<i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and Memory

Autism spectrum disorder (ASD) is a neurodevelopmental disability and recent evidence suggests that autistic adults are more likely to develop Alzheimer’s disease (Alz) and other dementias compared to neurotypical (NT) adults. The ε4-allele of the Apolipoprotein E (<i>APOE</i>) gene is t...

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Main Authors: Samantha A. Harker, Lamees Al-Hassan, Matthew J. Huentelman, B. Blair Braden, Candace R. Lewis
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/21/15988
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author Samantha A. Harker
Lamees Al-Hassan
Matthew J. Huentelman
B. Blair Braden
Candace R. Lewis
author_facet Samantha A. Harker
Lamees Al-Hassan
Matthew J. Huentelman
B. Blair Braden
Candace R. Lewis
author_sort Samantha A. Harker
collection DOAJ
description Autism spectrum disorder (ASD) is a neurodevelopmental disability and recent evidence suggests that autistic adults are more likely to develop Alzheimer’s disease (Alz) and other dementias compared to neurotypical (NT) adults. The ε4-allele of the Apolipoprotein E (<i>APOE</i>) gene is the strongest genetic risk factor for Alz and negatively impacts cognition in middle-aged and older (MA+) adults. This study aimed to determine the impact of the <i>APOE</i> ε4-allele on verbal learning and memory in MA+ autistic adults (ages 40–71 years) compared to matched NT adults. Using the Auditory Verbal Learning Test (AVLT), we found that ε4 carriers performed worse on short-term memory and verbal learning across diagnosis groups, but there was no interaction with diagnosis. In exploratory analyses within sex and diagnosis groups, only autistic men carrying <i>APOE</i> ε4 showed worse verbal learning (<i>p</i> = 0.02), compared to autistic men who were not carriers. Finally, the <i>APOE</i> ε4-allele did not significantly affect long-term memory in this sample. These findings replicate previous work indicating that the <i>APOE</i> ε4-allele negatively impacts short-term memory and verbal learning in MA+ adults and presents new preliminary findings that MA+ autistic men may be vulnerable to the effects of <i>APOE</i> ε4 on verbal learning. Future work with a larger sample is needed to determine if autistic women may also be vulnerable.
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spelling doaj.art-dfad6201657e44cf86ecc70bbc14ff282023-11-10T15:06:02ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-11-0124211598810.3390/ijms242115988<i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and MemorySamantha A. Harker0Lamees Al-Hassan1Matthew J. Huentelman2B. Blair Braden3Candace R. Lewis4School of Life Sciences and Psychology, Arizona State University, Tempe, AZ 85287, USACollege of Health Solutions, Arizona State University, Tempe, AZ 85287, USANeurogenomics Division, Translational Genomics Research Institute, Phoenix, AZ 85004, USACollege of Health Solutions, Arizona State University, Tempe, AZ 85287, USASchool of Life Sciences and Psychology, Arizona State University, Tempe, AZ 85287, USAAutism spectrum disorder (ASD) is a neurodevelopmental disability and recent evidence suggests that autistic adults are more likely to develop Alzheimer’s disease (Alz) and other dementias compared to neurotypical (NT) adults. The ε4-allele of the Apolipoprotein E (<i>APOE</i>) gene is the strongest genetic risk factor for Alz and negatively impacts cognition in middle-aged and older (MA+) adults. This study aimed to determine the impact of the <i>APOE</i> ε4-allele on verbal learning and memory in MA+ autistic adults (ages 40–71 years) compared to matched NT adults. Using the Auditory Verbal Learning Test (AVLT), we found that ε4 carriers performed worse on short-term memory and verbal learning across diagnosis groups, but there was no interaction with diagnosis. In exploratory analyses within sex and diagnosis groups, only autistic men carrying <i>APOE</i> ε4 showed worse verbal learning (<i>p</i> = 0.02), compared to autistic men who were not carriers. Finally, the <i>APOE</i> ε4-allele did not significantly affect long-term memory in this sample. These findings replicate previous work indicating that the <i>APOE</i> ε4-allele negatively impacts short-term memory and verbal learning in MA+ adults and presents new preliminary findings that MA+ autistic men may be vulnerable to the effects of <i>APOE</i> ε4 on verbal learning. Future work with a larger sample is needed to determine if autistic women may also be vulnerable.https://www.mdpi.com/1422-0067/24/21/15988autismaginggenomicscognitionlearningmemory
spellingShingle Samantha A. Harker
Lamees Al-Hassan
Matthew J. Huentelman
B. Blair Braden
Candace R. Lewis
<i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and Memory
International Journal of Molecular Sciences
autism
aging
genomics
cognition
learning
memory
title <i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and Memory
title_full <i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and Memory
title_fullStr <i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and Memory
title_full_unstemmed <i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and Memory
title_short <i>APOE</i> ε4-Allele in Middle-Aged and Older Autistic Adults: Associations with Verbal Learning and Memory
title_sort i apoe i ε4 allele in middle aged and older autistic adults associations with verbal learning and memory
topic autism
aging
genomics
cognition
learning
memory
url https://www.mdpi.com/1422-0067/24/21/15988
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