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Am J Geriatr Psychiatry 7:119-123, May 1999
© 1999 American Association for Geriatric Psychiatry


Regular Article

Apolipoprotein-E (APO-E) Genotype and Symptoms of Psychosis in Alzheimer's Disease

Dylan G. Harwood, M.A., Warren W. Barker, M.A., M.S., Raymond L. Ownby, M.D., Ph.D., Peter St. George-Hyslop, M.D., and Ranjan Duara, M.D.

Received February 10, 1998; revised April 2, 1998; accepted May 8, 1998. From The Wien Center for Alzheimer's Disease and Memory Disorders, Mount Sinai Medical Center and the University of Miami School of Medicine, Miami, Florida. Address correspondence to Mr. Harwood, Wien Center for Alzheimer's Disease and Memory Disorders, Mount Sinai Medical Center, 4300 Alton Rd., Miami Beach, FL 33140.

The authors examined the association of Apolipoprotein-E (APO-E) genotype to symptoms of psychosis and depression in 501 patients diagnosed with probable (n=343) or possible (n=158) Alzheimer's disease (AD) according to NINCDS-ADRDA criteria. They observed the following APO-E genotypes: {epsilon}2/{epsilon}3 (n=19); {epsilon}2/{epsilon}4 (n=14); {epsilon}3/{epsilon}3 (n=228); {epsilon}3/{epsilon}4 (n=203); {epsilon}4/{epsilon}4 (n=37). In contrast to previous reports, the results did not indicate a relationship between either the {epsilon}4 allele or the {epsilon}2 allele and symptoms of mood disturbance in AD. However, an elevated risk for psychosis was shown, specifically, at the severe stage of cognitive impairment, among AD patients carrying the {epsilon}4 allele, after effects of age, gender, education, and level of cognitive impairment were controlled.

Key Words: Apolipoprotein-E • Alzheimer's Disease • Psychosis




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