APOE and dementia – resequencing and genotyping in 105,597 individuals
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APOE and dementia – resequencing and genotyping in 105,597 individuals. / Rasmussen, Katrine L.; Tybjærg-Hansen, Anne; Nordestgaard, Børge G.; Frikke-Schmidt, Ruth.
In: Alzheimer's and Dementia, Vol. 16, No. 12, 2020, p. 1624-1637.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - APOE and dementia – resequencing and genotyping in 105,597 individuals
AU - Rasmussen, Katrine L.
AU - Tybjærg-Hansen, Anne
AU - Nordestgaard, Børge G.
AU - Frikke-Schmidt, Ruth
PY - 2020
Y1 - 2020
N2 - Introduction: The mechanism behind the strong association between the ɛ2/ɛ3/ɛ4 apolipoprotein E gene (APOE) polymorphism and Alzheimer's disease is not well-characterized. Because low plasma levels of apoE associate with risk of dementia, genetic variants altering apoE levels in general may also associate with dementia. Methods: The APOE gene was sequenced in 10,369 individuals, and nine amino acid–changing variants with frequencies ≥2/10,000 were further genotyped in 95,228 individuals. Plasma apoE levels were measured directly. Results: Risk of all dementia and Alzheimer's disease (AD) increased with decreasing genetically determined apoE levels (P = 5 × 10−4 and P = 1 × 10−4 after APOE ɛ2/ɛ3/ɛ4 adjustment). Hazard ratios (95% confidence intervals) for all dementia and AD were 2.76 (1.39 to 5.47) and 4.92 (2.36 to 10.29) for the group with the genetically lowest apoE versus ɛ33. Discussion: We found that genetically low apoE levels increase and genetically high levels decrease risk, beyond ɛ2/ɛ3/ɛ4. This underscores that dementia risk more likely relates to variants affecting levels of apoE.
AB - Introduction: The mechanism behind the strong association between the ɛ2/ɛ3/ɛ4 apolipoprotein E gene (APOE) polymorphism and Alzheimer's disease is not well-characterized. Because low plasma levels of apoE associate with risk of dementia, genetic variants altering apoE levels in general may also associate with dementia. Methods: The APOE gene was sequenced in 10,369 individuals, and nine amino acid–changing variants with frequencies ≥2/10,000 were further genotyped in 95,228 individuals. Plasma apoE levels were measured directly. Results: Risk of all dementia and Alzheimer's disease (AD) increased with decreasing genetically determined apoE levels (P = 5 × 10−4 and P = 1 × 10−4 after APOE ɛ2/ɛ3/ɛ4 adjustment). Hazard ratios (95% confidence intervals) for all dementia and AD were 2.76 (1.39 to 5.47) and 4.92 (2.36 to 10.29) for the group with the genetically lowest apoE versus ɛ33. Discussion: We found that genetically low apoE levels increase and genetically high levels decrease risk, beyond ɛ2/ɛ3/ɛ4. This underscores that dementia risk more likely relates to variants affecting levels of apoE.
KW - Alzheimer's disease
KW - APOE
KW - apolipoprotein E
KW - dementia
KW - genetics
KW - rare variation
U2 - 10.1002/alz.12165
DO - 10.1002/alz.12165
M3 - Journal article
C2 - 32808727
AN - SCOPUS:85089524375
VL - 16
SP - 1624
EP - 1637
JO - Alzheimer's & Dementia
JF - Alzheimer's & Dementia
SN - 1552-5260
IS - 12
ER -
ID: 253078036