Association of HLA-DRB1 polymorphism with Alzheimer's disease: a replication and meta-analysis.

Association of HLA-DRB1 polymorphism with Alzheimer's disease: a replication and meta-analysis.
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DOI:
10.18632/oncotarget.21479
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发表时间:
2017-11-03
期刊:
影响因子:
--
通讯作者:
Tan L
Tan L
中科院分区:
其他
文献类型:
--
作者:
Lu RC;Yang W;Tan L;Sun FR;Tan MS;Zhang W;Wang HF;Tan L

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全基因组关联研究(GWAS)已经确定HLA-DRB1中的一个单核苷酸多态性(SNP) rs9271192是白种人阿尔茨海默病(AD)的危险因素。rs9271192对AD的影响有待在其他民族队列中验证。为了评估HLA-DRB1 rs9271192多态性与中国北方汉族人群晚发型AD (LOAD)之间的关系,我们招募了982名LOAD患者和1344名性别和年龄匹配的健康对照。结果显示HLA-DRB1 rs9271192与LOAD相关(基因型P = 0.015,等位基因P = 0.04)。logistic回归结果显示,C等位基因纯合性显著增加了总样本在隐性模型下罹患LOAD的风险(P = 0.004, OR =2.069, 95% CI = 1.262 ~ 3.434)。将这些数据按载脂蛋白E (APOE) ε4状态分层,观察到的关联局限于APOE ε4非携带者(加性模型:P=0.048, OR =1.191, 95% CI =1.001 ~ 1.417;隐性模型:P < 0.001, OR = 2.601, 95% CI =1.519 ~ 4.566)。此外,敏感性分析后的meta分析证实,HLA-DRB1内的rs9271192增加了LOAD的风险(OR = 1.12, 95% CI = 1.08-1.15)。综上所述,HLA-DRB1 rs9271192中的C等位基因可能是LOAD的独立危险因素。
Genome-wide association studies (GWAS) have identified one single-nucleotide polymorphism (SNP) rs9271192 within HLA-DRB1 as a risk factor for Alzheimer's disease (AD) in Caucasians. The effect of rs9271192 on AD needed to be verified in other ethnic cohorts. In order to evaluate the association between HLA-DRB1 rs9271192 polymorphism and late-onset AD (LOAD) in the Northern Han Chinese population, we recruited 982 LOAD patients and 1344 sex- and age-matched healthy controls. The results showed that HLA-DRB1 rs9271192 was associated with LOAD (genotype P = 0.015, allele P = 0.04). The results of logistic regression revealed the C allele homozygosity strongly increased the risk of LOAD under a recessive model in the total sample (P = 0.004, OR =2.069, 95% CI = 1.262–3.434). When these data were stratified by apolipoprotein E (APOE) ε4 status, the observed association was confined to APOE ε4 non-carriers (additive model: P=0.048, OR =1.191, 95% CI =1.001–1.417; recessive model: P < 0.001, OR = 2.601, 95% CI =1.519–4.566). Furthermore, meta-analysis after sensitive analysis confirmed that rs9271192 within HLA-DRB1 increased the risk of LOAD (OR = 1.12, 95% CI = 1.08–1.15). To summarize, the C allele in HLA-DRB1 rs9271192 may be an independent risk factor for LOAD.
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