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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2005-8-4
pubmed:abstractText
We determined whether apolipoprotein E epsilon4 (ApoE4) or catechol-O-methyltransferase (COMT) genotypes were associated with dementia, hallucinations, Alzheimer's disease pathological findings (AP), or cortical Lewy bodies (CLBs) in autopsy-confirmed cases of Parkinson's disease (PD). Outcomes were obtained from medical records. Pathology reports identified AP and CLBs. Brain tissue was genotyped. A total of 47 subjects (33 men, 14 women) had PD onset at 62.4 +/- 8.7 years of age and died at 77.8 +/- 5.6 years of age. Demented and hallucinating patients did not differ in age at onset (AO) of PD or age at death, or the proportion ApoE4+, AP+, or CLB+ compared to nondemented patients or non-hallucinating patients. ApoE4 and COMT (low metabolizer [LH], intermediate metabolizer [HL], or high metabolizer [HH]) did not influence AO, death, or dementia- or hallucination-free survival, based on age or duration of treatment. All seven subjects with AP were demented and had hallucinations. CLBs were associated with dementia but not hallucinations. In Cox regression models adjusting for AO and duration of treatment, increased risk of dementia was associated with male sex but not significantly with ApoE4; inclusion of AP in the model did not affect the results; COMT was not a risk factor for dementia. Psychosis risk was not associated with ApoE4, COMT, or sex. The observation that males have increased dementia risk and the trend for ApoE4 requires confirmation in larger prospective autopsy studies.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0885-3185
pubmed:author
pubmed:copyrightInfo
Copyright 2005 Movement Disorder Society
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
989-94
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15852364-Age of Onset, pubmed-meshheading:15852364-Aged, pubmed-meshheading:15852364-Aged, 80 and over, pubmed-meshheading:15852364-Apolipoprotein E4, pubmed-meshheading:15852364-Apolipoproteins E, pubmed-meshheading:15852364-Autopsy, pubmed-meshheading:15852364-Catechol O-Methyltransferase, pubmed-meshheading:15852364-Cerebral Cortex, pubmed-meshheading:15852364-Dementia, pubmed-meshheading:15852364-Demography, pubmed-meshheading:15852364-Female, pubmed-meshheading:15852364-Gene Frequency, pubmed-meshheading:15852364-Genotype, pubmed-meshheading:15852364-Hallucinations, pubmed-meshheading:15852364-Humans, pubmed-meshheading:15852364-Lewy Bodies, pubmed-meshheading:15852364-Male, pubmed-meshheading:15852364-Parkinson Disease, pubmed-meshheading:15852364-Postmortem Changes, pubmed-meshheading:15852364-Prospective Studies, pubmed-meshheading:15852364-Regression Analysis
pubmed:year
2005
pubmed:articleTitle
Apolipoprotein E epsilon4 and catechol-O-methyltransferase alleles in autopsy-proven Parkinson's disease: relationship to dementia and hallucinations.
pubmed:affiliation
University of Alberta, Edmonton, Alberta, Canada. rcamicio@ualberta.ca
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't