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Zhang H, Liu D, Duan Y, Liu Y, Liu J, Bai N, Zhou Q, Xu Z, Li L, Liu H. Alpha 2-Macroglobulin Polymorphisms and Susceptibility to Alzheimer's Disease: A Comprehensive Meta-Analysis Based on 62 Studies. J Alzheimers Dis Rep 2023; 7:1351-1370. [PMID: 38143774 PMCID: PMC10741958 DOI: 10.3233/adr-230131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 11/09/2023] [Indexed: 12/26/2023] Open
Abstract
Background The relationship between alpha 2-macroglobulin (A2M) gene and Alzheimer's disease (AD) has been widely studied across populations; however, the results are inconsistent. Objective This study aimed to evaluate the association of A2M gene with AD by the application of meta-analysis. Methods Relevant studies were identified by comprehensive searches. The quality of each study was assessed using the Newcastle-Ottawa Scale. Allele and genotype frequencies were extracted from each of the included studies. Odds ratio (OR) with corresponding 95% confidence intervals (CI) was calculated using a random-effects or fixed-effects model. The Cochran Q statistic and I2 metric was used to evaluate heterogeneity, and Egger's test and Funnel plot were used to assess publication bias. Results A total of 62 studies were identified and included in the current meta-analysis. The G allele of rs226380 reduced AD risk (OR: 0.64, 95% CI: 0.47-0.87, pFDR = 0.012), but carrier with the TT genotype was more likely to develop AD in Asian populations (OR: 1.56, 95% CI: 1.12-2.19, pFDR = 0.0135). The V allele of the A2M-I/V (rs669) increased susceptibility to AD in female population (OR, 95% CI: 2.15, 1.38-3.35, pFDR = 0.0024); however, the II genotype could be a protective factor in these populations (OR, 95% CI: 0.43, 0.26-0.73, pFDR = 0.003). Sensitivity analyses confirmed the reliability of the original results. Conclusions Existing evidence indicate that A2M single nucleotide polymorphisms (SNPs) may be associated with AD risk in sub-populations. Future studies with larger sample sizes will be necessary to confirm the results.
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Affiliation(s)
- Hongwei Zhang
- Department of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan, China
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
| | - Da Liu
- Department of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan, China
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
| | - Yuanyuan Duan
- Department of Neurology, the People’s Hospital of Mianyang, Mianyang, Sichuan, China
| | - Yan Liu
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
| | - Jianyu Liu
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
| | - Na Bai
- Department of Neurology, the Sixth People’s Hospital of Chengdu, Chengdu, Sichuan, China
| | - Qiang Zhou
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
| | - Zhiyao Xu
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
- Medical College of Southwest Jiaotong University, Chengdu, Sichuan, China
| | - Linyan Li
- Department of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan, China
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
| | - Hua Liu
- Department of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan, China
- Department of Neurology, the Third People’s Hospital of Chengdu, Chengdu, Sichuan, China
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Tanskanen M, Peuralinna T, Polvikoski T, Notkola IL, Sulkava R, Hardy J, Singleton A, Kiuru-Enari S, Paetau A, Tienari PJ, Myllykangas L. Senile systemic amyloidosis affects 25% of the very aged and associates with genetic variation in alpha2-macroglobulin and tau: a population-based autopsy study. Ann Med 2008; 40:232-9. [PMID: 18382889 DOI: 10.1080/07853890701842988] [Citation(s) in RCA: 356] [Impact Index Per Article: 22.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Senile systemic amyloidosis (SSA) is characterized by deposition of wild-type transthyretin (TTR)-based amyloid in parenchymal organs in elderly individuals. Previously, no population-based studies have been performed on SSA. METHODS Here we have studied the prevalence and risk factors for SSA in a Finnish autopsied population aged 85 or over, as part of the population-based Vantaa 85+ Autopsy Study (n = 256). The diagnosis of SSA was based on histological examination of myocardial samples stained with Congo red and anti-TTR immunohistochemistry. The genotype frequencies of 20 polymorphisms in 9 genes in subjects with and without SSA were compared. RESULTS The prevalence of SSA was 25%. SSA was associated with age, myocardial infarctions, the G/G (Val/Val) genotype of the exon 24 polymorphism in the alpha2-macroglobulin (alpha2M), and the H2 haplotype of the tau gene (P-values 0.002, 0.004, 0.042, and 0.016). CONCLUSION This population-based study shows that SSA is very common in old individuals, affecting one-quarter of people aged over 85 years. Myocardial infarctions and variation in the genes for alpha2M and tau may be associated with SSA.
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Affiliation(s)
- Maarit Tanskanen
- Department of Pathology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
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Panza F, Colacicco AM, D'Introno A, Capurso C, Liaci M, Capurso SA, Capurso A, Solfrizzi V. Candidate genes for late-onset Alzheimer's disease: Focus on chromosome 12. Mech Ageing Dev 2006; 127:36-47. [PMID: 16183100 DOI: 10.1016/j.mad.2005.08.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2005] [Revised: 07/29/2005] [Accepted: 08/12/2005] [Indexed: 11/19/2022]
Abstract
In recent years, there was an increasing interest on candidate genes may play an important role in the development of Alzheimer's disease (AD). Several genome wide screens have undertaken so far or expanded recently, and suggested a number of genomic areas that may contain novel susceptibility genes for AD, in particular most compelling have been the findings on chromosome 12. Polymorphisms in different susceptibility genes on chromosome 12 (A2M, LRP1, CP2 and OLR1) are now being suggested as possible genetic markers for increased risk of developing AD. However, many of these studies are controversial and have shown conflicting results. Thus far, the search for the chromosome 12 Alzheimer's gene must continue and there are several other genes in this region that we are looking at. In this article, we focused on the current knowledge of the genetics of familial late-onset and sporadic AD linked to the chromosome 12, and the future search for other candidate genes.
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Affiliation(s)
- Francesco Panza
- Department of Geriatrics, Center for Aging Brain, Memory Unit, University of Bari, Bari, Italy.
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D'Introno A, Solfrizzi V, Colacicco AM, Capurso C, Amodio M, Todarello O, Capurso A, Kehoe PG, Panza F. Current knowledge of chromosome 12 susceptibility genes for late-onset Alzheimer's disease. Neurobiol Aging 2005; 27:1537-53. [PMID: 16257095 DOI: 10.1016/j.neurobiolaging.2005.09.020] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2005] [Revised: 09/16/2005] [Accepted: 09/20/2005] [Indexed: 12/16/2022]
Abstract
In the last decade, it has become more apparent the important role genes play in the development of late-onset Alzheimer's disease (AD). Great efforts, involving human genome scans and candidate gene studies, have been given towards identifying susceptibility genes for AD. A number of regions on different chromosomes have been reported to demonstrate linkage for AD. Of these, findings on chromosome 12 are some of the most compelling. Worldwide genetic association studies pre-dating and subsequent to recent linkage studies have identified and focused upon a number of genes that map to the areas of reported linkage on chromosome 12, however, analyses of those genes studied to date, on the whole, remain inconclusive and ambiguous. This paper reviews studies that have provided evidence of linkage for AD on chromosome 12 and in turn discusses the work conducted to date on candidate genes that have been identified and map to the chromosome 12 regions of interest.
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Affiliation(s)
- Alessia D'Introno
- Department of Geriatrics, Center for Aging Brain, Memory Unit, University of Bari, Policlinico, Piazza Giulio Cesare, 11 70124 Bari, Italy
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