Wu Yue, Yin Jiajun, Yang Bixiu, Tang Li, Feng Wei, Liu Xiaowei, Zhao Xingfu, Cheng Zaohuo
Department of Geriatric Psychiatry, The Affiliated Wuxi Mental Health Center with Nanjing Medical University, Wuxi, Jiangsu Province, People's Republic of China.
Brain Science Basic Laboratory, The Affiliated Wuxi Mental Health Center with Nanjing Medical University, Wuxi, Jiangsu Province, People's Republic of China.
Neuropsychiatr Dis Treat. 2021 Apr 21;17:1125-1133. doi: 10.2147/NDT.S296144. eCollection 2021.
Apolipoprotein () is recognized as an independent risk factor for mild cognitive impairment (MCI). However, not everyone with the ε4 allele develops MCI, suggesting that other susceptibility genes exist. This study aimed to identify MCI susceptibility genes, including , and , in elderly Han Chinese and to verify their association with ε4 allele in MCI onset.
To determine whether polymorphisms in (rs6733839, rs7561528), (rs2228479), (rs10164112), and (rs6859) occurred in elderly MCI patients carrying allele, we carried out a case-control study including 285 MCI patients and 326 healthy controls.
Statistically significant differences in the proportion of carriers, and BESCI, ADAS-cog, and CNT scores existed between the NC and MCI groups (all < 0.01). Frequencies of the rs10164112 T and rs6859 A alleles were significantly higher in the latter than in the former ( = 0.01; 0.029). However, no significant differences in allele and genotype distribution of (rs6733839, rs7561528) and (rs2228479) existed between samples in our two groups (all > 0.05). When stratified by status (carriers/non-carriers), genotype frequencies of rs7561528, rs10164112, and rs6859 among the four groups (NCε4+, NCε4-, MCIε4+, MCIε4-) were significantly different. Additionally, our results suggest a significant association between MCI and rs7561528, rs10164112, and rs6859 (all <0.05) in elderly carriers.
This suggests that among the Han Chinese, MCI in elderly carriers may be related to the (rs7561528), (rs10164112) and (rs6859). Genotype AA of rs7561528 and TT of rs10164112 might be protective factors against MCI in elderly carriers.
载脂蛋白E(ApoE)被认为是轻度认知障碍(MCI)的独立危险因素。然而,并非每个携带ε4等位基因的人都会发展为MCI,这表明还存在其他易感基因。本研究旨在鉴定老年汉族人群中MCI的易感基因,包括ApoE、β淀粉样前体蛋白(APP)、早老素1(PSEN1)和早老素2(PSEN2),并验证它们与MCI发病中ε4等位基因的关联。
为了确定携带ε4等位基因的老年MCI患者中ApoE(rs6733839、rs7561528)、APP(rs2228479)、PSEN1(rs10164112)和PSEN2(rs6859)基因多态性是否存在,我们进行了一项病例对照研究,包括285例MCI患者和326例健康对照。
非携带者(NC)组和MCI组之间,ε4携带者比例、简易精神状态检查表(BESCI)、阿尔茨海默病评定量表认知部分(ADAS-cog)和临床神经心理学测试(CNT)评分存在统计学显著差异(均P<0.01)。rs10164112的T等位基因和rs6859的A等位基因频率在MCI组显著高于NC组(P = 0.01;P = 0.029)。然而,两组样本中ApoE(rs6733839、rs7561528)和APP(rs2228479)的等位基因和基因型分布无显著差异(均P>0.05)。按ε4状态(携带者/非携带者)分层时,四组(NCε4+、NCε4-、MCIε4+、MCIε4-)中rs7561528、PSEN1 rs10164112和PSEN2 rs6859的基因型频率有显著差异。此外,我们的结果表明,老年ε4携带者中MCI与rs7561528、PSEN1 rs10164112和PSEN2 rs6859显著相关(均P<0.05)。
这表明在汉族人群中,老年ε4携带者的MCI可能与PSEN2(rs7561528)、PSEN1(rs10164112)和PSEN2(rs6859)有关。rs7561528的AA基因型和rs10164112的TT基因型可能是老年ε4携带者预防MCI的保护因素。