Abstract

BackgroundLoss of basal forebrain cholinergic neurons is attributable to the proapoptotic signaling induced by nerve growth factor receptor (NGFR) and may link to Alzheimer's disease (AD) risk. Only one study has investigated the association between NGFR polymorphisms and the risk of AD in an Italian population. Type 2 diabetes mellitus (DM) may modify this association based on previous animal and epidemiologic studies.MethodsThis was a case-control study in a Chinese population. A total of 264 AD patients were recruited from three teaching hospitals between 2007 to 2010; 389 controls were recruited from elderly health checkup and volunteers of the hospital during the same period of time. Five common (frequency≥5%) haplotype-tagging single nucleotide polymorphisms (htSNPs) were selected from NGFR to test the association between NGFR htSNPs and the risk of AD.ResultsVariant NGFR rs734194 was significantly associated with a decreased risk of AD [GG vs. TT copies: adjusted odds ratio (OR) = 0.43, 95% confidence interval (CI) = 0.20-0.95]. Seven common haplotypes were identified. Minor haplotype GCGCG was significantly associated with a decreased risk of AD (2 vs. 0 copies: adjusted OR = 0.39, 95% CI = 0.17-0.91). Type 2 DM significantly modified the association between rs2072446, rs741072, and haplotype GCTTG and GTTCG on the risk of AD among ApoE ε4 non-carriers (Pinteraction < 0.05).ConclusionInherited polymorphisms of NGFR were associated with the risk of AD; results were not significant after correction for multiple tests. This association was further modified by the status of type 2 DM.

Highlights

  • Dementia is a degenerative brain syndrome characterized by decline or loss in cognitive function [1]

  • Haplotype-tagging Single Nucleotide Polymorphisms (SNP) in nerve growth factor receptor (NGFR) Five haplotype-tagging single nucleotide polymorphisms (htSNPs) were selected from 11 common SNPs spanning NGFR formed one block, which was determined by the modified Gabriel et al algorithm [21,22] (Figure 1)

  • For NGFR SNPs, in ApoE ε4 non-carriers without type 2 diabetes mellitus (DM), variant rs2072446 was associated with an increased risk of Alzheimer’s disease (AD) (TT+TC vs. CC: odds ratio (OR) = 2.18, 95% confidence interval (CI) = 1.194.00) (Table 5)

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Summary

Methods

This was a case-control study in a Chinese population. A total of 264 AD patients were recruited from three teaching hospitals between 2007 to 2010; 389 controls were recruited from elderly health checkup and volunteers of the hospital during the same period of time. Five common (frequency≥5%) haplotype-tagging single nucleotide polymorphisms (htSNPs) were selected from NGFR to test the association between NGFR htSNPs and the risk of AD

Results
Introduction
Materials and methods
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