PMID- 25024337 OWN - NLM STAT- MEDLINE DCOM- 20150723 LR - 20211021 IS - 1875-8908 (Electronic) IS - 1387-2877 (Print) IS - 1387-2877 (Linking) VI - 42 IP - 4 DP - 2014 TI - Apathy and APOE4 are associated with reduced BDNF levels in Alzheimer's disease. PG - 1347-55 LID - 10.3233/JAD-140849 [doi] AB - Reduced brain-derived neurotrophic factor (BDNF) signaling is considered as a pathogenic event in early Alzheimer's disease (AD), but the influence of apathy and apolipoprotein E epsilon4 allele (APOE4) on serum BDNF values was not previously investigated in AD. We evaluated serum BDNF levels in AD, amnestic mild cognitive impairment (MCI), and control subjects. Baseline BDNF levels were similar in AD, MCI, and controls. AD patients having apathy showed lower BDNF values than patients without apathy (p < 0.05). After correction for the influence of apathy, APOE4 carriers showed lower BDNF levels (p < 0.01) and MMSE scores (p < 0.01) than non-APOE4 carriers in the subgroup of AD females, but not in males. Significant (p < 0.05) positive correlations between BDNF values and MMSE scores were only observed in subgroups of AD males and of AD patients without apathy. These results are showing the association of apathy and APOE4 with reduced serum BDNF levels in AD, and are suggesting that BDNF reductions might contribute to the worse cognitive performance exhibited by AD apathetic patients and female APOE4 carriers. FAU - Alvarez, Anton AU - Alvarez A AD - Medinova Institute of Neurosciences, Clinica RehaSalud, A Coruna, Spain. FAU - Aleixandre, Manuel AU - Aleixandre M AD - School of Psychology, Granada University, Granada, Spain. FAU - Linares, Carlos AU - Linares C AD - Complejo Asistencial HHSCJ, Malaga, Spain. FAU - Masliah, Eliezer AU - Masliah E AD - Departments of Neurosciences and Pathology, University of California San Diego, School of Medicine, La Jolla, CA, USA. FAU - Moessler, Herbert AU - Moessler H AD - Ever NeuroPharma, Unterach, Austria. LA - eng GR - P50 AG005131/AG/NIA NIH HHS/United States GR - P30 NS076411/NS/NINDS NIH HHS/United States GR - R01 AG018440/AG/NIA NIH HHS/United States GR - P01 AG031097/AG/NIA NIH HHS/United States GR - P01 AG010435/AG/NIA NIH HHS/United States GR - P01 AG022074/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0 (Apolipoprotein E4) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Aged MH - Alzheimer Disease/*blood/*genetics/psychology MH - Apathy/*physiology MH - Apolipoprotein E4/*genetics MH - Brain-Derived Neurotrophic Factor/*blood MH - Cognitive Dysfunction/blood/genetics/psychology MH - Female MH - Humans MH - Male MH - Psychiatric Status Rating Scales MH - Sex Characteristics PMC - PMC4931817 MID - NIHMS798498 OTO - NOTNLM OT - Alzheimer's disease OT - apathy OT - apolipoprotein E epsilon4 allele OT - brain-derived neurotrophic factor OT - elderly control subjects OT - mild cognitive impairment OT - serum COIS- Disclosure statement The authors declare no conflicts of interest. EDAT- 2014/07/16 06:00 MHDA- 2015/07/24 06:00 PMCR- 2016/07/04 CRDT- 2014/07/16 06:00 PHST- 2014/07/16 06:00 [entrez] PHST- 2014/07/16 06:00 [pubmed] PHST- 2015/07/24 06:00 [medline] PHST- 2016/07/04 00:00 [pmc-release] AID - V0601356878X66X7 [pii] AID - 10.3233/JAD-140849 [doi] PST - ppublish SO - J Alzheimers Dis. 2014;42(4):1347-55. doi: 10.3233/JAD-140849.