Why the study?
Genetic variation in Spondin-1 (rs11023139) was associated with reduced cognitive decline in Alzheimer's disease, but whether this association is present in cognitively normal older adults was unknown.
Does Spondin-1 rs11023139 genetic variation affect longitudinal cognitive decline in cognitively normal older adults?
Does Spondin-1 rs11023139 genetic variation affect longitudinal cognitive decline in cognitively normal older adults?
The Spondin-1 rs11023139-A allele is associated with faster cognitive decline in cognitively normal older adults who are APOE ɛ4 carriers with high neocortical amyloid-β burden.
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No protective effect of rs11023139 seen in cognitively normal adults; leaves open stage-specific genetic influences on decline.
Background: Genetic variation in Spondin-1, specifically rs11023139, has been associated with reduced rates of cognitive decline in individuals with Alzheimer’s disease. Objective: The aim of this study was to assess whether the association was present in cognitively normal older adults. Methods: Longitudinal cognitive decline was investigated using linear mixed modelling in a cohort of 590 cognitively normal older adults enrolled in the Australian Imaging, Biomarkers and Lifestyle Study. Results: No independent effect of Spondin-1 rs11023139 on cognitive decline was observed. However, significant associations were observed for the interaction between Apolipoprotein E (APOE) ɛ4 and rs11023139 in individuals with high amyloid-β burden. APOE ɛ4/rs11023139-A carriers declined significantly faster than APOE ɛ4/rs11023139-G_G carriers in measures of global cognition ( p = 0.011) and verbal episodic memory ( p = 0.020). Conclusion: These results suggest that carriage of the Spondin-1 rs11023139-A allele significantly contributes to a worsening of cognitive performance in APOE ɛ4 cognitively normal older adults with a high neocortical amyloid-β burden.
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Fernandez et al. (2021) studied this question.
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