Faculty Articles

Apolipoprotein-E (APO-E) genotype and symptoms of psychosis in Alzheimer's disease.

Publication Title

American journal of geriatric psychiatry

ISSN

1064-7481

Publication Date

1-1-1999

Keywords

Age Factors, Aged, Alleles, Alzheimer Disease, Apolipoproteins E, Cognition Disorders, Depression, Educational Status, Female, Follow-Up Studies, Genotype, Humans, Male, Neuropsychological Tests, Psychotic Disorders, Risk Factors, Severity of Illness Index, Sex Factors

Abstract

The authors examined the association of Apolipoprotein-E (APO-E) genotype to symptoms of psychosis and depression in 501 patients diagnosed with probable (n=343) or possible (n=158) Alzheimer's disease (AD) according to NINCDS-ADRDA criteria. They observed the following APO-E genotypes: epsilon2/epsilon3 (n=19); epsilon2/epsilon4 (n=14); epsilon3/epsilon3 (n=228); epsilon3/epsilon4 (n=203); epsilon4/epsilon4 (n=37). In contrast to previous reports, the results did not indicate a relationship between either the epsilon4 allele or the epsilon2 allele and symptoms of mood disturbance in AD. However, an elevated risk for psychosis was shown, specifically, at the severe stage of cognitive impairment, among AD patients carrying the epsilon4 allele, after effects of age, gender, education, and level of cognitive impairment were controlled.

Volume

7

Issue

2

First Page

119

Last Page

123

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

This document is currently not available here.

Peer Reviewed

Find in your library

Share

COinS