한빛사논문
Shin Gyeom Kim a, Young Min Choe b,c, Guk-Hee Suh b,c, Boung Chul Lee c,d, Ihn-Geun Choi c,e, Hyun Soo Kim f, Jaeuk Hwang g, Mu-Sung Keum h, Dahyun Yi i, Jee Wook Kim b,c
aDepartment of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Republic of Korea
bDepartment of Neuropsychiatry, Hallym University Dongtan Sacred Heart Hospital, 7 Keunjaebong-gil, Hwaseong, Gyeonggi 18450, Republic of Korea
cDepartment of Psychiatry, Hallym University College of Medicine, Chuncheon, Gangwon 24252, Republic of Korea
dDepartment of Neuropsychiatry, Hallym University Hangang Sacred Heart Hospital, Seoul 07247, Republic of Korea
eDepartment of Psychiatry, Seoul W Psychiatric Office, Seoul 08503, Republic of Korea
fDepartment of Laboratory Medicine, Hallym University Dongtan Sacred Heart Hospital, 7 Keunjaebong-gil, Hwaseong, Gyeonggi 18450, Republic of Korea
gDepartment of Psychiatry, Soonchunhyang University hospital Seoul, Seoul 04401, Republic of Korea
hDepartment of Neuropsychiatry, Seoul National University Hospital, Seoul 03080, Republic of Korea
iInstitute of Human Behavioral Medicine, Medical Research Center Seoul National University, Seoul 03080, Republic of Korea
Corresponding author: Jee Wook Kim
Abstract
This study examined the relationship between serum manganese level and cognition, and the moderating effect of apolipoprotein E ε4 (APOE4) on this relationship. A total of 164 non-demented participants underwent clinical assessments including serum manganese level and cognition [episodic memory score (EMS), non-memory score (NMS) for executive function/attention/language/ visuospatial skill, and total score (TS)]. Serum manganese × APOE4 interaction had a significant effect on EMS and TS. Serum manganese level was inversely associated with EMS and TS in APOE4-positive but not APOE4-negative participants. APOE4 should be considered a key component in Alzheimer's disease studies that included manganese imbalance as a risk factor.
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