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Characterizing Clinical and Neuropathological Traits of APOE Haplotypes in African Americans and Europeans.


ABSTRACT:

Background

The APOE?4 allele is the largest genetic risk factor for late-onset Alzheimer's disease (AD). Recent literature suggested that the contribution of APOE?4 to AD risk could be population-specific, with ?4 conferring a lower risk to Blacks or African Americans.

Objective

To investigate the effect of APOE haplotypes on AD risk in individuals with European ancestry (EU) and Blacks or African Americans (AA).

Methods

We selected data from 1) the National Alzheimer's Coordinating Center: a total of 3,486 AD cases and 4,511 controls (N?=?7,997, 60% female) with genotypes from the Alzheimer's Disease Genetics Consortium (ADGC), and 2) the Rush University Religious Orders Study and Memory and Aging Project (ROSMAP) cohort with 578 AD and 670 controls (N?=?1,248, 60% female). Using ?3 homozygotes as the reference, we compared the association of various APOE haplotypes with the clinical and neuropathological correlates of dementia in AA and EU.

Results

In both cohorts, we find no difference in the odds or age of onset of AD among the ?4-linked haplotypes defined by rs769449 within either AA or EU. Additionally, while APOE?4 was associated with a faster rate of decline, no differences were found in rate of decline, clinical or neuropathological features among the ?4-linked haplotypes. Further analysis with other variants near the APOE locus failed to identify any effect modification.

Conclusion

Our study finds similar effects of the ?4-linked haplotypes defined by rs769449 on AD as compared to ?3 in both AA and EU. Future studies are required to understand the heterogeneity of APOE conferred risk of AD among various genotypes and populations.

SUBMITTER: Mezlini AM 

PROVIDER: S-EPMC7774865 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Characterizing Clinical and Neuropathological Traits of APOE Haplotypes in African Americans and Europeans.

Mezlini Aziz M AM   Magdamo Colin C   Merrill Emily E   Chibnik Lori B LB   Blacker Deborah L DL   Hyman Bradley T BT   Das Sudeshna S  

Journal of Alzheimer's disease : JAD 20200101 1


<h4>Background</h4>The APOEɛ4 allele is the largest genetic risk factor for late-onset Alzheimer's disease (AD). Recent literature suggested that the contribution of APOEɛ4 to AD risk could be population-specific, with ɛ4 conferring a lower risk to Blacks or African Americans.<h4>Objective</h4>To investigate the effect of APOE haplotypes on AD risk in individuals with European ancestry (EU) and Blacks or African Americans (AA).<h4>Methods</h4>We selected data from 1) the National Alzheimer's Coo  ...[more]

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