Unlocking the Mystery: How Blood Flow Connects APOE Alleles and Cognition

Published on June 30, 2022

Imagine your brain is a grand city, with each neighborhood playing a vital role in keeping the city running smoothly. Now picture a road that connects these neighborhoods, allowing important resources to flow between them. In the same way, researchers have discovered that cerebral blood flow (CBF) acts as the essential road linking APOE alleles, a type of gene variant, with cognitive function. A study conducted on a group of 369 subjects found that individuals carrying the APOE ε4 allele, which is associated with cognitive decline, had lower CBF in specific brain regions. These regions include the amygdala, hippocampus, middle temporal gyrus, posterior cingulate, and precuneus. By analyzing the data using mediation analysis techniques, the researchers determined that CBF partially mediates the relationship between APOE genotype and cognition. This suggests that reduced blood flow may be one of the factors contributing to cognitive impairment in individuals with the APOE ε4 allele. To dive deeper into this fascinating research and learn more about the complex interplay between genes, blood flow, and cognition, check out the full article!

BackgroundThe ε4 allele of the apolipoprotein E (APOE) gene is a strong genetic risk factor for aging-related cognitive decline. However, the causal connection between ε4 alleles and cognition is not well understood. The objective of this study was to identify the roles of cerebral blood flow (CBF) in cognitive-related brain areas in mediating the associations of APOE with cognition.MethodsThe multiple linear regression analyses were conducted on 369 subjects (mean age of 68.8 years; 62.9% of women; 29.3% of APOE ε4 allele carriers). Causal mediation analyses with 5,000 bootstrapped iterations were conducted to explore the mediation effects.ResultAPOE ε4 allele was negatively associated with cognition (P < 0.05) and CBF in the amygdala, hippocampus, middle temporal gyrus, posterior cingulate, and precuneus (all P < 0.05). The effect of the APOE genotype on cognition was partly mediated by the above CBF (all P < 0.05).ConclusionCBF partially mediates the potential links between APOE genotype and cognition. Overall, the APOE ε4 allele may lead to a dysregulation of the vascular structure and function with reduced cerebral perfusion, which in turn leads to cognitive impairment.

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