The cell cycle is a highly regulated and fundamental cellular process that involves complex feedback regulation of many proteins, and any failure of its integrity could result in important consequences for the cell. The abnormal cell cycle re-entry has been hypothesized to play a role in neurodegenerative disease, primarily Alzheimer’s disease (AD). An association study of cell-dependent kinase inhibitor (CDKN) 2A and 2B, involved in cell cycle G1 phase progression, was carried out in a population of 241 patients with AD and 238 age-matched controls. Three tagging single nucleotide polymorphisms (SNPs), namely rs3731239 T/C, rs2811710 C/T and rs3217992 G/A, spanning CDKN2A and CDKN2B, and covering 100% gene variability, were analyzed by allelic discrimination. Allelic and genotypic frequencies of the three SNPs were similar between patients and controls (P [ 0.05), even after stratification for gender or apolipoprotein E (ApoE) status, as well as the haplotype distribution. Therefore, according to these data, CDKN2A and CDKN2B do not likely act as risk factors for AD. Nevertheless, we cannot exclude that other genes encoding for proteins involved in cell proliferation play a role in AD susceptibility. Alzheimer’s disease is a multifactorial disease, caused by the interaction between genetic and environmental risk factors. Previous data suggest that cell cycle reactivation plays a role in the pathogenesis of AD. In particular, there is evidence of accumulation of cyclins, cyclin-dependent kinases and cyclin-dependent kinase inhibitors in cortical neurons from patients with AD [1, 4, 5], suggesting that neurons, usually in the G0 phase, re-enter the cell cycle during the progression of AD. Two studies [2, 6] identified a linkage region in 9p21.3 in late onset AD; this region contains CDKN2A (cell-dependent kinase inhibitor), which regulates cell cycle G1 phase progression. In this study, we carried out an association study of CDKN2A and the adjacent gene CDKN2B by analyzing three tagging SNPs, namely rs3731239 (T/C), rs2811710 (C/T) and rs3217992 (G/A), which cover 100% gene variability. Two hundred forty-one patients with AD were recruited at the Alzheimer Units of Ospedale Maggiore Policlinico and Ospedale L. Sacco. All patients underwent a standard battery of examinations, including medical history, physical and neurological examination, screening laboratory tests, neurocognitive evaluation, brain magnetic resonance imaging (MRI) or computed tomography (CT), and, if indicated, positron emission computed tomography (PET). Dementia severity was assessed by the Clinical Dementia Rating (CDR) and the Mini Mental Scale Examination (MMSE). Disease duration was defined as the time in years between the first symptoms (by history) and the clinical diagnosis. The presence of significant vascular brain damage was excluded (Hachinski ischemic score \4). The diagnosis of probable AD was made by exclusion according to NINCDS-ADRDA criteria [3]. F. Cortini C. Fenoglio E. Venturelli C. Villa M. Serpente C. Cantoni G. Fumagalli N. Bresolin E. Scarpini D. Galimberti (&) Department of Neurological Sciences, ‘‘Dino Ferrari’’ Center, University of Milan, Fondazione Ca Granda, IRCCS Ospedale Maggiore Policlinico, Milan, Italy e-mail: daniela.galimberti@unimi.it
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