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SLEEP
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Article . 2024
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Reduced rapid eye movement sleep in late middle-aged and older apolipoprotein E ɛ4 allele carriers

Authors: Claire André; Marie-Ève Martineau-Dussault; Andrée-Ann Baril; Nicola Andrea Marchi; Véronique Daneault; Dominique Lorrain; Carol Hudon; +7 Authors

Reduced rapid eye movement sleep in late middle-aged and older apolipoprotein E ɛ4 allele carriers

Abstract

Abstract Study Objectives Apolipoprotein E ɛ4 (APOE4) is the strongest genetic risk factor for Alzheimer’s disease (AD). In addition, APOE4 carriers may exhibit sleep disturbances, but conflicting results have been reported, such that there is no clear consensus regarding which aspects of sleep are impacted. Our objective was to compare objective sleep architecture between APOE4 carriers and non-carriers, and to investigate the modulating impact of age, sex, cognitive status, and obstructive sleep apnea (OSA). Methods A total of 198 dementia-free participants aged >55 years old (mean age: 68.7 ± 8.08 years old, 40.91% women, 41 APOE4 carriers) were recruited in this cross-sectional study. They underwent polysomnography, APOE4 genotyping, and a neuropsychological evaluation. ANCOVAs assessed the effect of APOE4 status on sleep architecture, controlling for age, sex, cognitive status, and the apnea–hypopnea index. Interaction terms were added between APOE4 status and covariates. Results Rapid eye movement (REM) sleep percentage (F = 9.95, p = .002, ηp2 = 0.049) and duration (F = 9.23, p = .003, ηp2 = 0.047) were lower in APOE4 carriers. The results were replicated in a subsample of 112 participants without moderate-to-severe OSA. There were no significant interactions between APOE4 status and age, sex, cognitive status, and OSA in the whole sample. Conclusions Our results show that APOE4 carriers exhibit lower REM sleep duration, including in cognitively unimpaired individuals, possibly resulting from early neurodegenerative processes in regions involved in REM sleep generation and maintenance.

Keywords

Male, APOE4, Aging, Heterozygote, Genotype, Polysomnography, Apolipoprotein E4, Sleep, REM, Neuropsychological Tests, Cognition, Humans; Female; Apolipoprotein E4/genetics; Male; Cross-Sectional Studies; Polysomnography; Sleep, REM/physiology; Sleep, REM/genetics; Aged; Middle Aged; Heterozygote; Sleep Apnea, Obstructive/genetics; Sleep Apnea, Obstructive/physiopathology; Neuropsychological Tests/statistics & numerical data; Alleles; Genotype; Cognition/physiology; APOE4; Alzheimer’s disease; REM sleep; aging; dementia; mild cognitive impairment; polysomnography; sleep, Humans, Alleles, Aged, Sleep Apnea, Obstructive, Mild cognitive impairment, Middle Aged, Cross-Sectional Studies, Dementia, Female, REM sleep, Sleep, Alzheimer’s disease, Sleep, Health, and Disease

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Top 10%
Average
Top 10%
Green
hybrid