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.

Psychiatry Research
|August 14, 2023
PubMed

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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