ATP结合盒转运子1R219K基因多态性与阿尔茨海默病相关性研究

摘要

Objective To assess the effect of single-nucleotide polymorphisms (SNPs) in the cholesterol-related genes ABCA1 exon R219K variation on the risk of AD and cognitive function.Methods Using case-control study,a total of sporadic 104 AD patients and 104 individuals above 60 years without cognitive impairment from a population of Chinese Han nationality in Changsha area were studied to determine the polymorphisms of ABCA1 R219K.Adopt SPSS 13.0 for statistical analysis.Results There were significant differences in the frequencies of three genotypes (RR、RK and KK) between the AD patients and controls (x2 =8.777,P =0.012).The frequency of KK genotype in AD group is obviously lower than that of controls (x2 =5.261,P =0.022).The frequency of KK+RK genotype in AD patients was 54.8％,was significantly lower than that of controls (70.2％,P =0.022).There was significantly higher levels of HDL-C,apoA-I and cognitive scores in the carriers of KK genotype and K allele (P ＜ 0.05).There was significantly higher levels of MMSE and WMS scores in the carriers of K K genotype and K allele (P ＜ 0.05).Further in accordance with memory types including long-term memory,short-term memory,transient memory,compared with RR genotype,the scores of short-term memory,transient memory of RK,KK and RK + KK genotypes were higher (P ＜ 0.05),but there was no significant difference in the score of long-term memory (P ＞ 0.05).Multifactor logistic regression analysis showed that carrying K allele was a single protective factor for AD.Conclusions The polymorphism of ABCA1R219K is associated with AD.Carrying K allele may play a positive role in serum lipids and cognition,and produce a protective effect on risk of AD.%目的 探讨胆固醇相关基因ABCA1外显子R219K遗传变异对阿尔茨海默病(AD)发病风险及认知功能的影响.方法 采用病例对照研究方法测定湖南长沙地区汉族人群104例散发性AD患者以及104名60岁以上认知功能正常者的ABCA1R219K基因多态性.采用SPSS 13.0软件进行统计分析.结果 两组间RR、RK及KK 3种基因型分布差异有统计学意义(x2=8.777,P=0.012),AD组KK型频率显著低于对照组(x2=5.261,P=0.022).AD组(RK+KK)型频率较对照组显著降低(54.8％ & 70.2％,P=0.022).KK型及K等位基因携带者血浆HDL—C、apoA-I水平增高,差异有统计学意义(P＜0.05).在总体研究人群中,KK型及RK+ KK型携带者的MMSE评分以及WMS评分显著增高(P＜0.05)；进一步按照长时记忆、短时记忆和瞬时记忆3种记忆类型分析,与RR型相比,RK、KK型及RK+KK型携带者的短时记忆及瞬时记忆得分显著增高(P＜0.05),而长时记忆得分的比较差异无统计学意义(P＞0.05).Logistic回归结果表明K等位基因携带是AD发病的独立保护因素.结论 ABCA1R219K变异与AD的发病有关,K等住基因携带对血脂及认知功能可能产生有益作用,并对AD的发生可能有一定保护作用.