Article
Analysis of association between Alzheimer disease and the K variant of butyrylcholinesterase (BCHE-K).
Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA.
Neuroscience Letters (impact factor:
2.11).
08/1999;
269(2):115-9.
pp.115-9
Source: PubMed
- Citations (14)
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Cited In (0)
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Article: ApoE-4 and age at onset of Alzheimer's disease: the NIMH genetics initiative.
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ABSTRACT: To explore the impact of apoE-4 on Alzheimer's disease (AD) and its age at onset. A genetic linkage study using affected relative pairs, predominantly siblings. Three academic medical centers ascertained subjects from memory disorder clinics, nursing homes, and the local community. 310 families including 679 subjects with AD by NINCDS/ADRDA and/or Khachaturian criteria and 231 unaffected subjects. ApoE genotype. ANALYTIC METHODS: Association, affected pedigree member, sibling pair, and lod score analyses. ApoE-4 was strongly associated with AD in this sample (allele frequency = 0.46 vs. 0.14 in controls, p < 0.000001). Results of lod score, affected pedigree member analysis, and sib-pair analysis also supported apoE-4 as a risk factor for AD. When the sample was stratified on family mean age at onset, the risk conferred by apoE-4 was most marked in the 61 to 65 age group. Individuals with two copies of apoE-4 had a significantly lower age at onset than those with one or no copies (66.4 vs. 72.0, p < 0.001), but individuals with one copy did not differ from those with none. Within families, the individual with the earliest age at onset had, on average, significantly more apoE-4 alleles (p < 0.0001) than the individual with the latest onset. This work supports previous reports of an association between apoE-4 and the development of AD and demonstrates that apoE-4 exerts its maximal effect before age 70. These findings have important implications for the potential use of apoE genotyping for diagnosis and prediction of disease. They also underscore the need to identify additional genetic factors involved in AD with onset beyond age 70 years.Neurology 01/1997; 48(1):139-47. · 8.31 Impact Factor -
Article: Gene dose of apolipoprotein E type 4 allele and the risk of Alzheimer's disease in late onset families.
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ABSTRACT: The apolipoprotein E type 4 allele (APOE-epsilon 4) is genetically associated with the common late onset familial and sporadic forms of Alzheimer's disease (AD). Risk for AD increased from 20% to 90% and mean age at onset decreased from 84 to 68 years with increasing number of APOE-epsilon 4 alleles in 42 families with late onset AD. Thus APOE-epsilon 4 gene dose is a major risk factor for late onset AD and, in these families, homozygosity for APOE-epsilon 4 was virtually sufficient to cause AD by age 80.Science 09/1993; 261(5123):921-3. · 31.20 Impact Factor -
Article: The butyrylcholinesterase gene is neither independently nor synergistically associated with late-onset AD in clinic- and community-based populations.
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ABSTRACT: The K variant of the butyrylcholinesterase gene (BChE) was recently found to occur at an increased frequency in a late onset Alzheimer's disease (AD) population, specifically in individuals carrying the epsilon4 allele of the apolipoprotein E (APOE) gene. This suggested synergy between these two genes resulting in an increased risk of late-onset AD. We have genotyped 62 community-based and 329 clinic-based AD cases, and 201 community-based controls at BChE and APOE and find no independent association between BChE and AD nor interaction with APOE in risk for AD in either our clinic or community-based samples.Neuroscience Letters 07/1998; 249(2-3):115-8. · 2.11 Impact Factor
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Keywords
163 discordant sib-pairs
245 sporadic AD cases
Alzheimer disease
APOE4 status
BCHE-K
BCHE-K allele frequencies
BCHE-K case
BCHE-K variant
Butyrylcholinesterase
chi-square analyses
control allele frequencies
increased odds
K variant
major genetic risk factor
multiplex AD families
sib transmission disequilibrium test
statistically significant differences
study population