Manganese level and cognitive decline in older adults with the APOE e4 allele: a preliminary study
Shin Gyeom Kim1, Young Min Choe2, Guk-Hee Suh2
1Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Republic of Korea.
Abstract:
This study examined the relationship between serum manganese level and cognition, and the moderating effect of apolipoprotein E ε4 (APOE4) on this relationship. A total of 164 non-demented participants underwent clinical assessments including serum manganese level and cognition [episodic memory score (EMS), non-memory score (NMS) for executive function/attention/language/ visuospatial skill, and total score (TS)]. Serum manganese × APOE4 interaction had a significant effect on EMS and TS. Serum manganese level was inversely associated with EMS and TS in APOE4-positive but not APOE4-negative participants. APOE4 should be considered a key component in Alzheimer's disease studies that included manganese imbalance as a risk factor.
Insights
Serum manganese levels impact cognition, especially in individuals with the apolipoprotein E ε4 (APOE4) gene. Higher manganese was linked to lower memory and cognitive scores in APOE4 carriers, suggesting a gene-environment interaction in Alzheimer's disease risk.
Area of Science:
- Neuroscience
- Biochemistry
- Genetics
Background:
- Manganese is an essential trace element crucial for various biological functions.
- Cognitive decline is a hallmark of neurodegenerative diseases like Alzheimer's disease.
- The apolipoprotein E ε4 (APOE4) allele is a significant genetic risk factor for Alzheimer's disease.
Purpose of the Study:
- To investigate the association between serum manganese levels and cognitive function in non-demented individuals.
- To determine if the apolipoprotein E ε4 (APOE4) genotype moderates the relationship between serum manganese and cognition.
- To explore the implications of manganese-APOE4 interactions for Alzheimer's disease risk.
Main Methods:
- Cross-sectional study involving 164 non-demented participants.
- Assessment of serum manganese levels.
- Comprehensive cognitive evaluation including episodic memory, executive function, attention, language, visuospatial skills, and a total cognitive score.
Main Results:
- A significant interaction effect was observed between serum manganese level and APOE4 status on episodic memory score (EMS) and total score (TS).
- Serum manganese levels were inversely associated with EMS and TS in participants who were APOE4-positive.
- No significant association between serum manganese and cognitive scores was found in APOE4-negative participants.
Conclusions:
- The APOE4 genotype plays a crucial moderating role in the relationship between serum manganese and cognitive function.
- Manganese imbalance may represent a risk factor for cognitive impairment, particularly in APOE4 carriers.
- Future Alzheimer's disease research should consider the interplay between manganese levels and APOE4 status.
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