PMID- 31771052 OWN - NLM STAT- MEDLINE DCOM- 20210419 LR - 20210419 IS - 1875-8908 (Electronic) IS - 1387-2877 (Linking) VI - 73 IP - 1 DP - 2020 TI - Impact of APOE and BDNF Val66Met Gene Polymorphisms on Cognitive Functions in Patients with Amnestic Mild Cognitive Impairment. PG - 247-257 LID - 10.3233/JAD-190464 [doi] AB - Apolipoprotein (APOE) varepsilon4 is a well-known risk factor for late-onset Alzheimer's disease (AD), but other AD-related gene polymorphisms might also be important, such as the polymorphism within the brain-derived neurotrophic factor (BDNF) gene. Carriage of BDNF Val66Met has been associated with faster cognitive decline and greater hippocampal atrophy in cognitively normal elderly. Thus, we examined the effects of the concurrent presence of APOE and BDNF polymorphisms on cognitive functions and brain morphometry in amnestic mild cognitive impairment (aMCI) patients. 107 aMCI patients (mean age = 72.2) were recruited from the Czech Brain Aging Study and, based on APOE and BDNF genes polymorphisms, were divided into four groups: varepsilon4-BDNFVal/Val (n = 37), varepsilon4-BDNFMet (n = 19), varepsilon4+BDNFVal/Val (n = 35), and varepsilon4+BDNFMet (n = 16). All patients underwent clinical examination, magnetic resonance imaging, and complex neuropsychological battery. The combination of APOEvarepsilon4+ and BDNF Met was associated with significantly worse memory performance in immediate and delayed recall compared to other polymorphism groups. We did not observe increased atrophy in areas related to memory function in the varepsilon4+BDNFMet group. Our findings suggest that carriage of varepsilon4+BDNFMet is associated with more pronounced memory dysfunction, a typical feature of early AD, but not with structural brain changes in aMCI patients. These findings suggest that in APOEvarepsilon4/BDNF Met carriers, synaptic dysfunction affecting memory may precede pronounced structural changes. FAU - Cechova, Katerina AU - Cechova K AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. FAU - Andel, Ross AU - Andel R AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. AD - School of Aging Studies, University of South Florida, Tampa, FL, USA. FAU - Angelucci, Francesco AU - Angelucci F AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. FAU - Chmatalova, Zuzana AU - Chmatalova Z AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. AD - Department of Medical Chemistry and Clinical Biochemistry, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic. FAU - Markova, Hana AU - Markova H AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. FAU - Laczo, Jan AU - Laczo J AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. FAU - Vyhnalek, Martin AU - Vyhnalek M AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. FAU - Matoska, Vaclav AU - Matoska V AD - Department of Clinical Biochemistry, Hematology and Immunology, Homolka Hospital, Prague, Czech Republic. FAU - Kaplan, Vojtech AU - Kaplan V AD - Department of Clinical Biochemistry, Hematology and Immunology, Homolka Hospital, Prague, Czech Republic. FAU - Nedelska, Zuzana AU - Nedelska Z AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. FAU - Ward, David D AU - Ward DD AD - Department of Medicine, Division of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. AD - Centre for Health Care of the Elderly, QEII Health Sciences Centre, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada. FAU - Hort, Jakub AU - Hort J AD - Department of Neurology, Memory Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. AD - International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic. LA - eng 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) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Aged MH - Aged, 80 and over MH - Amnesia/psychology MH - Apolipoprotein E4/*genetics MH - Atrophy MH - Brain/diagnostic imaging MH - Brain-Derived Neurotrophic Factor/*genetics MH - *Cognition MH - Cognitive Dysfunction/*genetics/psychology MH - Female MH - Heterozygote MH - Hippocampus/diagnostic imaging MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Memory MH - Mental Recall MH - Middle Aged MH - Neuropsychological Tests MH - Polymorphism, Genetic/genetics OTO - NOTNLM OT - Alzheimer's disease OT - Apolipoprotein E OT - amnestic mild cognitive impairment OT - brain-derived neurotrophic factor OT - cognition OT - gene polymorphism EDAT- 2019/11/28 06:00 MHDA- 2021/04/20 06:00 CRDT- 2019/11/28 06:00 PHST- 2019/11/28 06:00 [pubmed] PHST- 2021/04/20 06:00 [medline] PHST- 2019/11/28 06:00 [entrez] AID - JAD190464 [pii] AID - 10.3233/JAD-190464 [doi] PST - ppublish SO - J Alzheimers Dis. 2020;73(1):247-257. doi: 10.3233/JAD-190464.