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Published on: November 14, 2017
Is M129V of PRNP gene associated with Alzheimer's disease? A case-control study and a meta-analysis
Roberto Del Bo1, Marina Scarlato, Serena Ghezzi
1Dino Ferrari Centre, Department of Neurological Sciences, University of Milan and Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Padiglione Ponti, Milano, Italy. roberto.delbo@unimi.it
Abstract:
The methionine/valine (M/V) polymorphism at codon 129 within the prion protein gene (PRNP) represents a known risk factor for Creutzfeldt-Jakob disease (CJD). Few authors reported also the effects of this polymorphism on the risk of Alzheimer's disease (AD), although with controversial results. To better clarify this issue, we performed a novel case-control study and a meta-analysis of published association studies between PRNP and AD. Our findings argue against PRNP as a susceptibility gene for developing AD in the Italian population but support the hypothesis that the V allele influences cognitive performances. The meta-analysis, revealed that Caucasian subjects homozygous at codon 129 had a 1.3-fold increased risk [95% CI: 1.0-1.6, p = 0.05] of developing AD compared to heterozygous individuals. We also observed that MM genotype and M allele represent a risk factor for AD, independently from the ethnic background, providing a significant but modest association between this polymorphism and AD.
Insights
The prion protein gene (PRNP) M/V polymorphism at codon 129 may influence cognitive function in Alzheimer's disease (AD). While not a direct risk factor in Italians, Caucasian homozygotes showed a 1.3-fold increased AD risk.
Area of Science:
- Neurogenetics
- Neurodegenerative Diseases
Background:
- The methionine/valine (M/V) polymorphism in the prion protein gene (PRNP) at codon 129 is a known risk factor for Creutzfeldt-Jakob disease (CJD).
- Previous studies on the association between this PRNP polymorphism and Alzheimer's disease (AD) risk have yielded controversial results.
Purpose of the Study:
- To investigate the association between the PRNP codon 129 M/V polymorphism and Alzheimer's disease (AD) risk.
- To clarify the role of this polymorphism in cognitive performance.
Main Methods:
- Conducted a novel case-control study in the Italian population.
- Performed a meta-analysis of published association studies on PRNP and AD.
Main Results:
- The PRNP gene polymorphism was not found to be a susceptibility factor for AD in the Italian population.
- The V allele was associated with influencing cognitive performances.
- Meta-analysis revealed a 1.3-fold increased risk of AD in Caucasian subjects homozygous at codon 129 compared to heterozygous individuals.
- The MM genotype and M allele were identified as risk factors for AD, irrespective of ethnic background, indicating a modest but significant association.
Conclusions:
- The PRNP codon 129 M/V polymorphism may play a role in AD pathogenesis, particularly in Caucasian populations.
- Further research is warranted to elucidate the precise mechanisms underlying the association between PRNP polymorphism and AD risk and cognitive function.
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