Traffic-Related Air Pollution as a Risk Factor for Dementia : No Clear Modifying Effects of APOE ϵ4 in the Betula Cohort
(2021) In Advances in Alzheimer's Disease 8. p.357-364- Abstract
It is widely known that the apolipoprotein E (APOE) ϵ4 allele imposes a higher risk for Alzheimer's disease (AD). Recent evidence suggests that exposure to air pollution is also a risk factor for AD, and results from a few studies indicate that the effect of air pollution on cognitive function and dementia is stronger in APOE ϵ4 carriers than in non-carriers. Air pollution and interaction with APOE ϵ4 on AD risk thus merits further attention. We studied dementia incidence over a 15-year period from the longitudinal Betula study in Northern Sweden. As a marker for long-term exposure to traffic-related air pollution, we used modelled annual mean nitrogen oxide levels at the residential address of the participants at start of follow-up.... (More)
It is widely known that the apolipoprotein E (APOE) ϵ4 allele imposes a higher risk for Alzheimer's disease (AD). Recent evidence suggests that exposure to air pollution is also a risk factor for AD, and results from a few studies indicate that the effect of air pollution on cognitive function and dementia is stronger in APOE ϵ4 carriers than in non-carriers. Air pollution and interaction with APOE ϵ4 on AD risk thus merits further attention. We studied dementia incidence over a 15-year period from the longitudinal Betula study in Northern Sweden. As a marker for long-term exposure to traffic-related air pollution, we used modelled annual mean nitrogen oxide levels at the residential address of the participants at start of follow-up. Nitrogen oxide correlate well with fine particulate air pollution levels in the study area. We had full data on air pollution, incidence of AD and vascular dementia (VaD), APOE ϵ4 carrier status, and relevant confounding factors for 1,567 participants. As expected, air pollution was rather clearly associated with dementia incidence. However, there was no evidence for a modifying effect by APOE ϵ4 on the association (p-value for interaction > 0.30 for both total dementia (AD+VaD) and AD). The results from this study do not imply that adverse effects of air pollution on dementia incidence is limited to, or stronger in, APOE ϵ4 carriers than in the total population.
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- author
- Oudin, Anna LU ; Andersson, John ; Sundström, Anna ; Adolfsson, Annelie Nordin ; Åström, Daniel Oudin LU ; Adolfsson, Rolf ; Forsberg, Bertil and Nordin, Maria
- organization
- publishing date
- 2021
- type
- Chapter in Book/Report/Conference proceeding
- publication status
- published
- subject
- keywords
- Air pollution, Alzheimer's disease, apolipoprotein E, dementia
- host publication
- Alzheimer’s Disease and Air Pollution
- series title
- Advances in Alzheimer's Disease
- volume
- 8
- pages
- 8 pages
- external identifiers
-
- scopus:85105025060
- scopus:85110853331
- ISSN
- 2210-5727
- ISBN
- 978-1-64368-159-7
- 978-1-64368-158-0
- DOI
- 10.3233/AIAD210029
- project
- How is our health affected by particles from wood burning?
- language
- English
- LU publication?
- yes
- id
- df72c8a9-c36a-4801-a790-ef9fbcbf809b
- date added to LUP
- 2021-06-01 14:49:39
- date last changed
- 2024-08-10 16:59:48
@inbook{df72c8a9-c36a-4801-a790-ef9fbcbf809b, abstract = {{<p>It is widely known that the apolipoprotein E (APOE) ϵ4 allele imposes a higher risk for Alzheimer's disease (AD). Recent evidence suggests that exposure to air pollution is also a risk factor for AD, and results from a few studies indicate that the effect of air pollution on cognitive function and dementia is stronger in APOE ϵ4 carriers than in non-carriers. Air pollution and interaction with APOE ϵ4 on AD risk thus merits further attention. We studied dementia incidence over a 15-year period from the longitudinal Betula study in Northern Sweden. As a marker for long-term exposure to traffic-related air pollution, we used modelled annual mean nitrogen oxide levels at the residential address of the participants at start of follow-up. Nitrogen oxide correlate well with fine particulate air pollution levels in the study area. We had full data on air pollution, incidence of AD and vascular dementia (VaD), APOE ϵ4 carrier status, and relevant confounding factors for 1,567 participants. As expected, air pollution was rather clearly associated with dementia incidence. However, there was no evidence for a modifying effect by APOE ϵ4 on the association (p-value for interaction > 0.30 for both total dementia (AD+VaD) and AD). The results from this study do not imply that adverse effects of air pollution on dementia incidence is limited to, or stronger in, APOE ϵ4 carriers than in the total population.</p>}}, author = {{Oudin, Anna and Andersson, John and Sundström, Anna and Adolfsson, Annelie Nordin and Åström, Daniel Oudin and Adolfsson, Rolf and Forsberg, Bertil and Nordin, Maria}}, booktitle = {{Alzheimer’s Disease and Air Pollution}}, isbn = {{978-1-64368-159-7}}, issn = {{2210-5727}}, keywords = {{Air pollution; Alzheimer's disease; apolipoprotein E; dementia}}, language = {{eng}}, pages = {{357--364}}, series = {{Advances in Alzheimer's Disease}}, title = {{Traffic-Related Air Pollution as a Risk Factor for Dementia : No Clear Modifying Effects of APOE ϵ4 in the Betula Cohort}}, url = {{http://dx.doi.org/10.3233/AIAD210029}}, doi = {{10.3233/AIAD210029}}, volume = {{8}}, year = {{2021}}, }