A Study on the Statistical Evaluation of Apolipoprotein E Genotype and Alzheimer's Disease

Apolipoprotein E 유전자형과 알츠하이머형 치매의 통계적인 고찰

  • Jung, An Na (Samkwang Reference Laboratories Seoul) ;
  • Lee, Yoen Ju (Samkwang Reference Laboratories Seoul) ;
  • Choi, Sam Kyu (Samkwang Reference Laboratories Seoul) ;
  • Park, Jung Oh (Department of Clinical Laboratory Science, Seoul Health College) ;
  • Woo, Myoung Soo (Department of Clinical Laboratory Science, Seoul Health College) ;
  • Yu, Kyong Nae (Department of Clinical Pathology 121st General Hospital USFK)
  • 정안나 (의료법인 삼광의료재단) ;
  • 이연주 (의료법인 삼광의료재단) ;
  • 최삼규 (의료법인 삼광의료재단) ;
  • 박정오 (서울보건대학 임상병리과) ;
  • 우명수 (서울보건대학 임상병리과) ;
  • 유경래 (주한 미육군 121 종합병원 임상병리과)
  • Published : 2004.12.31

Abstract

Apolipoprotein E is the major lipid-carrier protein in the brain, and several studies provided evidence that apolipoprotein E(ApoE) epsilon4 allele can be considered a genetic risk factor for Alzheimer's disease(AD). Inheritance of the APOE gene has three alleles: ${\varepsilon}2$, ${\varepsilon}3$ and ${\varepsilon}4$. There are six possible genotypes: ${\varepsilon}2/{\varepsilon}2$, ${\varepsilon}3/{\varepsilon}3$, ${\varepsilon}4/{\varepsilon}4$, ${\varepsilon}2/{\varepsilon}3$, ${\varepsilon}2/{\varepsilon}4$, ${\varepsilon}3/{\varepsilon}4$. AD is characterized by a progressive loss of function and death of nerve cells in several areas of the brain. The ${\varepsilon}4$ allele is associated with a risk for developing AD. People with the ${\varepsilon}4/{\varepsilon}4$ genotype have the highest risk, but people with the ${\varepsilon}2/{\varepsilon}4$ or ${\varepsilon}3/{\varepsilon}4$ genotypes are also likely to develop the disease. 64.3% of people carry the is ${\varepsilon}3/{\varepsilon}3$ genotype, 22.1% carry the second ${\varepsilon}3/{\varepsilon}4$ genotype but, ${\varepsilon}2/{\varepsilon}2$ genotype is not usually found of people carry the 3.6% is ${\varepsilon}4/{\varepsilon}4$ genotype in a total of a test group of 140 people. The ratio of ${\varepsilon}4/{\varepsilon}4$ genotype related directly with AD is less than the ${\varepsilon}3/{\varepsilon}3$ genotype, but the ${\varepsilon}2/{\varepsilon}4$ and ${\varepsilon}3/{\varepsilon}4$ genotype ratio of indirect AD risk is 25.7% in the group of people, regardless. Thus, we have referred to the benefit from the treatment of AD through apoE genotype diagnosis.

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