APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss

The accurate clinical diagnosis of Alzheimer’s disease can only be made with a high degree of certainty in specialized centres. The identification of predictive or diagnostic genetic factors may improve accuracy of disease prediction or diagnosis. One major genetic risk factor, the ε4 allele of the...

Full description

Bibliographic Details
Main Authors: Laws, S., Clarnette, R, Groth, David
Format: Journal Article
Published: Nature Publishing Group 2002
Online Access:http://hdl.handle.net/20.500.11937/11018
_version_ 1848747692510937088
author Laws, S.
Clarnette, R
Groth, David
author_facet Laws, S.
Clarnette, R
Groth, David
author_sort Laws, S.
building Curtin Institutional Repository
collection Online Access
description The accurate clinical diagnosis of Alzheimer’s disease can only be made with a high degree of certainty in specialized centres. The identification of predictive or diagnostic genetic factors may improve accuracy of disease prediction or diagnosis. One major genetic risk factor, the ε4 allele of the apolipoprotein E gene, is universally recognised. We have recently shown that the A allele of the apolipoprotein E, −491A/T promoter polymorphism is also an important risk factor for Alzheimer’s disease in an Australian population. We designed the present study to investigate the association between apolipoprotein E genotype, −491A/T polymorphism, plasma apoE levels and the subjective experience of memory decline among 98 subjects and 49 age, gender and education-matched normal controls. An increased frequency of the ε4 allele of apolipoprotein E was significantly associated with the ‘memory complainers’ group (OR = 2.35, P = 0.02) as was the A allele of the −491A/T polymorphism (OR = 2, P = 0.02). Among all subjects, only seven individuals were homozygous for both of these alleles, and six of these seven individuals belonged to the ‘memory complainers’ group. This sub-group also had relatively elevated plasma apolipoprotein E levels (P0.01) and tended to score lower on the Mini-Mental State Examination (MMSE) and Cambridge Cognition Test. These data suggest that the ε4 allele of apolipoprotein E and the −491A allele are over-represented among individuals who complain of memory difficulties. Follow-up studies should clarify whether these genotypes and phenotypes are useful in the prediction and/or diagnosis of Alzheimer’s disease.
first_indexed 2025-11-14T06:53:11Z
format Journal Article
id curtin-20.500.11937-11018
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T06:53:11Z
publishDate 2002
publisher Nature Publishing Group
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-110182017-01-30T11:22:19Z APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss Laws, S. Clarnette, R Groth, David The accurate clinical diagnosis of Alzheimer’s disease can only be made with a high degree of certainty in specialized centres. The identification of predictive or diagnostic genetic factors may improve accuracy of disease prediction or diagnosis. One major genetic risk factor, the ε4 allele of the apolipoprotein E gene, is universally recognised. We have recently shown that the A allele of the apolipoprotein E, −491A/T promoter polymorphism is also an important risk factor for Alzheimer’s disease in an Australian population. We designed the present study to investigate the association between apolipoprotein E genotype, −491A/T polymorphism, plasma apoE levels and the subjective experience of memory decline among 98 subjects and 49 age, gender and education-matched normal controls. An increased frequency of the ε4 allele of apolipoprotein E was significantly associated with the ‘memory complainers’ group (OR = 2.35, P = 0.02) as was the A allele of the −491A/T polymorphism (OR = 2, P = 0.02). Among all subjects, only seven individuals were homozygous for both of these alleles, and six of these seven individuals belonged to the ‘memory complainers’ group. This sub-group also had relatively elevated plasma apolipoprotein E levels (P0.01) and tended to score lower on the Mini-Mental State Examination (MMSE) and Cambridge Cognition Test. These data suggest that the ε4 allele of apolipoprotein E and the −491A allele are over-represented among individuals who complain of memory difficulties. Follow-up studies should clarify whether these genotypes and phenotypes are useful in the prediction and/or diagnosis of Alzheimer’s disease. 2002 Journal Article http://hdl.handle.net/20.500.11937/11018 Nature Publishing Group restricted
spellingShingle Laws, S.
Clarnette, R
Groth, David
APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss
title APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss
title_full APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss
title_fullStr APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss
title_full_unstemmed APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss
title_short APOE-E4 and APOE-491A polymorphisms in individuals with subjective memory loss
title_sort apoe-e4 and apoe-491a polymorphisms in individuals with subjective memory loss
url http://hdl.handle.net/20.500.11937/11018