    更新日期:2007-04-17 00:00:00

  • Craniofacial and cutaneous findings expand the phenotype of hereditary neuralgic amyotrophy.

    abstract:BACKGROUND:Hereditary neuralgic amyotrophy (HNA) is an autosomal-dominant disorder associated with recurrent, episodic, painful, brachial neuropathy. The gene for HNA has been mapped to chromosome 17q25. Characteristic features including hypotelorism, short stature, and cleft palate occur in some patients. OBJECTIVE:T...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.11.1963

    authors: Jeannet PY,Watts GD,Bird TD,Chance PF

    更新日期:2001-12-11 00:00:00

  • Defective auditory interhemispheric transfer in a patient with a PAX6 mutation.

    abstract::Heterozygous PAX6 mutation is associated with an absent or hypoplastic anterior commissure and a reduction in the area of the corpus callosum. The authors found deficient auditory interhemispheric transfer in a 53-year-old woman with a PAX6 mutation who had an absent anterior commissure but normal callosal volume. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000106950.74155.0a

    authors: Bamiou DE,Musiek FE,Sisodiya SM,Free SL,Mitchell TN,Davies RA

    更新日期:2004-02-10 00:00:00

  • Continuous and routine EEG in intensive care: utilization and outcomes, United States 2005-2009.

    abstract:OBJECTIVES:To evaluate the effect of intensive care unit continuous EEG (cEEG) monitoring on inpatient mortality, hospital charges, and length of stay. METHODS:A retrospective cross-sectional study was conducted using the Nationwide Inpatient Sample, a dataset representing 20% of inpatient discharges in nonfederal US ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000436948.93399.2a

    authors: Ney JP,van der Goes DN,Nuwer MR,Nelson L,Eccher MA

    更新日期:2013-12-03 00:00:00

  • Lumbrical sparing in carpal tunnel syndrome: anatomic, physiologic, and diagnostic implications.

    abstract::Motor axons supplying lumbrical muscles are less severely affected than axons supplying thenar muscles in the carpal tunnel syndrome; sometimes lumbrical motor fibers are less affected than digit 2 sensory fibers. This pattern is consistent with compression of both the anterior and posterior aspects of the median nerv...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.9.1499

    authors: Logigian EL,Busis NA,Berger AR,Bruyninckx F,Khalil N,Shahani BT,Young RR

    更新日期:1987-09-01 00:00:00

  • Familial recurrent Bell's palsy with ocular motor palsies.

    abstract::We studied a family in which the father and 7 of 10 children had episodes of Bell's palsy. Five of the eight affected family members also had ocular motor palsies. Facial nerve and blink reflex studies in four affected siblings demonstrated asymmetrically reduced amplitude of evoked responses without delayed conductio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.8.1369

    authors: Aldrich MS,Beck RW,Albers JW

    更新日期:1987-08-01 00:00:00

  • Electrographic seizures in pediatric ICU patients: cohort study of risk factors and mortality.

    abstract:OBJECTIVES:We aimed to determine the incidence of electrographic seizures in children in the pediatric intensive care unit who underwent EEG monitoring, risk factors for electrographic seizures, and whether electrographic seizures were associated with increased odds of mortality. METHODS:Eleven sites in North America ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e31829c5cfe

    authors: Abend NS,Arndt DH,Carpenter JL,Chapman KE,Cornett KM,Gallentine WB,Giza CC,Goldstein JL,Hahn CD,Lerner JT,Loddenkemper T,Matsumoto JH,McBain K,Nash KB,Payne E,Sánchez SM,Fernández IS,Shults J,Williams K,Yang A,Dlu

    更新日期:2013-07-23 00:00:00

  • Diffuse low-grade oligodendrogliomas extend beyond MRI-defined abnormalities.

    abstract:BACKGROUND:Imaging determinations of the spatial extent of diffuse low-grade gliomas (DLGGs) are of paramount importance in evaluating the risk-to-benefit ratio of surgical resection. However, it is not clear how accurately preoperative conventional MRI can delineate DLGGs. METHODS:We report a retrospective histologic...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181e04264

    authors: Pallud J,Varlet P,Devaux B,Geha S,Badoual M,Deroulers C,Page P,Dezamis E,Daumas-Duport C,Roux FX

    更新日期:2010-05-25 00:00:00

  • Assessing structure and function of myelin in cervical spondylotic myelopathy: Evidence of demyelination.

    abstract:PURPOSE:To assess the extent of demyelination in cervical spondylotic myelopathy (CSM) using myelin water imaging (MWI) and electrophysiologic techniques. METHODS:Somatosensory evoked potentials (SSEPs) and MWI were acquired in 14 patients with CSM and 18 age-matched healthy controls. MWI was performed on a 3.0T whole...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004197

    authors: Liu H,MacMillian EL,Jutzeler CR,Ljungberg E,MacKay AL,Kolind SH,Mädler B,Li DKB,Dvorak MF,Curt A,Laule C,Kramer JLK

    更新日期:2017-08-08 00:00:00

  • AIDS-associated progressive multifocal leukoencephalopathy (PML): comparison to non-AIDS PML with in situ hybridization and immunohistochemistry.

    abstract::We studied brain sections from 10 patients with the acquired immunodeficiency syndrome (AIDS) and progressive multifocal leukoencephalopathy (PML) by in situ hybridization with a biotin-labeled JC virus (JCV) DNA probe and by immunohistochemistry using antibody against the JCV capsid antigen. We compared the results w...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.7.1073

    authors: Aksamit AJ,Gendelman HE,Orenstein JM,Pezeshkpour GH

    更新日期:1990-07-01 00:00:00

  • Transient drug-induced abolition of BAEPs in coma.

    abstract::Combined infusion of high doses of lidocaine and thiopental in a comatose patient induced major latency and amplitude BAEP changes, which progressed to complete BAEP abolition. Responses returned to normal after drugs were discontinued. EEGs during the episodes showed long-lasting periods of activity suppression, but ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.9.1487

    authors: García-Larrea L,Artru F,Bertrand O,Pernier J,Mauguière F

    更新日期:1988-09-01 00:00:00

  • Perfusion MRI detects rCBF abnormalities in early stages of HIV-cognitive motor complex.

    abstract:OBJECTIVE:To evaluate patients with early HIV-cognitive motor complex (HIV-CMC) for possible regional cerebral blood flow (rCBF) abnormalities on perfusion MRI (pMRI). BACKGROUND:Nuclear medicine techniques have demonstrated global and focal cerebral perfusion abnormalities in patients with HIV dementia. Ultrafast pMR...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.2.389

    authors: Chang L,Ernst T,Leonido-Yee M,Speck O

    更新日期:2000-01-25 00:00:00

  • Serum creatine phosphokinase and pyruvate kinase in neuromuscular disorders and Duchenne dystrophy carriers.

    abstract::Serum levels of creatine phosphokinase (CPK) and pyruvic kinase (PK) were determined in 42 controls, 57 patients with various neuromuscular disorders, and 23 female relatives of Duchenne dystrophy patients. CPK and PK enzyme activities were increased in comparable numbers of muscle disease patients and female carriers...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.28.10.1047

    authors: Seay AR,Ziter FA,Wu LH,Wu JT

    更新日期:1978-10-01 00:00:00

  • Applying the HIV-associated neurocognitive disorder diagnostic criteria to HIV-infected youth.

    abstract:OBJECTIVE:The aim of this study was to apply the HIV-associated neurocognitive disorders (HAND) criteria for diagnosing HAND in HIV-infected adults, in a cohort of HIV-infected youth to thus establish whether this system is able to detect a spectrum of neurocognitive disorders (ND) in HIV-infected youth. METHODS:We us...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002669

    authors: Hoare J,Phillips N,Joska JA,Paul R,Donald KA,Stein DJ,Thomas KG

    更新日期:2016-07-05 00:00:00

  • JC virus DNA load in patients with and without progressive multifocal leukoencephalopathy.

    abstract:OBJECTIVE:To determine the clinical value of JC virus (JCV) detection in various anatomic compartments for the diagnosis of progressive multifocal leukoencephalopathy (PML). METHODS:CSF, peripheral blood mononuclear cells (PBMC), plasma, and urine samples were evaluated from HIV-infected and uninfected individuals. JC...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.2.253

    authors: Koralnik IJ,Boden D,Mai VX,Lord CI,Letvin NL

    更新日期:1999-01-15 00:00:00

  • Lewy bodies are not increased in progressive supranuclear palsy compared with normal controls.

    abstract:OBJECTIVE:To determine the frequency of Lewy bodies (LB) in progressive supranuclear palsy (PSP). BACKGROUND:LB are characteristic of PD, but are also found in normal controls and in other neurodegenerative diseases, especially AD. METHOD:The authors evaluated the brains of 72 consecutive cases of pathologically conf...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.9.1675

    authors: Tsuboi Y,Ahlskog JE,Apaydin H,Parisi JE,Dickson DW

    更新日期:2001-11-13 00:00:00