Association Between Apolipoprotein E e4 and Sleep-Disordered Breathing in Adults

SLEEP-DISORDERED BREATHING (SDB) is prevalent but largely undiagnosed in adults. Persons with SDB are at increased risk for hypertension and have increased cardiovascular disease (CVD) morbidity and mortality. Characteristics of SDB, including changes in sleep architecture and electroencephalogram (EEG) slowing, are also present in persons with Alzheimer disease (AD). Apolipoprotein E (ApoE), a protein involved in lipid metabolism, has 3 major allelic variants: e2, e3, and e4. While a protective effect for AD may be conferred by the ApoE e2 allele, risks for CVD and AD are increased by the ApoE e4 allele. In this study, we assessed the contribution of ApoE genetic variation to SDB, sleep architecture, and other sleep parameters.

[1]  T. Asada,et al.  Associations between retrospectively recalled napping behavior and later development of Alzheimer's disease: association with APOE genotypes. , 2000, Sleep.

[2]  N J Douglas,et al.  Cognitive function in the sleep apnea/hypopnea syndrome (SAHS). , 2000, Sleep.

[3]  T. Young,et al.  Sleep-disordered breathing and cardiovascular disease: epidemiologic evidence for a relationship. , 2000, Sleep.

[4]  Erry,et al.  Prospective study of the association between sleep-disordered breathing and hypertension. , 2000, The New England journal of medicine.

[5]  R. Mahley,et al.  Apolipoprotein E: from atherosclerosis to Alzheimer's disease and beyond. , 1999, Current opinion in lipidology.

[6]  M. Aldrich,et al.  Sleep apnea in acute cerebrovascular diseases: final report on 128 patients. , 1999, Sleep.

[7]  T. Lehtimäki,et al.  No relation between apolipoprotein E alleles and obstructive sleep apnea , 1998, Clinical genetics.

[8]  G. Siest,et al.  Apolipoprotein E: an important gene and protein to follow in laboratory medicine. , 1995, Clinical chemistry.

[9]  M Partinen,et al.  Familial aggregates in obstructive sleep apnea syndrome. , 1995, Chest.

[10]  S. Redline,et al.  The familial aggregation of obstructive sleep apnea , 1995 .

[11]  T. Young,et al.  The occurrence of sleep-disordered breathing among middle-aged adults. , 1993, The New England journal of medicine.

[12]  Jacques Montplaisir,et al.  Regional spectral analysis of the REM sleep EEG in mild to moderate Alzheimer's disease , 1993, Neurobiology of Aging.

[13]  F. Richer,et al.  Neurobehavioral manifestations in obstructive sleep apnea syndrome before and after treatment with continuous positive airway pressure. , 1992, Sleep.

[14]  E. Peskind,et al.  Changes in the Sleep and Waking EEGs of Nondemented and Demented Elderly Subjects , 1982, Journal of the American Geriatrics Society.

[15]  K. Clark Association of Sleep-Disordered Breathing, Sleep Apnea, and Hypertension in a Large Community- Based Study , 2000 .

[16]  S. Redline,et al.  Racial differences in sleep-disordered breathing in African-Americans and Caucasians. , 1997, American journal of respiratory and critical care medicine.