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NGFR 基因 rs2072446 多态性与阿尔茨海默病发病风险及脑内淀粉样-β沉积的关联

Association of rs2072446 in the NGFR gene with the risk of Alzheimer's disease and amyloid-β deposition in the brain.

机构信息

Department of Neurology and Centre for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.

Department of Neurology, The General Hospital of Western Theater Command, Chengdu, China.

出版信息

CNS Neurosci Ther. 2022 Dec;28(12):2218-2229. doi: 10.1111/cns.13965. Epub 2022 Sep 8.

Abstract

INTRODUCTION AND AIMS

Alzheimer's disease (AD) is the most common form of dementia with a complex genetic background. The cause of sporadic AD (sAD) remains largely unknown. Increasing evidence shows that genetic variations play a crucial role in sAD. P75 neurotrophin receptor (p75NTR, encoded by NGFR) plays a critical role in the pathogenesis of AD. Yet, the relationship between NGFR gene polymorphisms and AD was less studied. This study aims to analyze the relationship of NGFR gene polymorphism with the risk of AD in the Chinese Han population and amyloid-β deposition in the ADNI cohort.

METHODS

This case-control association study was conducted in a Chinese Han cohort consisting of 366 sporadic AD (sAD) patients and 390 age- and sex-matched controls. Twelve tag-SNPs were selected and genotyped with a multiplex polymerase chain reaction-ligase detection reaction (PCR-LDR) method. The associations between tag-SNPs and the risk of AD were analyzed by logistic regression. Moreover, another cohort from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database was included to examine the association of one tag-SNP (rs2072446) with indicators of amyloid deposition. Kaplan-Meier survival analysis and Cox proportional hazards models were used to test the predictive abilities of rs2072446 genotypes for AD progression. The mediation effects of Aβ deposition on this association were subsequently tested by mediation analyses.

RESULTS

After multiple testing corrections, one tag-SNP, rs2072446, was associated with an increased risk of sAD (additive model, OR = 1.79, P  = 0.0144). Analyses of the ADNI cohort showed that the minor allele (T) of rs2072446 was significantly associated with the heavier Aβ burden, which further contributed to an increased risk of AD progression in APOE ε4 non-carrier.

CONCLUSION

Our study found that rs2072446 in NGFR is associated with both the risk of sAD in the Chinese Han population and the amyloid burden in the ADNI cohort, which reveals the role of p75NTR in AD from a genetic perspective.

摘要

介绍和目的

阿尔茨海默病(AD)是最常见的痴呆症形式,具有复杂的遗传背景。散发性 AD(sAD)的病因在很大程度上仍然未知。越来越多的证据表明,遗传变异在 sAD 中起着至关重要的作用。P75 神经生长因子受体(p75NTR,由 NGFR 编码)在 AD 的发病机制中起着关键作用。然而,NGFR 基因多态性与 AD 之间的关系研究较少。本研究旨在分析中国汉族人群中 NGFR 基因多态性与 AD 风险的关系以及 ADNI 队列中淀粉样蛋白-β的沉积。

方法

本病例对照关联研究在中国汉族人群中进行,该人群包括 366 例散发性 AD(sAD)患者和 390 名年龄和性别匹配的对照。选择 12 个标记 SNP,并使用多重聚合酶链反应-连接酶检测反应(PCR-LDR)方法进行基因分型。通过逻辑回归分析标记 SNP 与 AD 风险的关系。此外,还纳入了来自阿尔茨海默病神经影像学倡议(ADNI)数据库的另一个队列,以检查一个标记 SNP(rs2072446)与淀粉样蛋白沉积指标的关联。Kaplan-Meier 生存分析和 Cox 比例风险模型用于测试 rs2072446 基因型对 AD 进展的预测能力。随后通过中介分析测试了 Aβ 沉积对这种关联的中介作用。

结果

经过多次测试校正,一个标记 SNP rs2072446 与 sAD 的风险增加相关(加性模型,OR=1.79,P=0.0144)。对 ADNI 队列的分析表明,rs2072446 的次要等位基因(T)与较重的 Aβ 负荷显著相关,这进一步导致 APOE ε4 非携带者的 AD 进展风险增加。

结论

我们的研究发现,中国汉族人群中 NGFR 的 rs2072446 与 sAD 的风险以及 ADNI 队列中的淀粉样蛋白负荷有关,这从遗传角度揭示了 p75NTR 在 AD 中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da98/9627368/4ab0e2bff920/CNS-28-2218-g001.jpg

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