Nivet-Antoine V, Coulhon M-P, Le Denmat C, Hamon B, Dulcire X, Lefebvre M, Piette F, Davous P, Durand D, Duchassaing D
Laboratoire de biochimie, Hôpital Charles Foix, Ivry-sur-Seine.
Ann Biol Clin (Paris). 2003 Jan-Feb;61(1):61-7.
Several studies indicate a possible association between different genes and chronic neurodegenerative diseases including Alzheimer's disease (DTA). To further investigate, we have analyzed association between the apolipoprotein E (apo E) and bleomycin hydrolase (BH) polymorphisms and three groups of elderly patients: control subjects (T) (n = 68), late-onset sporadic DTA patients (DTAst) (n = 65) and other non vascular neurodegerative diseases (MNDA) (n = 52). Apo E-epsilon4 and BH-G alleles frequencies (%) are: 8.2 (T), 31.5 (DTAst), 16.4 (MNDA) and 41.4 (T), 35.6 (DTAst). No association has been observed between carrying the G allele and DTA in epsilon4 negative subjects but, our data have confirmed the earlier reports: carrying the epsilon4 allele is a dose-dependent risk factor for the DTAst (OR: 6.0, IC 95 %: 2.6-13.7) and decrease the age of symptom onset (p < 0.005). They have also suggested that apo E genotyping may be of interest to perform differential diagnosis of neurodegenerative diseases in elderly subjects.
多项研究表明,不同基因与包括阿尔茨海默病(DTA)在内的慢性神经退行性疾病之间可能存在关联。为进一步研究,我们分析了载脂蛋白E(apo E)和博来霉素水解酶(BH)基因多态性与三组老年患者之间的关联:对照组(T)(n = 68)、晚发性散发性DTA患者(DTAst)(n = 65)和其他非血管性神经退行性疾病患者(MNDA)(n = 52)。Apo E-ε4和BH-G等位基因频率(%)分别为:8.2(T组)、31.5(DTAst组)、16.4(MNDA组)和41.4(T组)、35.6(DTAst组)。在ε4阴性受试者中,未观察到携带G等位基因与DTA之间存在关联,但是,我们的数据证实了早期报告:携带ε4等位基因是DTAst的剂量依赖性风险因素(比值比:6.0,95%置信区间:2.6 - 13.7),并降低症状出现的年龄(p < 0.005)。这些数据还表明,apo E基因分型可能有助于对老年受试者的神经退行性疾病进行鉴别诊断。