PMID- 22826377 OWN - NLM STAT- MEDLINE DCOM- 20131017 LR - 20221207 IS - 1940-1574 (Electronic) IS - 0003-3197 (Linking) VI - 64 IP - 6 DP - 2013 Aug TI - The epsilon4 allele of the APOE gene is associated with more severe peripheral neuropathy in type 2 diabetic patients. PG - 451-5 LID - 10.1177/0003319712453645 [doi] AB - We examined the association between the epsilon4 allele of the apolipoprotein E gene and severity of peripheral neuropathy in 234 patients with type 2 diabetes mellitus (T2DM). Based on the Neuropathy Disability Score (NDS), patients were divided into group A (NDS 6: severe neuropathy). In each group, patients were further divided into epsilon4 carriers and non-epsilon4 carriers. In multivariate analysis, a more than 5-fold increased risk of severe neuropathy was associated with epsilon4 carrier status (adjusted odds ratio [aOR]: 5.26, 95% confidence interval [CI]: 2.24-12.31, P = .0001). The other significant risk factors for severe neuropathy included male gender (aOR: 2.08, 95% CI: 1.05-4.14, P = .036), diabetes duration (aOR: 1.05, 95% CI: 1.00-1.09, P = .039), and hemoglobin A1c (aOR: 1.32, 95% CI: 1.05-1.66, P = .020). In conclusion, the epsilon4 carrier status appears to be associated with severe peripheral neuropathy in T2DM. FAU - Monastiriotis, C AU - Monastiriotis C AD - Outpatient Clinic of the Diabetic Foot, Second Department of Internal Medicine, Democritus University of Thrace, Greece. c_monastiriotis@yahoo.com FAU - Papanas, N AU - Papanas N FAU - Trypsianis, G AU - Trypsianis G FAU - Karanikola, K AU - Karanikola K FAU - Veletza, S AU - Veletza S FAU - Maltezos, E AU - Maltezos E LA - eng PT - Journal Article DEP - 20120723 PL - United States TA - Angiology JT - Angiology JID - 0203706 RN - 0 (Apolipoproteins E) RN - 0 (Biomarkers) RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Apolipoproteins E/*genetics MH - Biomarkers/blood MH - Chi-Square Distribution MH - Diabetes Mellitus, Type 2/complications/diagnosis/*genetics MH - Diabetic Neuropathies/diagnosis/*genetics MH - Disability Evaluation MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Glycated Hemoglobin/analysis MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Odds Ratio MH - Phenotype MH - Predictive Value of Tests MH - Risk Assessment MH - Risk Factors MH - Severity of Illness Index MH - Sex Factors OTO - NOTNLM OT - apolipoprotein E OT - diabetes mellitus OT - diabetic neuropathy OT - genes OT - polymorphisms EDAT- 2012/07/25 06:00 MHDA- 2013/10/18 06:00 CRDT- 2012/07/25 06:00 PHST- 2012/07/25 06:00 [entrez] PHST- 2012/07/25 06:00 [pubmed] PHST- 2013/10/18 06:00 [medline] AID - 0003319712453645 [pii] AID - 10.1177/0003319712453645 [doi] PST - ppublish SO - Angiology. 2013 Aug;64(6):451-5. doi: 10.1177/0003319712453645. Epub 2012 Jul 23.