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白细胞介素 6(IL-6)的序列变异与晚期发病阿尔茨海默病风险降低显著相关。

Sequence variants of interleukin 6 (IL-6) are significantly associated with a decreased risk of late-onset Alzheimer's disease.

机构信息

Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.

出版信息

J Neuroinflammation. 2012 Jan 24;9:21. doi: 10.1186/1742-2094-9-21.

Abstract

BACKGROUND

Interleukin 6 (IL-6) has been related to beta-amyloid aggregation and the appearance of hyperphosphorylated tau in Alzheimer's disease (AD) brain. However, previous studies relating IL-6 genetic polymorphisms to AD included few and unrepresentative single nucleotide polymorphisms (SNPs) and the results were inconsistent.

METHODS

This is a case-control study. A total of 266 patients with AD, aged≧65, were recruited from three hospitals in Taiwan (2007-2010). Controls (n = 444) were recruited from routine health checkups and volunteers of the hospital during the same period of time. Three common IL-6 haplotype-tagging SNPs were selected to assess the association between IL-6 polymorphisms and the risk of late-onset AD (LOAD).

RESULTS

Variant carriers of IL-6 rs1800796 and rs1524107 were significantly associated with a reduced risk of LOAD [(GG + GC vs. CC): adjusted odds ratio (AOR) = 0.64 and (CC + CT vs. TT): AOR = 0.60, respectively]. Haplotype CAT was associated with a decreased risk of LOAD (0 and 1 copy vs. 2 copies: AOR = 0.65, 95% CI = 0.44-0.95). These associations remained significant in ApoE e4 non-carriers only. Hypertension significantly modified the association between rs2069837 polymorphisms and the risk of LOAD (pinteraction = 0.03).

CONCLUSIONS

IL-6 polymorphisms are associated with reduced risk of LOAD, especially in ApoE e4 non-carriers. This study identified genetic markers for predicting LOAD in ApoE e4 non-carriers.

摘要

背景

白细胞介素 6(IL-6)与β-淀粉样蛋白聚集和阿尔茨海默病(AD)脑中过度磷酸化的 tau 出现有关。然而,先前将 IL-6 遗传多态性与 AD 相关联的研究包括少数和无代表性的单核苷酸多态性(SNP),且结果不一致。

方法

这是一项病例对照研究。共有 266 名年龄≧65 岁的 AD 患者(2007-2010 年)从台湾的三家医院招募而来。同期从常规健康检查和医院志愿者中招募了 444 名对照者。选择三个常见的 IL-6 单体型标记 SNP 来评估 IL-6 多态性与晚发性 AD(LOAD)风险之间的关联。

结果

IL-6 rs1800796 和 rs1524107 的变体携带者与 LOAD 的风险降低显著相关[(GG+GC 与 CC):调整后的优势比(AOR)=0.64 和(CC+CT 与 TT):AOR=0.60]。CAT 单倍型与 LOAD 风险降低相关(0 和 1 拷贝与 2 拷贝:AOR=0.65,95%CI=0.44-0.95)。这些关联在 ApoE e4 非携带者中仍然显著。高血压显著改变了 rs2069837 多态性与 LOAD 风险之间的关联(p 交互=0.03)。

结论

IL-6 多态性与 LOAD 的风险降低相关,尤其是在 ApoE e4 非携带者中。本研究确定了用于预测 ApoE e4 非携带者 LOAD 的遗传标记。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78a/3315433/6313be7ce7ab/1742-2094-9-21-1.jpg

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