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Klotho 等位基因状态与临床前阿尔茨海默病中 Aβ 和 APOE ε4 相关的认知衰退无关。

Klotho allele status is not associated with Aβ and APOE ε4-related cognitive decline in preclinical Alzheimer's disease.

机构信息

Collaborative Genomics Group, Centre of Excellence for Alzheimer's Disease Research and Care, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia; Cooperative Research Centre for Mental Health, Carlton South, Victoria, Australia.

CSIRO Health and Biosecurity, Parkville, Victoria, Australia; Centre of Excellence for Alzheimer's Disease Research and Care, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.

出版信息

Neurobiol Aging. 2019 Apr;76:162-165. doi: 10.1016/j.neurobiolaging.2018.12.014. Epub 2019 Jan 6.

DOI:10.1016/j.neurobiolaging.2018.12.014
PMID:30716541
Abstract

The longevity gene Klotho (KL), specifically the functional KL-VS variant, has previously been associated with cognition and rates of cognitive decline. This study aimed to determine whether KL-VS associations with cognition were observable in preclinical Alzheimer's disease (AD). The study also aimed to determine whether there was a combined influence of KL-VS, neocortical amyloid-β (Aβ) burden, and carriage of the apolipoprotein E (APOE) ε4 allele on cognitive decline. This study involved 581 Aβ-imaged, cognitively normal older adults, enrolled in the Australian Imaging, Biomarkers and Lifestyle Study of Aging. Linear mixed effects models revealed no significant associations between KL-VS and cognitive decline independently or in combination with Aβ burden and APOE ε4 genotype. Overall, previous associations reported between KL-VS and cognitive decline are not observed at the preclinical stages of AD. Furthermore, the results do not support the hypothesis that KL-VS has a modifying effect on Aβ burden and APOE ε4-driven cognitive decline in preclinical AD.

摘要

长寿基因 Klotho(KL),特别是功能性 KL-VS 变体,先前与认知功能和认知下降速度有关。本研究旨在确定 KL-VS 是否与临床前阿尔茨海默病(AD)的认知有关。该研究还旨在确定 KL-VS、新皮层淀粉样蛋白-β(Aβ)负担以及载脂蛋白 E(APOE)ε4 等位基因的共同影响是否对认知下降有影响。该研究涉及澳大利亚成像、生物标志物和衰老生活方式研究中的 581 名 Aβ 成像、认知正常的老年人。线性混合效应模型显示,KL-VS 与认知下降之间没有独立或与 Aβ 负担和 APOE ε4 基因型联合存在显著关联。总体而言,在 AD 的临床前阶段,先前报道的 KL-VS 与认知下降之间的关联并不明显。此外,结果不支持 KL-VS 对临床前 AD 中 Aβ 负担和 APOE ε4 驱动的认知下降具有修饰作用的假设。

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