PMID- 31902363 OWN - NLM STAT- MEDLINE DCOM- 20201019 LR - 20201019 IS - 1875-5828 (Electronic) IS - 1567-2050 (Linking) VI - 16 IP - 14 DP - 2019 TI - The Impact of Angiotensin-Converting Enzyme Gene on Behavioral and Psychological Symptoms of Dementia in Alzheimer's Disease. PG - 1269-1275 LID - 10.2174/1567205017666200103114550 [doi] AB - BACKGROUND: The Angiotensin-Converting Enzyme (ACE) gene has drawn attention for its possible role in regulating the degradation of beta-amyloid (Abeta), yet its role in affecting the cognitive and psychiatric symptoms of Alzheimer;s Disease (AD) patients has yet to be elucidated. OBJECTIVE: This study aimed to investigate whether the ACE gene acts as a risk factor of Behavioral and Psychological Symptoms of Dementia (BPSD) in the AD population. METHODS: The genotyping of ACE and Apolipoprotein E gene with allele epsilon4(APOEepsilon4) was determined among 360s clinically diagnosed AD patients. Symptoms and severity of BPSD were evaluated annually via Neuropsychiatric Inventory (NPI). RESULTS: At the base measurement of the first year of patient recruitment, there were no significant contributory risk factors to NPI score. In the two-year follow-up, ACE insertion polymorphism showed a significant risk (adjusted odds ratio=1.65, 95% CI=1.1- 2.5, p=0.019) of progression of NPI total score. CONCLUSION: ACE gene is involved in aggravating BPSD among AD patients. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Hsieh, Sun-Wung AU - Hsieh SW AD - Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Neuroscience Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Liu, Ming-Wei AU - Liu MW AD - Department of Surgery, Cathay General Hospital, Taipei, Taiwan. FAU - Huang, Ling-Chun AU - Huang LC AD - Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Neuroscience Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. FAU - Wu, Meng-Ni AU - Wu MN AD - Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Neuroscience Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Yang, Yuan-Han AU - Yang YH AD - Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Neuroscience Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. AD - Department of and Master's Program in Neurology, Faculty of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Chinese Mentality Protection Association, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United Arab Emirates TA - Curr Alzheimer Res JT - Current Alzheimer research JID - 101208441 RN - EC 3.4.15.1 (ACE protein, human) RN - EC 3.4.15.1 (Peptidyl-Dipeptidase A) SB - IM MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/complications/*genetics MH - Behavioral Symptoms/*genetics MH - Dementia/*genetics MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - Humans MH - Male MH - Peptidyl-Dipeptidase A/*genetics OTO - NOTNLM OT - Alzheimer's disease OT - angiotensin-converting enzyme gene OT - apolipoprotein E gene OT - behavioral and psychological symptoms of dementia OT - neuropsychiatric inventory OT - beta-amyloid. EDAT- 2020/01/07 06:00 MHDA- 2020/10/21 06:00 CRDT- 2020/01/07 06:00 PHST- 2019/04/01 00:00 [received] PHST- 2019/12/12 00:00 [revised] PHST- 2019/12/30 00:00 [accepted] PHST- 2020/01/07 06:00 [pubmed] PHST- 2020/10/21 06:00 [medline] PHST- 2020/01/07 06:00 [entrez] AID - CAR-EPUB-103451 [pii] AID - 10.2174/1567205017666200103114550 [doi] PST - ppublish SO - Curr Alzheimer Res. 2019;16(14):1269-1275. doi: 10.2174/1567205017666200103114550.