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Catechol-O-methyltransferase Val158Met polymorphism on the relationship between white matter hyperintensity and
Mu-En Liu1, Chu-Chung Huang2, Albert C Yang3
1Department of Psychiatry, Taipei Veterans General Hospital, Kaohsiung, Taiwan ; Institute of Brain Science, National Yang-Ming University, Taipei, Taiwan.
Background:
White matter lesions can be easily observed on T2-weighted MR images, and are termed white matter hyperintensities (WMH). Their presence may be correlated with cognitive impairment; however, the relationship between regional WMH volume and catechol-O-methyltransferase (COMT) Val158Met polymorphism in healthy populations remains unclear.
Methods:
We recruited 315 ethnic Chinese adults with a mean age of 54.9 ± 21.8 years (range: 21-89 y) to examine the genetic effect of COMT on regional WMH and the manner in which they interact to affect cognitive function in a healthy adult population. Cognitive tests, structural MRI scans, and genotyping of COMT were conducted for each participant.
Results:
Negative correlations between the Digit Span Forward (DSF) score and frontal WMH volumes (r = -.123, P = .032, uncorrected) were noted. For the genetic effect of COMT, no significant difference in cognitive performance was observed among 3 genotypic groups. However, differences in WMH volumes over the subcortical region (P = .016, uncorrected), whole brain (P = .047, uncorrected), and a trend over the frontal region (P = .050, uncorrected) were observed among 3 COMT genotypic groups. Met homozygotes and Met/Val heterozygotes exhibited larger WMH volumes in these brain regions than the Val homozygotes. Furthermore, a correlation between the DSF and regional WMH volume was observed only in Met homozygotes. The effect size (cohen's f) revealed a small effect.
Conclusions:
The results indicate that COMT might modulate WMH volumes and the effects of WMH on cognition.
Insights
The catechol-O-methyltransferase (COMT) Val158Met gene may influence white matter hyperintensities (WMH) volume and its impact on cognition in healthy adults. Met carriers showed larger WMH volumes, suggesting a genetic link.
Area of Science:
- Neuroimaging and Genetics
- Cognitive Neuroscience
Background:
- White matter hyperintensities (WMH) are visible on MRI and may correlate with cognitive impairment.
- The relationship between regional WMH and the COMT Val158Met polymorphism in healthy adults is not well understood.
Purpose of the Study:
- To investigate the genetic effect of COMT Val158Met on regional WMH volumes.
- To examine how COMT genotype and WMH interact to affect cognitive function in healthy adults.
Main Methods:
- Recruited 315 ethnic Chinese adults (mean age 54.9 years).
- Conducted cognitive tests, structural MRI scans, and COMT genotyping.
- Analyzed regional WMH volumes and cognitive performance in relation to COMT genotype.
Main Results:
- A negative correlation was found between Digit Span Forward scores and frontal WMH volumes.
- COMT genotype groups differed in WMH volumes in subcortical, whole brain, and frontal regions.
- Met homozygotes and heterozygotes had larger WMH volumes than Val homozygotes; this correlation was specific to Met homozygotes.
Conclusions:
- COMT genotype may modulate WMH volumes in healthy adults.
- The COMT Val158Met polymorphism might influence the impact of WMH on cognitive function.
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