Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis
Introduction: Vascular dementia (VaD), a neurocognitive impairment directly related to vascular injury, is the second most common cause of age-related dementia. Although numerous studies have investigated candidate genetic polymorphisms associated with VaD in Asia, the genetics of VaD remains unclea...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/116396/ http://psasir.upm.edu.my/id/eprint/116396/1/116396.pdf |
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| author | Vasudevan, R. Nur Afiqah, M. Mohd Nazil, S. Wan Aliaa, W.S. Liyana Najwa, I.M. Mohd Hazmi, M. Siew Mooi, C. Abdul Hanif Khan, Y.K. Hamidon, B. Pannerselvam, P. Suganthi, V. Narenkumar, J. |
| author_facet | Vasudevan, R. Nur Afiqah, M. Mohd Nazil, S. Wan Aliaa, W.S. Liyana Najwa, I.M. Mohd Hazmi, M. Siew Mooi, C. Abdul Hanif Khan, Y.K. Hamidon, B. Pannerselvam, P. Suganthi, V. Narenkumar, J. |
| author_sort | Vasudevan, R. |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction: Vascular dementia (VaD), a neurocognitive impairment directly related to vascular injury, is the second most common cause of age-related dementia. Although numerous studies have investigated candidate genetic polymorphisms associated with VaD in Asia, the genetics of VaD remains unclear. Methods: This review provides an updated meta-analysis of genetic polymorphisms associated with VaD in Asians, using the PRISMA guidelines. Published literature up to May 2021 was extracted from the PubMed, Scopus, Ovid, and EBSCOhost databases. Meta-analysis was conducted using the Open Meta analyst, Review Manager, and MedCalc® Statistical Software. Trial sequential analysis (TSA) was performed using TSA viewer software. Results: A total of 46 eligible studies, comprising 23 genes and 35 single nucleotide polymorphisms, were retrieved. The meta-analysis was conducted on the following genetic polymorphisms, APOE ε2/3/4, MTHFR rs1801131, ACE rs4340 (I/D) gene polymorphism, and a PSEN1 intron 8 variant. The pooled odds ratio (ORs) revealed a significant increase in the risk of VaD in the apolipoprotein E (APOE) ε4 allelic model (OR, 1.79, p < 0.001), and the methylenetetrahydrofolate reductase (MTHFR) rs1801133 polymorphism T allele in the allelic model (OR, 1.23, p = 0.013). Conclusion: Our findings provide evidence that genetic polymorphisms of the APOE ε4 allele and MTHFR rs1801133 T allele increase the risk of developing VaD in Asians. However, future large-scale investigations examining particularly on South-Eastern and West-Asian populations are highly recommended. |
| first_indexed | 2025-11-15T14:29:27Z |
| format | Article |
| id | upm-116396 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:29:27Z |
| publishDate | 2024 |
| publisher | Karger Publishers |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1163962025-03-28T03:56:14Z http://psasir.upm.edu.my/id/eprint/116396/ Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis Vasudevan, R. Nur Afiqah, M. Mohd Nazil, S. Wan Aliaa, W.S. Liyana Najwa, I.M. Mohd Hazmi, M. Siew Mooi, C. Abdul Hanif Khan, Y.K. Hamidon, B. Pannerselvam, P. Suganthi, V. Narenkumar, J. Introduction: Vascular dementia (VaD), a neurocognitive impairment directly related to vascular injury, is the second most common cause of age-related dementia. Although numerous studies have investigated candidate genetic polymorphisms associated with VaD in Asia, the genetics of VaD remains unclear. Methods: This review provides an updated meta-analysis of genetic polymorphisms associated with VaD in Asians, using the PRISMA guidelines. Published literature up to May 2021 was extracted from the PubMed, Scopus, Ovid, and EBSCOhost databases. Meta-analysis was conducted using the Open Meta analyst, Review Manager, and MedCalc® Statistical Software. Trial sequential analysis (TSA) was performed using TSA viewer software. Results: A total of 46 eligible studies, comprising 23 genes and 35 single nucleotide polymorphisms, were retrieved. The meta-analysis was conducted on the following genetic polymorphisms, APOE ε2/3/4, MTHFR rs1801131, ACE rs4340 (I/D) gene polymorphism, and a PSEN1 intron 8 variant. The pooled odds ratio (ORs) revealed a significant increase in the risk of VaD in the apolipoprotein E (APOE) ε4 allelic model (OR, 1.79, p < 0.001), and the methylenetetrahydrofolate reductase (MTHFR) rs1801133 polymorphism T allele in the allelic model (OR, 1.23, p = 0.013). Conclusion: Our findings provide evidence that genetic polymorphisms of the APOE ε4 allele and MTHFR rs1801133 T allele increase the risk of developing VaD in Asians. However, future large-scale investigations examining particularly on South-Eastern and West-Asian populations are highly recommended. Karger Publishers 2024-04-18 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/116396/1/116396.pdf Vasudevan, R. and Nur Afiqah, M. and Mohd Nazil, S. and Wan Aliaa, W.S. and Liyana Najwa, I.M. and Mohd Hazmi, M. and Siew Mooi, C. and Abdul Hanif Khan, Y.K. and Hamidon, B. and Pannerselvam, P. and Suganthi, V. and Narenkumar, J. (2024) Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis. Dementia and Geriatric Cognitive Disorders, 53 (4). pp. 200-216. ISSN 1420-8008; eISSN: 1421-9824 https://karger.com/DEM/article/doi/10.1159/000538864 10.1159/000538864 |
| spellingShingle | Vasudevan, R. Nur Afiqah, M. Mohd Nazil, S. Wan Aliaa, W.S. Liyana Najwa, I.M. Mohd Hazmi, M. Siew Mooi, C. Abdul Hanif Khan, Y.K. Hamidon, B. Pannerselvam, P. Suganthi, V. Narenkumar, J. Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis |
| title | Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis |
| title_full | Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis |
| title_fullStr | Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis |
| title_full_unstemmed | Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis |
| title_short | Genetic susceptibility variants of vascular dementia among Asians: a systematic review and meta-analysis |
| title_sort | genetic susceptibility variants of vascular dementia among asians: a systematic review and meta-analysis |
| url | http://psasir.upm.edu.my/id/eprint/116396/ http://psasir.upm.edu.my/id/eprint/116396/ http://psasir.upm.edu.my/id/eprint/116396/ http://psasir.upm.edu.my/id/eprint/116396/1/116396.pdf |