Coronary artery disease is associated with Alzheimer disease neuropathology in APOE4 carriers

To examine the associations between postmortem Alzheimer disease (AD) neuropathology and autopsy-verified cardiovascular disease. The authors examined 99 subjects (mean age at death = 87.6; SD = 8.7) from the Mount Sinai School of Medicine Department of Psychiatry Brain Bank who were devoid of cereb...

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Veröffentlicht in:Neurology 2006-05, Vol.66 (9), p.1399-1404
Hauptverfasser: BEERI, M. S, RAPP, M, ROSENDORFF, C, HAROUTUNIAN, V, SILVERMAN, J. M, SCHMEIDLER, J, GROSSMAN, H. T, FALLON, J. T, PUROHIT, D. P, PERI, D. P, SIDDIQUI, A, LESSER, G
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container_issue 9
container_start_page 1399
container_title Neurology
container_volume 66
creator BEERI, M. S
RAPP, M
ROSENDORFF, C
HAROUTUNIAN, V
SILVERMAN, J. M
SCHMEIDLER, J
GROSSMAN, H. T
FALLON, J. T
PUROHIT, D. P
PERI, D. P
SIDDIQUI, A
LESSER, G
description To examine the associations between postmortem Alzheimer disease (AD) neuropathology and autopsy-verified cardiovascular disease. The authors examined 99 subjects (mean age at death = 87.6; SD = 8.7) from the Mount Sinai School of Medicine Department of Psychiatry Brain Bank who were devoid of cerebrovascular disease-associated lesions or of non-AD-related neuropathology. Density of neuritic plaques (NPs) and neurofibrillary tangles (NFTs) as well as coronary artery and aortic atherosclerosis, left ventricular wall thickness, and heart weight were measured. Partial correlations were used to assess the associations of the four cardiovascular variables with NPs and NFTs in the hippocampus, entorhinal cortex, and multiple regions of the cerebral cortex after controlling for age at death, sex, dementia severity, body mass index, and ApoE genotype. These analyses were also repeated separately for ApoE4 carriers and noncarriers. The extent of coronary artery disease and to a lesser extent atherosclerosis were significantly associated with the density of cardinal neuropathologic lesions of AD in this autopsy sample (significant correlations between 0.22 and 0.29). These associations were more pronounced for the ApoE4 allele carriers (n = 42; significant correlations between 0.34 and 0.47). The degree of coronary artery disease is independently associated with the cardinal neuropathological lesions of Alzheimer disease. These associations are primarily attributable to individuals with the ApoE4 allele.
doi_str_mv 10.1212/01.wnl.0000210447.19748.0b
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S ; RAPP, M ; ROSENDORFF, C ; HAROUTUNIAN, V ; SILVERMAN, J. M ; SCHMEIDLER, J ; GROSSMAN, H. T ; FALLON, J. T ; PUROHIT, D. P ; PERI, D. P ; SIDDIQUI, A ; LESSER, G</creator><creatorcontrib>BEERI, M. S ; RAPP, M ; ROSENDORFF, C ; HAROUTUNIAN, V ; SILVERMAN, J. M ; SCHMEIDLER, J ; GROSSMAN, H. T ; FALLON, J. T ; PUROHIT, D. P ; PERI, D. P ; SIDDIQUI, A ; LESSER, G</creatorcontrib><description>To examine the associations between postmortem Alzheimer disease (AD) neuropathology and autopsy-verified cardiovascular disease. The authors examined 99 subjects (mean age at death = 87.6; SD = 8.7) from the Mount Sinai School of Medicine Department of Psychiatry Brain Bank who were devoid of cerebrovascular disease-associated lesions or of non-AD-related neuropathology. Density of neuritic plaques (NPs) and neurofibrillary tangles (NFTs) as well as coronary artery and aortic atherosclerosis, left ventricular wall thickness, and heart weight were measured. Partial correlations were used to assess the associations of the four cardiovascular variables with NPs and NFTs in the hippocampus, entorhinal cortex, and multiple regions of the cerebral cortex after controlling for age at death, sex, dementia severity, body mass index, and ApoE genotype. These analyses were also repeated separately for ApoE4 carriers and noncarriers. The extent of coronary artery disease and to a lesser extent atherosclerosis were significantly associated with the density of cardinal neuropathologic lesions of AD in this autopsy sample (significant correlations between 0.22 and 0.29). These associations were more pronounced for the ApoE4 allele carriers (n = 42; significant correlations between 0.34 and 0.47). The degree of coronary artery disease is independently associated with the cardinal neuropathological lesions of Alzheimer disease. 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Leukodystrophies. Prion diseases ; Female ; Genetic Predisposition to Disease ; Genotype ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. 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S</creatorcontrib><creatorcontrib>RAPP, M</creatorcontrib><creatorcontrib>ROSENDORFF, C</creatorcontrib><creatorcontrib>HAROUTUNIAN, V</creatorcontrib><creatorcontrib>SILVERMAN, J. M</creatorcontrib><creatorcontrib>SCHMEIDLER, J</creatorcontrib><creatorcontrib>GROSSMAN, H. T</creatorcontrib><creatorcontrib>FALLON, J. T</creatorcontrib><creatorcontrib>PUROHIT, D. P</creatorcontrib><creatorcontrib>PERI, D. P</creatorcontrib><creatorcontrib>SIDDIQUI, A</creatorcontrib><creatorcontrib>LESSER, G</creatorcontrib><title>Coronary artery disease is associated with Alzheimer disease neuropathology in APOE4 carriers</title><title>Neurology</title><addtitle>Neurology</addtitle><description>To examine the associations between postmortem Alzheimer disease (AD) neuropathology and autopsy-verified cardiovascular disease. 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The extent of coronary artery disease and to a lesser extent atherosclerosis were significantly associated with the density of cardinal neuropathologic lesions of AD in this autopsy sample (significant correlations between 0.22 and 0.29). These associations were more pronounced for the ApoE4 allele carriers (n = 42; significant correlations between 0.34 and 0.47). The degree of coronary artery disease is independently associated with the cardinal neuropathological lesions of Alzheimer disease. 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Leukodystrophies. Prion diseases</subject><subject>Female</subject><subject>Genetic Predisposition to Disease</subject><subject>Genotype</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. 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P</au><au>SIDDIQUI, A</au><au>LESSER, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary artery disease is associated with Alzheimer disease neuropathology in APOE4 carriers</atitle><jtitle>Neurology</jtitle><addtitle>Neurology</addtitle><date>2006-05-09</date><risdate>2006</risdate><volume>66</volume><issue>9</issue><spage>1399</spage><epage>1404</epage><pages>1399-1404</pages><issn>0028-3878</issn><eissn>1526-632X</eissn><coden>NEURAI</coden><abstract>To examine the associations between postmortem Alzheimer disease (AD) neuropathology and autopsy-verified cardiovascular disease. The authors examined 99 subjects (mean age at death = 87.6; SD = 8.7) from the Mount Sinai School of Medicine Department of Psychiatry Brain Bank who were devoid of cerebrovascular disease-associated lesions or of non-AD-related neuropathology. Density of neuritic plaques (NPs) and neurofibrillary tangles (NFTs) as well as coronary artery and aortic atherosclerosis, left ventricular wall thickness, and heart weight were measured. Partial correlations were used to assess the associations of the four cardiovascular variables with NPs and NFTs in the hippocampus, entorhinal cortex, and multiple regions of the cerebral cortex after controlling for age at death, sex, dementia severity, body mass index, and ApoE genotype. These analyses were also repeated separately for ApoE4 carriers and noncarriers. The extent of coronary artery disease and to a lesser extent atherosclerosis were significantly associated with the density of cardinal neuropathologic lesions of AD in this autopsy sample (significant correlations between 0.22 and 0.29). These associations were more pronounced for the ApoE4 allele carriers (n = 42; significant correlations between 0.34 and 0.47). The degree of coronary artery disease is independently associated with the cardinal neuropathological lesions of Alzheimer disease. These associations are primarily attributable to individuals with the ApoE4 allele.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>16682673</pmid><doi>10.1212/01.wnl.0000210447.19748.0b</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection
subjects Aged, 80 and over
Alleles
Alzheimer Disease - complications
Alzheimer Disease - genetics
Alzheimer Disease - pathology
Aortic Diseases - complications
Aortic Diseases - genetics
Apolipoprotein E4
Apolipoproteins E - genetics
Atherosclerosis - complications
Atherosclerosis - genetics
Biological and medical sciences
Brain - pathology
Cardiomegaly - complications
Cardiomegaly - genetics
Cardiomegaly - pathology
Comorbidity
Coronary Disease - complications
Coronary Disease - genetics
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Female
Genetic Predisposition to Disease
Genotype
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Heart Ventricles - pathology
Humans
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurofibrillary Tangles
Neurology
Organ Size
Plaque, Amyloid
Severity of Illness Index
title Coronary artery disease is associated with Alzheimer disease neuropathology in APOE4 carriers
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