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Data from: Distinct association between APOE ε2 and Aβ in Alzheimer- and vascular-type cognitive impairment

<p><b>Objective:</b> To investigate the association between apolipoprotein E<i> </i>(<i>APOE</i>) genotype and amyloid-β (Aβ) burden, as measured by PET in patients with subcortical vascular cognitive impairment (SVCI) and those with Alzheimer's disease-related cognitive impairment (ADCI).</p> <p><b>Methods:</b> This was a cross-sectional study of 310 patients with SVCI and 999 with ADCI. To evaluate the effects of <i>APOE</i> genotype or diagnostic group on Aβ-positivity, we performed multivariate logistic regression analyses. Further distinctive underlying features of latent subgroups were examined by employing a latent class cluster analysis approach.</p> <p><b>Results: </b>In comparison with ε3 homozygotes, in the ADCI group, ε2 carriers showed a lower frequency of Aβ-positivity (odds ratio [OR] 0.43, 95% CI 0.23–0.79) while in the SVCI group, ε2 carriers showed a higher frequency of Aβ-positivity (OR 2.26, 95% CI 1.02–5.01). In particular, we observed an interaction effect of ε2 carrier status and diagnostic group on Aβ-positivity (OR 5.12, 95% CI 1.93–13.56), in that relative to ε3 homozygotes, there were more Aβ-positive ε2 carriers in the SVCI group than in the ADCI group. We also identified latent subgroups of Aβ-positive <i>APOE</i> ε2 carriers with SVCI and Aβ-positive <i>APOE</i> ε4 carriers with ADCI.</p> <p><b>Conclusions: </b>Our findings suggest that <i>APOE</i> ε2 shows distinctly associated with Aβ deposition in patients with SVCI and those with ADCI. Our findings further suggest that there is a distinctive subgroup of Aβ-positive <i>APOE</i> ε2 carriers with SVCI among patients with cognitive impairments.</p>

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12
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0
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4