Associations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population

Ping Wu,1,2 Hong-Lei Li,1 Zhi-Jun Liu,1 Qing-Qing Tao,1 Miao Xu,1 Qi-Hao Guo,1 Zhen Hong,1 Yi-Min Sun1 1Department of Neurology and Institute of Neurology, 2PET Center, Department of Nuclear Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, People’s Republic...

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Autores principales: Wu P, Li HL, Liu ZJ, Tao QQ, Xu M, Guo QH, Hong Z, Sun YM
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:85f815d1a9d04c6495e481acf9dac2052021-12-02T04:40:25ZAssociations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population1178-1998https://doaj.org/article/85f815d1a9d04c6495e481acf9dac2052015-01-01T00:00:00Zhttps://www.dovepress.com/associations-between-apolipoprotein-e-gene-polymorphisms-and-alzheimer-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Ping Wu,1,2 Hong-Lei Li,1 Zhi-Jun Liu,1 Qing-Qing Tao,1 Miao Xu,1 Qi-Hao Guo,1 Zhen Hong,1 Yi-Min Sun1 1Department of Neurology and Institute of Neurology, 2PET Center, Department of Nuclear Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of ChinaObjective: Apolipoprotein E gene (APOE) polymorphisms contributing to the risk of sporadic Alzheimer’s disease (AD) have been identified for decades, but it has not been investigated in large AD samples of Chinese Han population.Methods: We performed a cross-sectional study to explore the effect of APOE polymorphisms on sporadic AD in 875 sporadic AD patients and 1,195 cognitive normal controls of Chinese Han. Genotyping of APOE was determined by multiplex amplification refractory mutation system polymerase chain reaction.Results: APOE ε3ε4 and ε4ε4  genotypes increased AD risk with dosage effect. The odds ratio (OR) of ε3ε4 was 1.89 and the OR of ε4ε4 was 15.64 compared with that of ε3ε3 in all the subjects. E2ε3 genotype decreased AD risk in all the subjects (OR=0.64), female subgroup (OR=0.57), and late-onset AD subgroup (OR=0.60). However, neither ε2ε2 nor ε2ε4 affected AD risk. About the age at onset (AAO), the influence of APOE ε4 was only exhibited in late-onset AD subgroup, with 1 year lower in ε4-positive ones than negative ones. Further analysis did not show the dosage effect of Ε4 pertinent to AAO, though the AAO of ε4ε4 patients decreased by 2 years. E2 did not affect the AAO of AD.Conclusion: APOE ε4  is a strong risk factor of AD risk in Chinese Han population, and APOE ε4ε4 genotype might be related to the AAO of late-onset AD. Keywords: sporadic, cross sectional study, dosage effect, age at onsetWu PLi HLLiu ZJTao QQXu MGuo QHHong ZSun YMDove Medical PressarticleAlzheimer's diseaseAPOEassociationChineseGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 371-378 (2015)
institution DOAJ
collection DOAJ
language EN
topic Alzheimer's disease
APOE
association
Chinese
Geriatrics
RC952-954.6
spellingShingle Alzheimer's disease
APOE
association
Chinese
Geriatrics
RC952-954.6
Wu P
Li HL
Liu ZJ
Tao QQ
Xu M
Guo QH
Hong Z
Sun YM
Associations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population
description Ping Wu,1,2 Hong-Lei Li,1 Zhi-Jun Liu,1 Qing-Qing Tao,1 Miao Xu,1 Qi-Hao Guo,1 Zhen Hong,1 Yi-Min Sun1 1Department of Neurology and Institute of Neurology, 2PET Center, Department of Nuclear Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of ChinaObjective: Apolipoprotein E gene (APOE) polymorphisms contributing to the risk of sporadic Alzheimer’s disease (AD) have been identified for decades, but it has not been investigated in large AD samples of Chinese Han population.Methods: We performed a cross-sectional study to explore the effect of APOE polymorphisms on sporadic AD in 875 sporadic AD patients and 1,195 cognitive normal controls of Chinese Han. Genotyping of APOE was determined by multiplex amplification refractory mutation system polymerase chain reaction.Results: APOE ε3ε4 and ε4ε4  genotypes increased AD risk with dosage effect. The odds ratio (OR) of ε3ε4 was 1.89 and the OR of ε4ε4 was 15.64 compared with that of ε3ε3 in all the subjects. E2ε3 genotype decreased AD risk in all the subjects (OR=0.64), female subgroup (OR=0.57), and late-onset AD subgroup (OR=0.60). However, neither ε2ε2 nor ε2ε4 affected AD risk. About the age at onset (AAO), the influence of APOE ε4 was only exhibited in late-onset AD subgroup, with 1 year lower in ε4-positive ones than negative ones. Further analysis did not show the dosage effect of Ε4 pertinent to AAO, though the AAO of ε4ε4 patients decreased by 2 years. E2 did not affect the AAO of AD.Conclusion: APOE ε4  is a strong risk factor of AD risk in Chinese Han population, and APOE ε4ε4 genotype might be related to the AAO of late-onset AD. Keywords: sporadic, cross sectional study, dosage effect, age at onset
format article
author Wu P
Li HL
Liu ZJ
Tao QQ
Xu M
Guo QH
Hong Z
Sun YM
author_facet Wu P
Li HL
Liu ZJ
Tao QQ
Xu M
Guo QH
Hong Z
Sun YM
author_sort Wu P
title Associations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population
title_short Associations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population
title_full Associations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population
title_fullStr Associations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population
title_full_unstemmed Associations between apolipoprotein E gene polymorphisms and Alzheimer’s disease risk in a large Chinese Han population
title_sort associations between apolipoprotein e gene polymorphisms and alzheimer’s disease risk in a large chinese han population
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/85f815d1a9d04c6495e481acf9dac205
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