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神经生长因子基因多态性与日本早期阿尔茨海默病和遗忘型轻度认知障碍患者执行功能障碍的关系。

Association between nerve growth factor gene polymorphism and executive dysfunction in Japanese patients with early-stage Alzheimer's disease and amnestic mild cognitive impairment.

机构信息

Division of Molecular Genetics, Institute of DNA Medicine, Jikei University School of Medicine, Tokyo, Japan.

出版信息

Dement Geriatr Cogn Disord. 2011;32(6):379-86. doi: 10.1159/000335355. Epub 2012 Feb 1.

DOI:10.1159/000335355
PMID:22301435
Abstract

BACKGROUND/AIMS: To address the clinical neurocognitive roles of nerve growth factor (NGF) genetic polymorphism in early-stage Alzheimer's disease (AD) and amnestic mild cognitive impairment (A-MCI), we investigated the association between this single-nucleotide polymorphism (SNP) and executive dysfunction as a nonmemory cognitive impairment.

METHODS

Among 200 outpatients with dementia and MCI whose NGF SNP rs6330 genotype was identified, those with A-MCI (n = 35) and early-stage AD (n = 67) were recruited and divided into three groups according to genotype (C/C: n = 58, C/T: n = 39, T/T: n = 5). Then, the Frontal Assessment Battery (FAB) scores were compared among the three (C/C, C/T, T/T) or two (C/C, T carrier) genotype groups.

RESULTS

Among the subtests, a significant difference was only noted for the go/no-go scores (p < 0.01) between C/C and T carriers. However, no significant differences in the demographic variables and other neuropsychological subtest scores reflecting attentional and memory function were observed among the genotypes.

CONCLUSION

Regarding the functional roles of neurotrophin polymorphisms as they relate to executive dysfunction, the NGF gene rs6330 might influence the inhibition task in Japanese patients with early-stage AD or A-MCI.

摘要

背景/目的:为了探讨神经生长因子(NGF)基因多态性在早期阿尔茨海默病(AD)和遗忘型轻度认知障碍(A-MCI)中的临床神经认知作用,我们研究了该单核苷酸多态性(SNP)与执行功能障碍的关系,作为一种非记忆认知障碍。

方法

在确定了 200 名患有痴呆症和 MCI 的门诊患者的 NGF SNP rs6330 基因型后,招募了其中的 A-MCI(n = 35)和早期 AD(n = 67)患者,并根据基因型(C/C:n = 58,C/T:n = 39,T/T:n = 5)将其分为三组。然后,比较三组(C/C、C/T、T/T)或两组(C/C、T 携带者)基因型组的额叶评估量表(FAB)评分。

结果

在子测试中,C/C 和 T 携带者之间的 Go/No-Go 分数仅存在显著差异(p < 0.01)。然而,基因型之间的人口统计学变量和反映注意力和记忆功能的其他神经心理学子测试分数没有显著差异。

结论

关于神经营养因子多态性作为执行功能障碍的功能作用,NGF 基因 rs6330 可能会影响日本早期 AD 或 A-MCI 患者的抑制任务。

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