Butyrylcholinesterase K variant and Alzheimer's disease risk: a meta-analysis.

Med Sci Monit

College of Chemistry and Chemical Engineering, Central South University, Changsha, Hunan, China (mainland).

Published: May 2015

AI Article Synopsis

  • The meta-analysis explored the link between the butyrylcholinesterase (BCHE) K variant and the risk of Alzheimer's disease (AD), finding a significant association overall.
  • The study revealed that the BCHE K variant was notably linked to AD risk in Asian populations and particularly with late-onset AD, while showing no significant association in Caucasians or early-onset AD.
  • Additionally, the presence of the APOE ε4 allele was found to substantially increase AD risk for both BCHE K carriers and non-carriers.

Article Abstract

Background: Although many studies have estimated the association between the butyrylcholinesterase (BCHE) K variant and Alzheimer's disease (AD) risk, the results are still controversial. We thus conducted this meta-analysis.

Material/methods: We searched NCBI, Medline, Web of Science, and Embase databases to find all eligible studies. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the strength of the association.

Results: We found a significant association between BCHE K variant and AD risk (OR=1.20; 95% CI 1.03-1.39; P=0.02). In the stratified analysis by ethnicity, we observed a significant association between BCHE K variant and AD risk in Asians (OR=1.32; 95% CI 1.02-1.72; P=0.04). However, no significant association between BCHE K variant and AD risk in Caucasians was found (OR=1.14; 95% CI 0.95-1.37; P=0.16). When stratified by the age of AD onset, we found that late-onset AD (LOAD) was significantly associated with BCHE K variant (OR=1.44; 95% CI 1.05-1.97; P=0.02). No significant association between BCHE K variant and early-onset AD (EOAD) risk was observed (OR=1.16; 95% CI 0.89-1.51; P=0.27). Compared with non-APOE ε4 and non-BCHE K carriers, no significant association between BCHE K variant and AD risk was found (OR=1.11; 95% CI 0.91-1.35; P=0.30). However, APOE ε4 carriers showed increased AD risk in both non-BCHE K carriers (OR=2.81; 95% CI 1.75-4.51; P=0.0001) and BCHE K carriers (OR=3.31; 95% CI 1.82-6.02; P=0.0001).

Conclusions: The results of this meta-analysis indicate that BCHE K variant might be associated with AD risk.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4444173PMC
http://dx.doi.org/10.12659/MSM.892982DOI Listing

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