RT Journal Article SR Electronic T1 Gender Modulates the APOE ε4 Effect in Healthy Older Adults: Convergent Evidence from Functional Brain Connectivity and Spinal Fluid Tau Levels JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 8254 OP 8262 DO 10.1523/JNEUROSCI.0305-12.2012 VO 32 IS 24 A1 Jessica S. Damoiseaux A1 William W. Seeley A1 Juan Zhou A1 William R. Shirer A1 Giovanni Coppola A1 Anna Karydas A1 Howard J. Rosen A1 Bruce L. Miller A1 Joel H. Kramer A1 Michael D. Greicius YR 2012 UL http://www.jneurosci.org/content/32/24/8254.abstract AB We examined whether the effect of the apolipoprotein E (APOE) genotype on functional brain connectivity is modulated by gender in healthy older human adults. Our results confirm significantly decreased connectivity in the default mode network in healthy older APOE ε4 carriers compared with ε3 homozygotes. More important, further testing revealed a significant interaction between APOE genotype and gender in the precuneus, a major default mode hub. Female ε4 carriers showed significantly reduced default mode connectivity compared with either female ε3 homozygotes or male ε4 carriers, whereas male ε4 carriers differed minimally from male ε3 homozygotes. An additional analysis in an independent sample of healthy elderly using an independent marker of Alzheimer's disease, i.e., spinal fluid levels of tau, provided corresponding evidence for this gender-by-APOE interaction. Together, these results converge with previous work showing a higher prevalence of the ε4 allele among women with Alzheimer's disease and, critically, demonstrate that this interaction between APOE genotype and gender is detectable in the preclinical period.