中国临床康复2004,Vol.8Issue(31):7014-7015,2.
ApoE基因多态性与阿尔茨海默病及血管性痴呆的关系
Relationship of the polymorphism of Apolipoprotein E gene with Alzheimer disease and vascular dementia
陈谊 1Olivier HANON 2Francoise FORETTE2
作者信息
- 1. 上海第二医科大学附属第九人民医院老年科,上海市,200011
- 2. 法国巴黎BROCA老年医疗中心
- 折叠
摘要
Abstract
BACKGROUND:Researches find that Alzheimer disease(AD) may relate with the pathological gene in chromosome ;However, therelationship between Apolipoprotein E(ApoE) gene that located on No. 19 chromosome and the onset of AD and vascular dementia (VD) is still not clear.OBJECTIVE: To evaluate the relationship between ApoEe4 gene and AD and VD for the discussion of its application merits in the evaluation of prognosis. DESIGN: A non-rnndomised and controlled study based on diagnosis.SETTING and PARTICIPANTS: A total of 1 560 ageing patients from the outpatient Department of Dysmnesia of BROCA Hospital (Paris, France)were selected from January 1996 to December 2000. All cases were Caucasians, which were divided into three groups: non-dementia group( n = 845,patients with normal cognitive function or mild cognitive dysfunction ), Adgroup( n =618) and VD group( n =97).MAIN OUTCOME MEASURES: The detective rate of ApoE alleles of each group, analysis of the independent risk factors of AD and VD.RESULTS: A total of 309 cases in AD group (50%) carried E4 alleles,which was significantly different from that of 240 cases in non-dementia group( P < 0.01).Multiple factors were analysed byregression analysis with the results of that ApoEe4, age and female are the independent risk factors of AD; However, ApoEe4 is not the independent risk factor of VD( P =0. 69).CONCLUSION:ApoEe4 significantly correlates with AD, which is an important risk factor of AD genesis;However,the relationship between ApoEe4 with VD is still unclear.关键词
载脂蛋白E类/阿尔茨海默病/痴呆,血管性分类
医药卫生引用本文复制引用
陈谊,Olivier HANON,Francoise FORETTE..ApoE基因多态性与阿尔茨海默病及血管性痴呆的关系[J].中国临床康复,2004,8(31):7014-7015,2.