APOE epsilon variation in multiple sclerosis susceptibility and disease severity: some answers

Autor: Reinhold Schmidt, Beata Zakrzewska-Pniewska, W. E. R. Ollier, Alastair Compston, Rita Cittadella, Helena Schmidt, Jonathan L. Haines, Stephen Sawcer, Richard M. Burwick, S. J. M. Weatherby, Hubert Kwieciński, Patricia P. Ramsay, Christian Enzinger, Lisa F. Barcellos, Masaaki Niino, Nikos Evangelou, Jacqueline Palace, Chris H. Polman, Seiji Kikuchi, Franz Fazekas, Aldo Quattrone, J. Zwemmer, Peter Høgh, Margaret A. Pericak-Vance, Jan Hillert, Bernard M. J. Uitdehaag, Stephen L. Hauser, Maria Edite Rio, Giovanni Savettieri, Silke Schmidt, Mónica Santos, Patrícia Maciel, Jorge R. Oksenberg, C. P. Hawkins, Thomas Masterman
Přispěvatelé: [et al.], Universidade do Minho, Burwick, RM, Ramsay, PP, Haines, JL, Hauser, SL, Oksenberg, JR, Pericak-Vance, MA, Schmidt, S, Compston, A, Sawcer, S, Cittadella,R, Savettieri,G, Quattrone,A, Polman,CH, Uitdehaag, BM, Zwemmer, JN, Hawkins,CP, Ollier, WE, Weatherby, S, Enzinger, C, Fazekas, F, Schmidt, H, Schmidt, R, Hillert, J, Masterman, T, Hogh, P, Niino, M, Kikuchi,S, Maciel, P, Santos, M, Rio, ME, Kwiecinski, H, Zakrzewska-Pniewska, B, Evangelou, N, Palace, J, Barcellos, LF.
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Apolipoprotein E
Oncology
Risk
medicine.medical_specialty
Pathology
Multiple Sclerosis
Genotype
Apolipoprotein E2
Apolipoprotein E4
Polymorphism
Single Nucleotide

Severity of Illness Index
Linkage Disequilibrium
Primary progressive
Central nervous system disease
03 medical and health sciences
0302 clinical medicine
Apolipoproteins E
Disease severity
Polymorphism (computer science)
Internal medicine
medicine
Humans
Genetic Predisposition to Disease
10. No inequality
Alleles
030304 developmental biology
0303 health sciences
Expanded Disability Status Scale
Polymorphism
Genetic

Science & Technology
business.industry
Multiple sclerosis
medicine.disease
3. Good health
Pedigree
Phenotype
Case-Control Studies
Settore MED/26 - Neurologia
Neurology (clinical)
business
Multiple Sclerosis
APOE
disease severity
meta-analysis

030217 neurology & neurosurgery
Zdroj: Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
instacron:RCAAP
Neurology 66 (2006): 1373–1383.
info:cnr-pdr/source/autori:R.M. Burwick, MD, MPH; P.P. Ramsay, MPH; J.L. Haines, PhD; S.L. Hauser, MD; J.R. Oksenberg, PhD; M.A. Pericak-Vance, PhD; S. Schmidt, PhD; A. Compston, PhD; S. Sawcer, PhD; R. Cittadella; G. Savettieri, MD; A. Quattrone, MD; C.H. Polman, MD, PhD; B.M.J. Uitdehaag, MD, PhD; J.N.P. Zwemmer, MD; C.P. Hawkins, MD, FRCP; W.E.R. Ollier, PhD; S. Weatherby, MRCP, MD; C. Enzinger, MD; F. Fazekas, MD; H. Schmidt, MD, MSC; R. Schmidt, MD; J. Hillert, MD, PhD; T. Masterman, PhD; P. Hogh, MD, PhD; M. Niino, MD, PhD; S. Kikuchi, MD, PhD; P. Maciel, PhD; M. Santos, BSc; M.E. Rio, MD; H. Kwiecinski, MD, PhD; B. Zakrzewska-Pniewska, MD, PhD; N. Evangelou, MRCP, Dphil; J. Palace, BM, DM, FRCP; and L.F. Barcellos, PhD/titolo:APOE epsilon variation in multiple sclerosis susceptibility and disease severity: some answers/doi:/rivista:Neurology/anno:2006/pagina_da:1373/pagina_a:1383/intervallo_pagine:1373–1383/volume:66
Popis: Background: Previous studies have examined the role of APOE variation in multiple sclerosis (MS), but have lacked the statistical power to detect modest genetic influences on risk and disease severity. The meta- and pooled analyses presented here utilize the largest collection, to date, of MS cases, controls, and families genotyped for the APOE epsilon polymorphism. Methods: Studies of MS and APOE were identified by searches of PubMed, Biosis, Web of Science, Cochrane Review, and Embase. When possible, authors were contacted for individual genotype data. Meta-analyses of MS case-control data and family-based analyses were performed to assess the association of APOE epsilon genotype with disease risk. Pooled analyses of MS cases were also performed to assess the influence of APOE epsilon genotype on disease severity. Results: A total of 22 studies (3,299 MS cases and 2,532 controls) were available for meta-analysis. No effect of e2 or e4 status on MS risk was observed (summary OR 1.14, 95% CI 0.96–1.34 and OR 0.89, 95% CI 0.78–1.01). Results obtained from analyses of APOE genotypes in 1,279 MS families were also negative ( p = 0.61). Finally, results from pooled analyses of 4,048 MS cases also argue strongly that APOE epsilon status does not distinguish a relapsing-remitting from primary progressive disease course, or influence disease severity, as measured by the Expanded Disability Status Scale and disease duration. Conclusion: Overall, these findings do not support a role for APOE in multiple sclerosis, and underscore the importance of using large sample sizes to detect modest genetic effects, particularly in studies of genotype-phenotype relationships.
Databáze: OpenAIRE