PMID- 18408366 OWN - NLM STAT- MEDLINE DCOM- 20080617 LR - 20211020 IS - 1421-9824 (Electronic) IS - 1420-8008 (Print) IS - 1420-8008 (Linking) VI - 25 IP - 5 DP - 2008 TI - Estrogen receptor-alpha variants increase risk of Alzheimer's disease in women with Down syndrome. PG - 476-82 LID - 10.1159/000126495 [doi] AB - BACKGROUND: Genetic variants that affect estrogen activity may influence the risk of Alzheimer's disease (AD). Two tightly linked polymorphisms (PvuII and XbaI) in the first intron of estrogen receptor 1 (ESR1), the gene for ER-alpha, have been reported to influence estrogen receptor expression and may influence the risk of AD. METHODS: We examined the relation of polymorphisms in ESR1 to the risk of AD in women with Down syndrome. The subjects (181 women with DS, 41-78 years of age) were followed at 14- to 18-month intervals. Information from cognitive assessments, caregiver interviews, medical record reviews and neurological examinations was used to classify dementia. Genomic DNA was genotyped for 5 single-nucleotide polymorphisms in the upstream region and the first exon/intron of the ESR1 gene. Their association with dementia risk was evaluated, adjusting for covariates. RESULTS: Women with at least 1 copy of the C allele at rs2234693 (PvuII) and those homozygous for the C allele at rs2077647 had an almost 3-fold increase in the risk of AD, compared with women without the C allele. The increased risks were independent of the apolipoprotein E genotype. CONCLUSION: These findings support a role for estrogen receptor activity in the development of AD in women with Down syndrome. CI - (c) 2008 S. Karger AG, Basel FAU - Schupf, Nicole AU - Schupf N AD - Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, G.H. Sergievsky Center, New York, NY, USA. ns24@columbia.edu FAU - Lee, Joseph H AU - Lee JH FAU - Wei, Michelle AU - Wei M FAU - Pang, Deborah AU - Pang D FAU - Chace, Constance AU - Chace C FAU - Cheng, Rong AU - Cheng R FAU - Zigman, Warren B AU - Zigman WB FAU - Tycko, Benjamin AU - Tycko B FAU - Silverman, Wayne AU - Silverman W LA - eng GR - P01 HD035897/HD/NICHD NIH HHS/United States GR - U54 HD079123/HD/NICHD NIH HHS/United States GR - R01 HD037425-05/HD/NICHD NIH HHS/United States GR - P01 HD035897-21/HD/NICHD NIH HHS/United States GR - R01 AG014673-08/AG/NIA NIH HHS/United States GR - R01 AG014673/AG/NIA NIH HHS/United States GR - R01 HD037425/HD/NICHD NIH HHS/United States PT - Journal Article DEP - 20080414 PL - Switzerland TA - Dement Geriatr Cogn Disord JT - Dementia and geriatric cognitive disorders JID - 9705200 RN - 0 (Apolipoprotein E4) RN - 0 (Estrogen Receptor alpha) SB - IM MH - Adult MH - Aged MH - Alzheimer Disease/*epidemiology/*genetics MH - Apolipoprotein E4/genetics MH - Down Syndrome/*epidemiology/*genetics MH - Estrogen Receptor alpha/*genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease/epidemiology MH - Genotype MH - Humans MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - Risk Factors PMC - PMC2430887 MID - NIHMS52528 EDAT- 2008/04/15 09:00 MHDA- 2008/06/18 09:00 PMCR- 2008/06/18 CRDT- 2008/04/15 09:00 PHST- 2008/01/23 00:00 [accepted] PHST- 2008/04/15 09:00 [pubmed] PHST- 2008/06/18 09:00 [medline] PHST- 2008/04/15 09:00 [entrez] PHST- 2008/06/18 00:00 [pmc-release] AID - 000126495 [pii] AID - 10.1159/000126495 [doi] PST - ppublish SO - Dement Geriatr Cogn Disord. 2008;25(5):476-82. doi: 10.1159/000126495. Epub 2008 Apr 14.