Genetic Factors Affecting Late-Onset Alzheimerâ€™s Disease Susceptibility
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Alzheimerâ€™s disease is considered a progressive brain disease in the older population. Late-onset Alzheimerâ€™s disease (LOAD) as a multifactorial dementia has a polygenic inheritance. Age, environment, and lifestyle along with a growing number of genetic factors have been reported as risk factors for LOAD. Our aim was to present results of LOAD association studies that have been done in northwestern Iran, and we also explored possible interactions with apolipoprotein E (APOE) status. We re-evaluated the association of these markers in dominant, recessive, and additive models. In all, 160 LOAD and 163 healthy control subjects of Azeri Turkish ethnicity were studied. The Chi-square test with Yatesâ€™ correction and Fisherâ€™s exact test were used for statistical analysis. A Bonferroni-corrected p value, based on the number of statistical tests, was considered significant. Our results confirmed that chemokine receptor type 2 (CCR2), estrogen receptor 1 (ESR1), toll-like receptor 2 (TLR2), tumor necrosis factor alpha (TNF?), APOE, bridging integrator 1 (BIN1), and phosphatidylinositol-binding clathrin assembly protein (PICALM) are LOAD susceptibility loci in Azeri Turk ancestry populations. Among them, variants of CCR2, ESR1, TNF?, and APOE revealed associations in three different genetic models. After adjusting for APOE, the association (both allelic and genotypic) with CCR2, BIN1, and ESR? (PvuII) was evident only among subjects without the APOE ?4, whereas the association with CCR5, without Bonferroni correction, was significant only among subjects carrying the APOE ?4 allele. This result is an evidence of a synergistic and antagonistic effect of APOE on variant associations with LOAD. آ© 2015, Springer Science+Business Media New York.
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