PMID- 7847867 OWN - NLM STAT- MEDLINE DCOM- 19950307 LR - 20221207 IS - 0364-5134 (Print) IS - 0364-5134 (Linking) VI - 37 IP - 2 DP - 1995 Feb TI - Apolipoprotein E and Alzheimer's disease: ethnic variation in genotypic risks. PG - 254-9 AB - The presence of the apolipoprotein epsilon 4 (apo epsilon 4) allele significantly increases the risk of Alzheimer's disease. Whether this is due to biological effects of the apo epsilon 4 protein or reflects linkage disequilibrium with an as yet unidentified Alzheimer's disease susceptibility gene is of critical importance. In a community study in northern Manhattan we found a fivefold increase in the risk of Alzheimer's disease among African-Americans, Hispanics, and whites homozygous for apo epsilon 4. Overall, the risk between Alzheimer's disease and apo epsilon 4 heterozygosity was also increased by twofold, but the association was somewhat weaker for African-Americans than for Hispanics and whites. In contrast, the apo epsilon 2/epsilon 3 genotype was associated with an eightfold increased risk of Alzheimer's disease in African-Americans but it was associated with reduced risk in whites. Variability in the strength and type of association between Alzheimer's disease and the apo E polymorphisms in the three ethnic groups could not be fully explained by age differences. The allelic frequency of apo epsilon *4 was significantly higher in patients than control subjects in all ethnic groups at age 70 or younger, reflecting the higher proportion of apo epsilon 4 homozygotes, but this difference diminished with increasing age. The allelic frequency of apo epsilon *2 for African-Americans and Hispanics, but not whites, was significantly higher in patients than control subjects, but only after age 70.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Maestre, G AU - Maestre G AD - Center for Alzheimer's Disease Research, New York, NY. FAU - Ottman, R AU - Ottman R FAU - Stern, Y AU - Stern Y FAU - Gurland, B AU - Gurland B FAU - Chun, M AU - Chun M FAU - Tang, M X AU - Tang MX FAU - Shelanski, M AU - Shelanski M FAU - Tycko, B AU - Tycko B FAU - Mayeux, R AU - Mayeux R LA - eng GR - AG07232/AG/NIA NIH HHS/United States GR - AG08702/AG/NIA NIH HHS/United States GR - AG10963/AG/NIA NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 RN - 0 (Apolipoproteins E) SB - IM MH - Aged MH - Aged, 80 and over MH - Alleles MH - Alzheimer Disease/*ethnology/genetics MH - Apolipoproteins E/*genetics MH - Black People/genetics MH - Case-Control Studies MH - Female MH - Genotype MH - Hispanic or Latino/genetics MH - Humans MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - Odds Ratio MH - White People/genetics EDAT- 1995/02/01 00:00 MHDA- 1995/02/01 00:01 CRDT- 1995/02/01 00:00 PHST- 1995/02/01 00:00 [pubmed] PHST- 1995/02/01 00:01 [medline] PHST- 1995/02/01 00:00 [entrez] AID - 10.1002/ana.410370217 [doi] PST - ppublish SO - Ann Neurol. 1995 Feb;37(2):254-9. doi: 10.1002/ana.410370217.