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APOE and TBI in a military population: Evidence of a neuropsychological compensatory mechanism?
  1. S. Duke Han (dhan2{at}luc.edu)
  1. Loyola University Chicago, United States
    1. Angela I. Drake (aidrake{at}nmcsd.med.navy.mil)
    1. Naval Medical Center San Diego, United States
      1. Lynne M. Cessante (lmcessante{at}nmcsd.med.navy.mil)
      1. Naval Medical Center San Diego, United States
        1. Amy. J. Jak (ajak{at}ucsd.edu)
        1. Veterans Medical Research Foundation, United States
          1. Wes S. Houston (wes-houston{at}uiowa.edu)
          1. University of Iowa, United States
            1. Dean C. Delis (ddelis{at}ucsd.edu)
            1. UCSD / VA San Diego Healthcare System, United States
              1. J. Vincent Filoteo (vfiloteo{at}ucsd.edu)
              1. UCSD / VA San Diego Healthcare System, United States
                1. Mark W Bondi (mbondi{at}ucsd.edu)
                1. UCSD / VA San Diego Healthcare System, United States

                  Abstract

                  Objective: Although research has implicated the apolipoprotein E (APOE) epsilon-4 genotype as having a negative effect on neuropsychological outcomes following traumatic brain injury (TBI), the potentially negative role of the e4 allele on TBI outcomes has recently been challenged. In light of this debate, the present study served to examine the role of APOE genotype on neuropsychological outcomes approximately one month following mild to moderate TBI in a military population. Due to the well-documented role of the APOE e4 allele in increasing risk for Alzheimer’s disease (AD), we predicted that persons with the APOE e4 genotype would display relatively greater deficits in cognition than their non-e4 counterparts.

                  Methods: Seventy-eight participants were consecutively recruited following a mild to moderate TBI and were divided into two groups based on the presence or absence of an APOE 4 allele. Groups were comparable on demographic characteristics and psychosocial outcomes. Participants were administered a comprehensive neuropsychological battery.

                  Results: Analyses revealed comparable performances on most neuropsychological measures and better performances by e4 carriers on select measures of attention, executive functioning, and episodic memory encoding. Furthermore, differences remained after accounting for the effects of TBI severity.

                  Conclusions: Evidence from these analyses supports current literature refuting the notion of relatively poorer neuropsychological functioning associated with the APOE e4 genotype among young adult participants shortly following mild or moderate brain injury. Neuropsychological performance differences by APOE genotype following TBI are discussed in terms of the importance of considering severity of injury, timing of post-injury assessment, and possible neurocognitive compensatory mechanisms.

                  • APOE e4
                  • compensatory response
                  • neuropsychology
                  • traumatic brain injury

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