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                  <mods:namePart>Fernández Lucas, Alberto Amable</mods:namePart>
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                  <mods:namePart>Vaquero Zamora, Lucía</mods:namePart>
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                  <mods:namePart>Bajo Bretón, Ricardo</mods:namePart>
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                  <mods:namePart>Zuluaga Arias, María del Pilar</mods:namePart>
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               <mods:identifier type="citation">Fernández Lucas, A. A., Vaquero Zamora, L., Bajo Bretón, R. et al. «Apolipoprotein E Ɛ4–Related Effects on Cognition Are Limited to the Alzheimer’s Disease Spectrum». GeroScience, vol. 44, n.o 1, febrero de 2022, pp. 195-209. DOI.org (Crossref), https://doi.org/10.1007/s11357-021-00450-x.</mods:identifier>
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               <mods:abstract>Whether the deleterious efects of APOE4 are restricted to the Alzheimer’s disease (AD) spectrum or cause cognitive impairment irrespectively of the development of AD is still a matter of debate, and the focus of this study. Our analyses included APOE4 genotype, neuropsychological variables, amyloid-βeta (Aβ) and Tau markers, FDG-PET values, and hippocampal volumetry data derived from the healthy controls sample of the ADNI database. We formed 4 groups of equal size (n=30) based on APOE4 carriage and amyloid-PET status. Baseline and followup (i.e., 48  months post-baseline) results indicated that Aβ-positivity was the most important factor to explain poorer cognitive performance, while APOE4 only exerted a signifcant efect in Aβ-positive subjects. Additionally, multiple regression analyses evidenced that, within the Aβ-positive sample, hippocampal volumetry explained most of the variability in cognitive performance for APOE4 carriers. These fndings represent a strong support for the so-called preclinical/prodromal hypothesis, which states that the reported diferences in cognitive performance between healthy carriers and non-carriers are mainly due to the APOE4’s capability to increase the risk of AD. Moreover, our results reinforce the notion that a synergistic interaction of Aβ and APOE4 elicits a neurodegenerative process in the hippocampus that might be the main cause of impaired cognitive performance.</mods:abstract>
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                  <mods:title>Apolipoprotein E ɛ4–related effects on cognition are limited to the Alzheimer’s disease spectrum</mods:title>
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