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全基因组关联研究(GWAS)确定的阿尔茨海默病四个基因座与帕金森病、肌萎缩侧索硬化症和多系统萎缩症风险之间的关系。

The relationship between four GWAS-identified loci in Alzheimer's disease and the risk of Parkinson's disease, amyotrophic lateral sclerosis, and multiple system atrophy.

作者信息

Chen Yongping, Cao Bei, Chen Xueping, Ou Ruwei, Wei Qianqian, Zhao Bi, Wu Ying, Yuan Lixing, Shang Hui-Fang

机构信息

Department of Neurology and West China Brain Research Centre, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Public Laboratory of West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Neurosci Lett. 2018 Nov 1;686:205-210. doi: 10.1016/j.neulet.2018.08.024. Epub 2018 Aug 22.

Abstract

BACKGROUND

A number of genetic variants have previously been identified and associated with the risk of Alzheimer's disease (AD), including rs10838725 in CELF1, rs28834970 in PTK2B, rs17125944 in FERMT2, and rs10410544 in SIRT2 based on genome-wide association studies. Considering the overlap between the clinical manifestation and pathological characteristics of AD and Parkinson's disease (PD), amyotrophic lateral sclerosis (ALS) and multiple system atrophy (MSA), we conducted a large sample study to investigate the associations between these variants and these three common neurodegenerative diseases in a Chinese population.

METHODS

A total of 2449 patients, including 1219 PD, 870 sporadic ALS, and 360 MSA, and 821 healthy controls were examined for this study. All cases were genotyped for single-nucleotide polymorphisms using Sequenom iPLEX assay technology.

RESULTS

No significant differences were found in genotype distribution and minor allele frequencies between the four candidate variants and the three neurodegenerative diseases. However, a significant difference was found in the minor allele frequency of rs28834970 in PTK2B between PD patients with normal and abnormal cognitive function (p = 0.001). Moreover, the minor allele "C" was associated with an increased risk for cognitive impairment in PD (OR = 1.84). Although this observation was not significant (p = 0.064), the mean Addenbrooke's Cognitive Examination-Revised (ACER) score of PD patients with the risk allele of rs28834970 was 2.913 ± 1.569 points lower than that of PD patients without the risk allele.

CONCLUSION

This study provides new insight into some of the phenotypes that may share the common pathogenesis of different neurodegenerative diseases.

摘要

背景

先前已鉴定出许多基因变异,并将其与阿尔茨海默病(AD)风险相关联,包括基于全基因组关联研究的CELF1中的rs10838725、PTK2B中的rs28834970、FERMT2中的rs17125944以及SIRT2中的rs10410544。考虑到AD与帕金森病(PD)、肌萎缩侧索硬化症(ALS)和多系统萎缩(MSA)在临床表现和病理特征上的重叠,我们开展了一项大样本研究,以调查这些变异与中国人群中这三种常见神经退行性疾病之间的关联。

方法

本研究共检测了2449例患者,包括1219例PD患者、870例散发性ALS患者和360例MSA患者,以及821例健康对照。所有病例均使用Sequenom iPLEX检测技术对单核苷酸多态性进行基因分型。

结果

在四个候选变异与三种神经退行性疾病之间,未发现基因型分布和次要等位基因频率存在显著差异。然而,在认知功能正常和异常的PD患者之间,PTK2B中rs28834970的次要等位基因频率存在显著差异(p = 0.001)。此外,次要等位基因“C”与PD患者认知障碍风险增加相关(OR = 1.84)。尽管这一观察结果不显著(p = 0.064),但携带rs28834970风险等位基因的PD患者的平均修订版Addenbrooke认知检查(ACER)评分比不携带风险等位基因的PD患者低2.913±1.569分。

结论

本研究为一些可能具有不同神经退行性疾病共同发病机制的表型提供了新的见解。

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