@article {Mengel2064_2016, year = {2016}, author = {Mengel, David and Dams, Judith and Ziemek, Jannis and Becker, Julian and Balzer-Geldsetzer, Monika and Hilker, Ruediger and Baudrexel, Simon and Kalbe, Elke and Schmidt, Nele and Witt, Karsten and Liepelt-Scarfone, Inga and Graeber, Susanne and Petrelli, Annette and Neuser, Petra and Schulte, Claudia and Linse, Katharina and Storch, Alexander and Wittchen, Hans-Ulrich and Riedel, Oliver and Mollenhauer, Brit and Ebentheuer, Jens and Treniwalder, Claudia and Klockgether, Thomas and Spottke, Annika and Wuellner, Ullrich and Schulz, Joerg B. and Reetz, Kathrin and Heber, Ines Ann and Ramirez, Alfredo and Dodel, Richard}, title = {Apolipoprotein E epsilon 4 does not affect cognitive performance in patients with Parkinson's disease}, journal = {PARKINSONISM \& RELATED DISORDERS}, volume = {29}, DOI = {10.1016/j.parkreldis.2016.04.013}, ISSN = {1353-8020}, publisher = {ELSEVIER SCI LTD}, keywords = {APOE; Genetic; Parkinson's disease}, abstract = {Introduction: Cognitive impairment is a common and disabling non-motor symptom in Parkinson's disease (PD). The apolipoprotein E (APOE) allele epsilon 4 is a known risk factor for Alzheimer's disease and has also been suggested to be a risk factor for dementia in PD and even a predictor of impairment in certain cognitive domains. Methods: A total of 447 PD patients (PD patients without cognitive impairment: n = 187; PD patients with mild cognitive impairment: n = 188; PD patients with dementia: n = 72) were included from an ongoing observational German multicenter cohort study (LANDSCAPE study). All patients underwent an extensive neuropsychological test battery, including assessments of memory, visuospatial functioning, attention, language, and executive function. APOE genotype was determined by an allelic discrimination assay. Linear regression analysis was used to explore the associations between APOE-epsilon 4 and cognitive performance. Results: The APOE-epsilon 4 allele was not associated with a diagnosis of cognitive impairment in PD (PD with mild cognitive impairment and PD with dementia) or with deficits in specific neuropsychological domains in our study cohort. Conclusion: Our data question the relevance of the APOE-epsilon 4 allele as a predictor of cognitive impairment in PD. (C) 2016 Elsevier Ltd. All rights reserved.} }