PMID- 30319395 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1663-4365 (Print) IS - 1663-4365 (Electronic) IS - 1663-4365 (Linking) VI - 10 DP - 2018 TI - Apolipoprotein E epsilon4 Specifically Modulates the Hippocampus Functional Connectivity Network in Patients With Amnestic Mild Cognitive Impairment. PG - 289 LID - 10.3389/fnagi.2018.00289 [doi] LID - 289 AB - The presence of both apolipoprotein E (APOE) epsilon4 allele and amnestic mild cognitive impairment (aMCI) are considered to be risk factors for Alzheimer's disease (AD). Numerous neuroimaging studies have suggested that the modulation of APOE epsilon4 affects intrinsic functional brain networks, both in healthy populations and in AD patients. However, it remains largely unclear whether and how epsilon4 allele modulates the brain's functional network architecture in subjects with aMCI. Using resting-state functional magnetic resonance imaging (fMRI) and graph-theory approaches-functional connectivity strength (FCS), we investigate the topological organization of the whole-brain functional network in 28 aMCI epsilon4 carriers and 38 aMCI epsilon3epsilon3 carriers. In the present study, we first observe that epsilon4-related FCS increases in the right hippocampus/parahippocampal gyrus (HIP/PHG). Subsequent seed-based resting-state functional connectivity (RSFC) analysis revealed that, compared with the epsilon3epsilon3 carriers, the epsilon4 carriers had lower or higher RSFCs between the right HIP/PHG seed and the bilateral medial prefrontal cortex (MPFC) or the occipital cortex, respectively. Further correlation analyses have revealed that the FCS values in the right HIP/PHG and lower HIP/PHG-RSFCs with the bilateral MPFC were significantly correlated with the impairment of episodic memory and executive function in the aMCI epsilon4 carriers. Importantly, the logistic regression analysis showed that the HIP/PHG-RSFC with the bilateral MPFC predicted aMCI-conversion to AD. These findings suggest that the APOE epsilon4 allele may modulate the large-scale brain network in aMCI subjects, facilitating our understanding of how the entire assembly of the brain network reorganizes in response to APOE variants in aMCI. Further longitudinal studies need to be conducted, in order to examine whether these network measures could serve as primary predictors of conversion from aMCI epsilon4 carriers to AD. FAU - Zhu, Lin AU - Zhu L AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Shu, Hao AU - Shu H AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Liu, Duan AU - Liu D AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Guo, Qihao AU - Guo Q AD - Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China. FAU - Wang, Zan AU - Wang Z AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Zhang, Zhijun AU - Zhang Z AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. LA - eng PT - Journal Article DEP - 20180927 PL - Switzerland TA - Front Aging Neurosci JT - Frontiers in aging neuroscience JID - 101525824 PMC - PMC6170627 OTO - NOTNLM OT - Alzheimer's disease (AD) OT - amnestic mild cognitive impairment (aMCI) OT - apolipoprotein E (APOE) epsilon4 OT - functional connectivity OT - resting-state fMRI EDAT- 2018/10/16 06:00 MHDA- 2018/10/16 06:01 PMCR- 2018/01/01 CRDT- 2018/10/16 06:00 PHST- 2018/06/25 00:00 [received] PHST- 2018/09/03 00:00 [accepted] PHST- 2018/10/16 06:00 [entrez] PHST- 2018/10/16 06:00 [pubmed] PHST- 2018/10/16 06:01 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - 10.3389/fnagi.2018.00289 [doi] PST - epublish SO - Front Aging Neurosci. 2018 Sep 27;10:289. doi: 10.3389/fnagi.2018.00289. eCollection 2018.