摘要Recent reports have shown that apolipoprotein E (APOE) polymorphisms are involved in neurodegenerative disease. However, it is unclear whetherAPOE affects post-stroke depression. Accordingly, we hypothesized thatAPOE polymorphisms modify the risk of post-stroke depression. Here, we performed a hospital-based case-control study (including 76 cerebral infarction cases with post-stroke depression, 88 cerebral infarction cases without post-stroke depression, and 109 controls without any evidence of post-stroke depression or cerebral infarction) to determine possible association betweenAPOE rs429358 and rs7412 polymorphisms and risk of post-stroke depression. Our ifndings show no difference among the groups with regards genotype distribution of the rs7412 polymorphism. In contrast,APOE genotypes with rs429358-C alleles increased the risk of post-stroke depression. Further, the rs429358 polymorphism was associated with significantly decreased regional cerebral blood flow values in the left temporal lobe of post-stroke depression cases. Additionally, the rs429358 polymorphism was not only associated with depression severity, but with increasing serum levels of total cholesterol. These re-sults suggest that theAPOE rs429358 polymorphism is associated with increased risk of developing post-stroke depression, and thatAPOE rs429358-C allele genotypes may be detrimental to recovery of nerve function atfer stoke. Indeed, these ifndings provide clinical data for future post-stroke depression gene interventions.