Bekris Lynn M, Millard Steven P, Galloway Nichole M, Vuletic Simona, Albers John J, Li Ge, Galasko Douglas R, DeCarli Charles, Farlow Martin R, Clark Chris M, Quinn Joseph F, Kaye Jeffrey A, Schellenberg Gerard D, Tsuang Debby, Peskind Elaine R, Yu Chang-En
Geriatric Research, Education, and Clinical Center (GRECC), VA Puget Sound Health Care System, Seattle, WA 98108, USA.
J Alzheimers Dis. 2008 Apr;13(3):255-66. doi: 10.3233/jad-2008-13303.
The epsilon4 allele of the apolipoprotein E gene (APOE) is associated with increased risk and earlier age at onset in late onset Alzheimer's disease (AD). Other factors, such as expression level of apolipoprotein E protein (apoE), have been postulated to modify the APOE related risk of developing AD. Multiple loci in and outside of APOE are associated with a high risk of AD. The aim of this exploratory hypothesis generating investigation was to determine if some of these loci predict cerebrospinal fluid (CSF) apoE levels in healthy non-demented subjects. CSF apoE levels were measured from healthy non-demented subjects 21-87 years of age (n=134). Backward regression models were used to evaluate the influence of 21 SNPs, within and surrounding APOE, on CSF apoE levels while taking into account age, gender, APOE epsilon4 and correlation between SNPs (linkage disequilibrium). APOE epsilon4 genotype does not predict CSF apoE levels. Three SNPs within the TOMM40 gene, one APOE promoter SNP and two SNPs within distal APOE enhancer elements (ME1 and BCR) predict CSF apoE levels. Further investigation of the genetic influence of these loci on apoE expression levels in the central nervous system is likely to provide new insight into apoE regulation as well as AD pathogenesis.
载脂蛋白E基因(APOE)的ε4等位基因与晚发性阿尔茨海默病(AD)的发病风险增加及发病年龄提前有关。其他因素,如载脂蛋白E蛋白(apoE)的表达水平,被认为可改变与APOE相关的患AD风险。APOE内部及外部的多个基因座与AD的高风险相关。本探索性假设生成研究的目的是确定这些基因座中的一些是否能预测健康非痴呆受试者的脑脊液(CSF)apoE水平。对年龄在21 - 87岁的健康非痴呆受试者(n = 134)测量了脑脊液apoE水平。采用向后回归模型,在考虑年龄、性别、APOE ε4以及单核苷酸多态性(SNP)之间的相关性(连锁不平衡)的情况下,评估APOE内部及周围的21个SNP对脑脊液apoE水平的影响。APOE ε4基因型不能预测脑脊液apoE水平。TOMM40基因内的三个SNP、一个APOE启动子SNP以及远端APOE增强子元件(ME1和BCR)内的两个SNP可预测脑脊液apoE水平。进一步研究这些基因座对中枢神经系统中apoE表达水平的遗传影响,可能会为apoE调节以及AD发病机制提供新的见解。