Laboratory of Neurobiology, Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland.
Chair and Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland.
Folia Neuropathol. 2019;57(2):106-116. doi: 10.5114/fn.2019.84828.
Alzheimer's disease (AD) is a progressive neurodegenerative dementia in adults. Pathogenesis of AD depends on various factors, including APOE genetic variants, apolipoprotein E (apoE) phenotype and oxidative stress, which may promote both DNA and RNA damage, including non-coding RNA (ncRNA). Among ncRNAs, microRNA (miRNA) is known to contribute to pathologic processes in AD. The aim of the study was to analyse the plasma concentration of apoE by ELISA as well as the plasma levels of miR-107 and miR-650 by qPCR in relation to APOE genetic variants and clinical features including the age of onset and dementia severity in 64 AD patients and 132 controls. Our data showed that a low apoE plasma concentration was a risk factor for developing AD (OR = 5.18, p = 6.58E-06) and was particularly pronounced in severe dementia (p < 0.001) and correlated with cognitive functions (R = 0.295, p = 0.020), similarly as the level of miR-650 (R = 0.385, p = 0.033). The presence of APOE E4 allele in both AD patients and controls led to a reduction in apoE, while APOE E3/E3 genotype was associated with an increased apoE concentration and level of miR-107 in AD (p < 0.05) which was inversely correlated with the number of APOE E4 alleles (R = -0.448, p = 0.009). Additionally, patients with the onset at 60-69 years of age showed a reduced level of miR-107 (p < 0.05, as compared to AD above 80 years of age). Changed levels of plasma apoE, miR-107 and miR-650 may be a marker of the neurodegenerative process in the course of AD, associated with amyloid β metabolism and inordinate cell cycle.
阿尔茨海默病(AD)是一种成年人进行性神经退行性痴呆。AD 的发病机制取决于多种因素,包括 APOE 遗传变异、载脂蛋白 E(apoE)表型和氧化应激,这些因素可能同时促进 DNA 和 RNA 损伤,包括非编码 RNA(ncRNA)。在 ncRNA 中,miRNA 被认为有助于 AD 的病理过程。本研究旨在通过 ELISA 分析 apoE 血浆浓度,通过 qPCR 分析 miR-107 和 miR-650 血浆水平,与 APOE 遗传变异以及包括发病年龄和痴呆严重程度在内的临床特征相关,共纳入 64 例 AD 患者和 132 名对照。我们的数据表明,apoE 血浆浓度低是 AD 发病的危险因素(OR=5.18,p=6.58E-06),在严重痴呆中尤为明显(p<0.001),并与认知功能相关(R=0.295,p=0.020),与 miR-650 水平(R=0.385,p=0.033)相似。AD 患者和对照组均携带 APOE E4 等位基因会导致 apoE 减少,而 APOE E3/E3 基因型与 AD 中 apoE 浓度和 miR-107 水平升高相关(p<0.05),与 APOE E4 等位基因数量呈负相关(R=-0.448,p=0.009)。此外,发病年龄在 60-69 岁的患者表现出 miR-107 水平降低(p<0.05,与 80 岁以上的 AD 患者相比)。apoE、miR-107 和 miR-650 血浆水平的改变可能是 AD 神经退行性过程的标志物,与淀粉样β代谢和过度细胞周期有关。