Apolipoprotein E genotypes associated with Alzheimer disease and concomitant stroke.

J Stroke Cerebrovasc Dis

Service de Neurologie, Hôpital Militaire Principal d'Instruction de Tunis, Montfleury, Tunis, Tunisie; Faculté de Médecine de Tunis, Université de Tunis El Manar, Tunis, Tunisie.

Published: April 2014

Background: The ɛ4 allele of the apolipoprotein E (APOE) gene is a well-characterized genetic risk factor for Alzheimer disease (AD). The association between stroke and a higher risk for AD has also been reported. Our study sought to determine the relationship between the APOE gene and AD and the comorbid risk of stroke.

Methods: The subjects of this study consisted of 48 patients with AD and 48 members of a control group. All subjects were genotyped for APOE.

Results: The results clearly show a significant increased risk of AD in carriers of the APOE ε3/ε4 genotype (P = .003, odds ratio [OR] = 4.1) or ε4 allele (P = .001, OR = 4.2). The risk for stroke in AD patients was also increased for carriers of the APOE ε3/ε4 genotype (P = .02, OR = 9.0) and for carriers of the APOE ε4 allele (P = .004, OR = 5.5).

Conclusions: The present study is the first to establish a relationship between APOE ε4 and concomitant AD and stroke in the Tunisian population.

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Source
http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2013.06.018DOI Listing

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