Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory Analysis

Having a family history (FH+) of Alzheimer’s disease (AD) and being a carrier of at least one ɛ4 allele of the ApoE gene are two of the main risk factors for the development of AD. AD and age-related macular degeneration (AMD) share one of the main risk factors, such as age, and characteristics incl...

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Main Authors: Inés López-Cuenca, Elena Salobrar-García, Inés Gil-Salgado, Lidia Sánchez-Puebla, Lorena Elvira-Hurtado, José A. Fernández-Albarral, Federico Ramírez-Toraño, Ana Barabash, Jaisalmer de Frutos-Lucas, Juan J. Salazar, José M. Ramírez, Ana I. Ramírez, Rosa de Hoz
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/5/847
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author Inés López-Cuenca
Elena Salobrar-García
Inés Gil-Salgado
Lidia Sánchez-Puebla
Lorena Elvira-Hurtado
José A. Fernández-Albarral
Federico Ramírez-Toraño
Ana Barabash
Jaisalmer de Frutos-Lucas
Juan J. Salazar
José M. Ramírez
Ana I. Ramírez
Rosa de Hoz
author_facet Inés López-Cuenca
Elena Salobrar-García
Inés Gil-Salgado
Lidia Sánchez-Puebla
Lorena Elvira-Hurtado
José A. Fernández-Albarral
Federico Ramírez-Toraño
Ana Barabash
Jaisalmer de Frutos-Lucas
Juan J. Salazar
José M. Ramírez
Ana I. Ramírez
Rosa de Hoz
author_sort Inés López-Cuenca
collection DOAJ
description Having a family history (FH+) of Alzheimer’s disease (AD) and being a carrier of at least one ɛ4 allele of the ApoE gene are two of the main risk factors for the development of AD. AD and age-related macular degeneration (AMD) share one of the main risk factors, such as age, and characteristics including the presence of deposits (Aβ plaques in AD and drusen in AMD); however, the role of apolipoprotein E isoforms in both pathologies is controversial. We analyzed and characterized retinal drusen by optical coherence tomography (OCT) in subjects, classifying them by their AD FH (FH- or FH+) and their allelic characterization of ApoE ɛ4 (ApoE ɛ4- or ApoE ɛ4+) and considering cardiovascular risk factors (hypercholesterolemia, hypertension, and diabetes mellitus). In addition, we analyzed the choroidal thickness by OCT and the area of the foveal avascular zone with OCTA. We did not find a relationship between a family history of AD or any of the ApoE isoforms and the presence or absence of drusen. Subjects with drusen show choroidal thinning compared to patients without drusen, and thinning could trigger changes in choroidal perfusion that may give rise to the deposits that generate drusen.
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spelling doaj.art-39db710caf904bc1923c798eb7dc38972023-11-23T11:45:47ZengMDPI AGJournal of Personalized Medicine2075-44262022-05-0112584710.3390/jpm12050847Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory AnalysisInés López-Cuenca0Elena Salobrar-García1Inés Gil-Salgado2Lidia Sánchez-Puebla3Lorena Elvira-Hurtado4José A. Fernández-Albarral5Federico Ramírez-Toraño6Ana Barabash7Jaisalmer de Frutos-Lucas8Juan J. Salazar9José M. Ramírez10Ana I. Ramírez11Rosa de Hoz12Ramon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainLaboratory of Cognitive and Computational Neuroscience, Center for Biomedical Technology, Technical University of Madrid, 28233 Madrid, SpainDepartment of Endocrinology and Nutrition, IdISSC, 28040 Madrid, SpainLaboratory of Cognitive and Computational Neuroscience, Center for Biomedical Technology, Technical University of Madrid, 28233 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainRamon Castroviejo Institute of Ophthalmologic Research, Group UCM 920105, Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, 28040 Madrid, SpainHaving a family history (FH+) of Alzheimer’s disease (AD) and being a carrier of at least one ɛ4 allele of the ApoE gene are two of the main risk factors for the development of AD. AD and age-related macular degeneration (AMD) share one of the main risk factors, such as age, and characteristics including the presence of deposits (Aβ plaques in AD and drusen in AMD); however, the role of apolipoprotein E isoforms in both pathologies is controversial. We analyzed and characterized retinal drusen by optical coherence tomography (OCT) in subjects, classifying them by their AD FH (FH- or FH+) and their allelic characterization of ApoE ɛ4 (ApoE ɛ4- or ApoE ɛ4+) and considering cardiovascular risk factors (hypercholesterolemia, hypertension, and diabetes mellitus). In addition, we analyzed the choroidal thickness by OCT and the area of the foveal avascular zone with OCTA. We did not find a relationship between a family history of AD or any of the ApoE isoforms and the presence or absence of drusen. Subjects with drusen show choroidal thinning compared to patients without drusen, and thinning could trigger changes in choroidal perfusion that may give rise to the deposits that generate drusen.https://www.mdpi.com/2075-4426/12/5/847Alzheimer’s diseaseApoE ɛ4family historyhard drusenOCTretina
spellingShingle Inés López-Cuenca
Elena Salobrar-García
Inés Gil-Salgado
Lidia Sánchez-Puebla
Lorena Elvira-Hurtado
José A. Fernández-Albarral
Federico Ramírez-Toraño
Ana Barabash
Jaisalmer de Frutos-Lucas
Juan J. Salazar
José M. Ramírez
Ana I. Ramírez
Rosa de Hoz
Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory Analysis
Journal of Personalized Medicine
Alzheimer’s disease
ApoE ɛ4
family history
hard drusen
OCT
retina
title Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory Analysis
title_full Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory Analysis
title_fullStr Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory Analysis
title_full_unstemmed Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory Analysis
title_short Characterization of Retinal Drusen in Subjects at High Genetic Risk of Developing Sporadic Alzheimer’s Disease: An Exploratory Analysis
title_sort characterization of retinal drusen in subjects at high genetic risk of developing sporadic alzheimer s disease an exploratory analysis
topic Alzheimer’s disease
ApoE ɛ4
family history
hard drusen
OCT
retina
url https://www.mdpi.com/2075-4426/12/5/847
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