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Associations between APOE-TOMM40 '523 haplotypes and limbic system white matter microstructure
Katelyn E Mooney1,2, Derek B Archer3,4,5, Aditi Sathe3
1University of California Los Angeles, Neuroscience Interdepartmental Program (NSIDP), David Geffen School of Medicine Los Angeles California USA.
Alzheimer'S & Dementia (Amsterdam, Netherlands)
|April 9, 2025
Summary
The apolipoprotein E (APOE) gene and TOMM40-
Area of Science:
- Neuroimaging
- Genetics
- Aging Research
Background:
- The apolipoprotein E (APOE) gene is a key determinant of brain aging.
- The Translocase of Outer Mitochondrial Membrane 40 (TOMM40) gene, specifically the TOMM40-'523-S haplotype, may modify APOE's effects.
- Limbic white matter microstructure (WMM) is crucial for memory and cognition.
Purpose of the Study:
- To investigate the association between APOE-TOMM40-'523 haplotypes and WMM in limbic tracts.
- To examine these associations separately in non-Hispanic Black and White individuals.
- To determine if TOMM40-'523-S copy number influences WMM aging in a race-stratified manner.
Main Methods:
- Diffusion MRI was used to measure WMM metrics, including free-water (FW) and free-water-corrected fractional anisotropy (FAFWcorr).
- Linear regression models were applied, stratified by APOE genotype (ε4+ vs. ε3/ε3) and racialized group (Black vs. White).
- Associations between TOMM40-'523-S carrier status and WMM in key limbic tracts were assessed.
Main Results:
- In Black APOE ε4+ carriers, one copy of TOMM40-'523-S was associated with normal aging WMM metrics in the cingulum, uncinate fasciculus, fornix, and inferior longitudinal fasciculus.
- In White APOE ε3/ε3 carriers, two copies of TOMM40-'523-S were linked to abnormal aging WMM metrics in the cingulum and inferior temporal gyrus.
- Differential effects of TOMM40-'523-S on WMM were observed between racialized groups, suggesting a modifying role of APOE background.
Conclusions:
- The TOMM40-'523-S haplotype shows differential associations with white matter microstructure aging based on APOE genotype and racialized background.
- '523-S appears risk-mitigating for limbic WMM aging in Black APOE ε4+ carriers.
- Conversely, '523-S may be associated with abnormal aging WMM in White APOE ε3/ε3 carriers, supporting prior research.
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