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Published in: European Archives of Psychiatry and Clinical Neuroscience 3/2013

01-04-2013 | Original Paper

Relationship between apolipoprotein E4 genotype and white matter integrity in HIV-positive young adults in South Africa

Authors: Jacqueline Hoare, Jenny Westgarth-Taylor, Jean-Paul Fouche, Marc Combrinck, Bruce Spottiswoode, Dan J. Stein, John A. Joska

Published in: European Archives of Psychiatry and Clinical Neuroscience | Issue 3/2013

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Abstract

HIV-associated dementia (HAD) is a serious neuropsychiatric disorder affecting people with AIDS. Host genotype may affect the pathogenesis of HIV in the central nervous system (CNS). One gene relevant to the individual variation in acquiring HAD may be Apolipoprotein E (ApoE). We aimed to investigate the relationship of ApoE genotype to neuropsychological function and white matter integrity of the corpus callosum in a region of interest a priori analysis of HIV-positive subjects with clade C HIV. Forty-five subjects underwent ApoE genotyping, neuropsychological testing, and diffusion tensor imaging (DTI). Subjects (n = 24) with at least one ε4 allele when compared to subjects with no ε4 allele (n = 19) had significantly decreased immediate and delayed recall on the Hopkins Verbal Learning test (p = 0.05) and significantly decreased fractional anisotrophy in the corpus callosum (p = 0.007). These data indicate that the ε4 allelic variant of ApoE is associated with memory impairment and white matter damage of the corpus callosum in HIV-positive subjects.
Literature
1.
go back to reference McArthur JC, Hoover DR, Bacellar H, Miller EN, Cohen BA, Becker JT, Graham NM, McArthur JH, Selnes OA, Jacobson LP et al (1993) Dementia in AIDS patients: incidence and risk factors. Multicenter AIDS Cohort Study. Neurology 43(11):2245–2252PubMedCrossRef McArthur JC, Hoover DR, Bacellar H, Miller EN, Cohen BA, Becker JT, Graham NM, McArthur JH, Selnes OA, Jacobson LP et al (1993) Dementia in AIDS patients: incidence and risk factors. Multicenter AIDS Cohort Study. Neurology 43(11):2245–2252PubMedCrossRef
2.
go back to reference Pemberton LA, Stone E, Price P, Van BF, Brew BJ (2008) The relationship between ApoE, TNFA, IL1a, IL1b and IL12b genes and HIV-1-associated dementia. HIV Med 9(8):677–680PubMedCrossRef Pemberton LA, Stone E, Price P, Van BF, Brew BJ (2008) The relationship between ApoE, TNFA, IL1a, IL1b and IL12b genes and HIV-1-associated dementia. HIV Med 9(8):677–680PubMedCrossRef
3.
go back to reference Mahley RW, Ji ZS (1999) Remnant lipoprotein metabolism: key pathways involving cell-surface heparan sulfate proteoglycans and apolipoprotein E. J Lipid Res 40(1):1–16PubMed Mahley RW, Ji ZS (1999) Remnant lipoprotein metabolism: key pathways involving cell-surface heparan sulfate proteoglycans and apolipoprotein E. J Lipid Res 40(1):1–16PubMed
4.
go back to reference Smith JD (2000) Apolipoprotein E4: an allele associated with many diseases. Ann Med 32(2):118–127PubMedCrossRef Smith JD (2000) Apolipoprotein E4: an allele associated with many diseases. Ann Med 32(2):118–127PubMedCrossRef
5.
go back to reference Corder EH, Robertson K, Lannfelt L, Bogdanovic N, Eggertsen G, Wilkins J, Hall C (1998) HIV-infected subjects with the E4 allele for APOE have excess dementia and peripheral neuropathy. Nat Med 4(10):1182–1184PubMedCrossRef Corder EH, Robertson K, Lannfelt L, Bogdanovic N, Eggertsen G, Wilkins J, Hall C (1998) HIV-infected subjects with the E4 allele for APOE have excess dementia and peripheral neuropathy. Nat Med 4(10):1182–1184PubMedCrossRef
6.
go back to reference Nicoll JA, Roberts GW, Graham DI (1995) Apolipoprotein E epsilon 4 allele is associated with deposition of amyloid beta-protein following head injury. Nat Med 1(2):135–137PubMedCrossRef Nicoll JA, Roberts GW, Graham DI (1995) Apolipoprotein E epsilon 4 allele is associated with deposition of amyloid beta-protein following head injury. Nat Med 1(2):135–137PubMedCrossRef
7.
go back to reference Valcour V, Shikuma C, Shiramizu B, Watters M, Poff P, Selnes OA, Grove J, Liu Y, Abdul-Majid KB, Gartner S et al (2004) Age, apolipoprotein E4, and the risk of HIV dementia: the Hawaii Aging with HIV Cohort. J Neuroimmunol 157(1–2):197–202PubMedCrossRef Valcour V, Shikuma C, Shiramizu B, Watters M, Poff P, Selnes OA, Grove J, Liu Y, Abdul-Majid KB, Gartner S et al (2004) Age, apolipoprotein E4, and the risk of HIV dementia: the Hawaii Aging with HIV Cohort. J Neuroimmunol 157(1–2):197–202PubMedCrossRef
8.
go back to reference Esiri MM, Biddolph SC, Morris CS (1998) Prevalence of Alzheimer plaques in AIDS. J Neurol Neurosurg Psychiatry 65(1):29–33PubMedCrossRef Esiri MM, Biddolph SC, Morris CS (1998) Prevalence of Alzheimer plaques in AIDS. J Neurol Neurosurg Psychiatry 65(1):29–33PubMedCrossRef
9.
go back to reference Pemberton LA, Stone E, Price P, Van BF, Brew BJ (2008) The relationship between ApoE, TNFA, IL1a, IL1b and IL12b genes and HIV-1-associated dementia. HIV Med 9(8):677–680 Pemberton LA, Stone E, Price P, Van BF, Brew BJ (2008) The relationship between ApoE, TNFA, IL1a, IL1b and IL12b genes and HIV-1-associated dementia. HIV Med 9(8):677–680
10.
go back to reference Burt TD, Agan BK, Marconi VC, He W, Kulkarni H, Mold JE, Cavrois M, Huang Y, Mahley RW, Dolan MJ et al (2008) Apolipoprotein (apo) E4 enhances HIV-1 cell entry in vitro, and the APOE epsilon4/epsilon4 genotype accelerates HIV disease progression. Proc Natl Acad Sci USA 105(25):8718–8723PubMedCrossRef Burt TD, Agan BK, Marconi VC, He W, Kulkarni H, Mold JE, Cavrois M, Huang Y, Mahley RW, Dolan MJ et al (2008) Apolipoprotein (apo) E4 enhances HIV-1 cell entry in vitro, and the APOE epsilon4/epsilon4 genotype accelerates HIV disease progression. Proc Natl Acad Sci USA 105(25):8718–8723PubMedCrossRef
11.
go back to reference Twamley EW, Ropacki SA, Bondi MW (2006) Neuropsychological and neuroimaging changes in preclinical Alzheimer’s disease. J Int Neuropsychol Soc 12(5):707–735PubMedCrossRef Twamley EW, Ropacki SA, Bondi MW (2006) Neuropsychological and neuroimaging changes in preclinical Alzheimer’s disease. J Int Neuropsychol Soc 12(5):707–735PubMedCrossRef
12.
go back to reference Basser PJ (1995) Inferring microstructural features and the physiological state of tissues from diffusion-weighted images. NMR Biomed 8(7–8):333–344PubMedCrossRef Basser PJ (1995) Inferring microstructural features and the physiological state of tissues from diffusion-weighted images. NMR Biomed 8(7–8):333–344PubMedCrossRef
13.
go back to reference Wu Y, Storey P, Cohen BA, Epstein LG, Edelman RR, Ragin AB (2006) Diffusion alterations in corpus callosum of patients with HIV. AJNR Am J Neuroradiol 27(3):656–660PubMed Wu Y, Storey P, Cohen BA, Epstein LG, Edelman RR, Ragin AB (2006) Diffusion alterations in corpus callosum of patients with HIV. AJNR Am J Neuroradiol 27(3):656–660PubMed
14.
go back to reference Chang L, Wong V, Nakama H, Watters M, Ramones D, Miller EN, Cloak C, Ernst T (2008) Greater than age-related changes in brain diffusion of HIV patients after 1 year. J. Neuroimmune. Pharmacol. 3(4):265–274PubMedCrossRef Chang L, Wong V, Nakama H, Watters M, Ramones D, Miller EN, Cloak C, Ernst T (2008) Greater than age-related changes in brain diffusion of HIV patients after 1 year. J. Neuroimmune. Pharmacol. 3(4):265–274PubMedCrossRef
15.
go back to reference Thurnher MM, Castillo M, Stadler A, Rieger A, Schmid B, Sundgren PC (2005) Diffusion-tensor MR imaging of the brain in human immunodeficiency virus-positive patients. AJNR Am J Neuroradiol 26(9):2275–2281PubMed Thurnher MM, Castillo M, Stadler A, Rieger A, Schmid B, Sundgren PC (2005) Diffusion-tensor MR imaging of the brain in human immunodeficiency virus-positive patients. AJNR Am J Neuroradiol 26(9):2275–2281PubMed
16.
go back to reference Salat DH, Tuch DS, Greve DN, van der Kouwe AJ, Hevelone ND, Zaleta AK, Rosen BR, Fischl B, Corkin S, Rosas HD et al (2005) Age-related alterations in white matter microstructure measured by diffusion tensor imaging. Neurobiol Aging 26(8):1215–1227PubMedCrossRef Salat DH, Tuch DS, Greve DN, van der Kouwe AJ, Hevelone ND, Zaleta AK, Rosen BR, Fischl B, Corkin S, Rosas HD et al (2005) Age-related alterations in white matter microstructure measured by diffusion tensor imaging. Neurobiol Aging 26(8):1215–1227PubMedCrossRef
17.
go back to reference Taoka T, Iwasaki S, Sakamoto M, Nakagawa H, Fukusumi A, Myochin K, Hirohashi S, Hoshida T, Kichikawa K (2006) Diffusion anisotropy and diffusivity of white matter tracts within the temporal stem in Alzheimer disease: evaluation of the “tract of interest” by diffusion tensor tractography. AJNR Am J Neuroradiol 27(5):1040–1045PubMed Taoka T, Iwasaki S, Sakamoto M, Nakagawa H, Fukusumi A, Myochin K, Hirohashi S, Hoshida T, Kichikawa K (2006) Diffusion anisotropy and diffusivity of white matter tracts within the temporal stem in Alzheimer disease: evaluation of the “tract of interest” by diffusion tensor tractography. AJNR Am J Neuroradiol 27(5):1040–1045PubMed
18.
go back to reference Persson J, Lind J, Larsson A, Ingvar M, Cruts M, Van BC, Adolfsson R, Nilsson LG, Nyberg L (2006) Altered brain white matter integrity in healthy carriers of the APOE epsilon4 allele: a risk for AD? Neurology 66(7):1029–1033PubMedCrossRef Persson J, Lind J, Larsson A, Ingvar M, Cruts M, Van BC, Adolfsson R, Nilsson LG, Nyberg L (2006) Altered brain white matter integrity in healthy carriers of the APOE epsilon4 allele: a risk for AD? Neurology 66(7):1029–1033PubMedCrossRef
19.
go back to reference de Leeuw FE, Richard F, de Groot JC, van Duijn CM, Hofman A, Van GJ, Breteler MM (2004) Interaction between hypertension, apoE, and cerebral white matter lesions. Stroke 35(5):1057–1060PubMedCrossRef de Leeuw FE, Richard F, de Groot JC, van Duijn CM, Hofman A, Van GJ, Breteler MM (2004) Interaction between hypertension, apoE, and cerebral white matter lesions. Stroke 35(5):1057–1060PubMedCrossRef
20.
go back to reference Hixson JE, Vernier DT (1990) Restriction isotyping of human apolipoprotein E by gene amplification and cleavage with HhaI. J Lipid Res 31(3):545–548PubMed Hixson JE, Vernier DT (1990) Restriction isotyping of human apolipoprotein E by gene amplification and cleavage with HhaI. J Lipid Res 31(3):545–548PubMed
21.
go back to reference Joska JA, Westgarth-Taylor J, Myer L, Hoare J, Thomas KG, Combrinck M, Paul RH, Stein DJ, Flisher AJ (2011) Characterization of HIV-associated neurocognitive disorders among individuals starting antiretroviral therapy in South Africa. AIDS Behav 15(6):1197–1203PubMedCrossRef Joska JA, Westgarth-Taylor J, Myer L, Hoare J, Thomas KG, Combrinck M, Paul RH, Stein DJ, Flisher AJ (2011) Characterization of HIV-associated neurocognitive disorders among individuals starting antiretroviral therapy in South Africa. AIDS Behav 15(6):1197–1203PubMedCrossRef
22.
go back to reference Hoare J, Fouche JP, Spottiswoode B, Joska JA, Schoeman R, Stein DJ, Carey PD (2010) White matter correlates of apathy in HIV-positive subjects: a diffusion tensor imaging study. J Neuropsychiatry Clin Neurosci 22(3):313–320PubMedCrossRef Hoare J, Fouche JP, Spottiswoode B, Joska JA, Schoeman R, Stein DJ, Carey PD (2010) White matter correlates of apathy in HIV-positive subjects: a diffusion tensor imaging study. J Neuropsychiatry Clin Neurosci 22(3):313–320PubMedCrossRef
23.
go back to reference Hoare J, Fouche JP, Spottiswoode B, Sorsdahl K, Combrinck M, Stein DJ, Paul RH, Joska JA (2011) White-matter damage in clade C HIV-positive subjects: a diffusion tensor imaging study. J Neuropsychiatry Clin Neurosci 23(3):308–315PubMedCrossRef Hoare J, Fouche JP, Spottiswoode B, Sorsdahl K, Combrinck M, Stein DJ, Paul RH, Joska JA (2011) White-matter damage in clade C HIV-positive subjects: a diffusion tensor imaging study. J Neuropsychiatry Clin Neurosci 23(3):308–315PubMedCrossRef
24.
go back to reference Forman SD, Cohen JD, Fitzgerald M, Eddy WF, Mintun MA, Noll DC (1995) Improved assessment of significant activation in functional magnetic resonance imaging (fMRI): use of a cluster-size threshold. Magn Reson Med 33(5):636–647PubMedCrossRef Forman SD, Cohen JD, Fitzgerald M, Eddy WF, Mintun MA, Noll DC (1995) Improved assessment of significant activation in functional magnetic resonance imaging (fMRI): use of a cluster-size threshold. Magn Reson Med 33(5):636–647PubMedCrossRef
25.
go back to reference Joska JA, Combrinck M, Valcour VG, Hoare J, Leisegang F, Mahne AC, Myer L, Stein DJ (2010) Association between apolipoprotein E4 genotype and human immunodeficiency virus-associated dementia in younger adults starting antiretroviral therapy in South Africa. J Neurovirol 16(5):377–383PubMedCrossRef Joska JA, Combrinck M, Valcour VG, Hoare J, Leisegang F, Mahne AC, Myer L, Stein DJ (2010) Association between apolipoprotein E4 genotype and human immunodeficiency virus-associated dementia in younger adults starting antiretroviral therapy in South Africa. J Neurovirol 16(5):377–383PubMedCrossRef
26.
go back to reference Carey CL, Woods SP, Rippeth JD, Gonzalez R, Moore DJ, Marcotte TD, Grant I, Heaton RK (2004) Initial validation of a screening battery for the detection of HIV-associated cognitive impairment. Clin Neuropsychol 18(2):234–248PubMedCrossRef Carey CL, Woods SP, Rippeth JD, Gonzalez R, Moore DJ, Marcotte TD, Grant I, Heaton RK (2004) Initial validation of a screening battery for the detection of HIV-associated cognitive impairment. Clin Neuropsychol 18(2):234–248PubMedCrossRef
27.
go back to reference Gray F, Scaravilli F, Everall I, Chretien F, An S, Boche D, dle-Biassette H, Wingertsmann L, Durigon M, Hurtrel B et al (1996) Neuropathology of early HIV-1 infection. Brain Pathol 6(1):1–15PubMedCrossRef Gray F, Scaravilli F, Everall I, Chretien F, An S, Boche D, dle-Biassette H, Wingertsmann L, Durigon M, Hurtrel B et al (1996) Neuropathology of early HIV-1 infection. Brain Pathol 6(1):1–15PubMedCrossRef
28.
go back to reference Gongvatana A, Schweinsburg BC, Taylor MJ, Theilmann RJ, Letendre SL, Alhassoon OM, Jacobus J, Woods SP, Jernigan TL, Ellis RJ et al (2009) White matter tract injury and cognitive impairment in human immunodeficiency virus-infected individuals. J Neurovirol 15(2):187–195PubMedCrossRef Gongvatana A, Schweinsburg BC, Taylor MJ, Theilmann RJ, Letendre SL, Alhassoon OM, Jacobus J, Woods SP, Jernigan TL, Ellis RJ et al (2009) White matter tract injury and cognitive impairment in human immunodeficiency virus-infected individuals. J Neurovirol 15(2):187–195PubMedCrossRef
29.
go back to reference Pocernich CB, Sultana R, Hone E, Turchan J, Martins RN, Calabrese V, Nath A, Butterfield DA (2004) Effects of apolipoprotein E on the human immunodeficiency virus protein Tat in neuronal cultures and synaptosomes. J Neurosci Res 77(4):532–539PubMedCrossRef Pocernich CB, Sultana R, Hone E, Turchan J, Martins RN, Calabrese V, Nath A, Butterfield DA (2004) Effects of apolipoprotein E on the human immunodeficiency virus protein Tat in neuronal cultures and synaptosomes. J Neurosci Res 77(4):532–539PubMedCrossRef
30.
go back to reference Di PM, Di IF, Cherubini A, Blundo C, Casini AR, Sancesario G, Passafiume D, Caltagirone C, Spalletta G (2010) When, where, and how the corpus callosum changes in MCI and AD: a multimodal MRI study. Neurology 74(14):1136–1142CrossRef Di PM, Di IF, Cherubini A, Blundo C, Casini AR, Sancesario G, Passafiume D, Caltagirone C, Spalletta G (2010) When, where, and how the corpus callosum changes in MCI and AD: a multimodal MRI study. Neurology 74(14):1136–1142CrossRef
31.
go back to reference Hallam BJ, Brown WS, Ross C, Buckwalter JG, Bigler ED, Tschanz JT, Norton MC, Welsh-Bohmer KA, Breitner JC (2008) Regional atrophy of the corpus callosum in dementia. J Int Neuropsychol Soc 14(3):414–423PubMedCrossRef Hallam BJ, Brown WS, Ross C, Buckwalter JG, Bigler ED, Tschanz JT, Norton MC, Welsh-Bohmer KA, Breitner JC (2008) Regional atrophy of the corpus callosum in dementia. J Int Neuropsychol Soc 14(3):414–423PubMedCrossRef
32.
go back to reference Persson J, Nyberg L, Lind J, Larsson A, Nilsson LG, Ingvar M, Buckner RL (2006) Structure-function correlates of cognitive decline in aging. Cereb Cortex 16(7):907–915PubMedCrossRef Persson J, Nyberg L, Lind J, Larsson A, Nilsson LG, Ingvar M, Buckner RL (2006) Structure-function correlates of cognitive decline in aging. Cereb Cortex 16(7):907–915PubMedCrossRef
33.
go back to reference Gold BT, Powell DK, Andersen AH, Smith CD (2010) Alterations in multiple measures of white matter integrity in normal women at high risk for Alzheimer’s disease. Neuroimage 52(4):1487–1494PubMedCrossRef Gold BT, Powell DK, Andersen AH, Smith CD (2010) Alterations in multiple measures of white matter integrity in normal women at high risk for Alzheimer’s disease. Neuroimage 52(4):1487–1494PubMedCrossRef
34.
go back to reference Filippini N, Zarei M, Beckmann CF, Galluzzi S, Borsci G, Testa C, Bonetti M, Beltramello A, Ghidoni R, Benussi L et al (2009) Regional atrophy of transcallosal prefrontal connections in cognitively normal APOE epsilon4 carriers. J Magn Reson Imaging 29(5):1021–1026PubMedCrossRef Filippini N, Zarei M, Beckmann CF, Galluzzi S, Borsci G, Testa C, Bonetti M, Beltramello A, Ghidoni R, Benussi L et al (2009) Regional atrophy of transcallosal prefrontal connections in cognitively normal APOE epsilon4 carriers. J Magn Reson Imaging 29(5):1021–1026PubMedCrossRef
Metadata
Title
Relationship between apolipoprotein E4 genotype and white matter integrity in HIV-positive young adults in South Africa
Authors
Jacqueline Hoare
Jenny Westgarth-Taylor
Jean-Paul Fouche
Marc Combrinck
Bruce Spottiswoode
Dan J. Stein
John A. Joska
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
European Archives of Psychiatry and Clinical Neuroscience / Issue 3/2013
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-012-0341-8

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