Related Experiment Video
Updated: May 21, 2026

A High Throughput, Multiplexed and Targeted Proteomic CSF Assay to Quantify Neurodegenerative Biomarkers and Apolipoprotein E Isoforms Status
Published on: October 20, 2016
Apolipoprotein E polymorphisms status in Iranian patients with multiple sclerosis
Mahdi Rafiei1, Marjan Zarif Yeganeh, Sara Sheikholeslami
1Reference Health Laboratory, Ministry of Health and Medical Education, Tehran, Iran.
Background:
Multiple sclerosis (MS) is a chronic inflammatory demyelinating disorder of the central nervous system. Evidences linking apolipoprotein E (APOE) to myelin repair, neuronal plasticity, and cerebral inflammatory processes suggest that it may be relevant in MS. The main goal of this study was to determine whether the APOE genotypes and alleles are associated with MS patients.
Materials And Methods:
In total, 147 MS cases and 168 control subjects from Iranian population were genotyped for APOE gene using PCR-RFLP method.
Results:
The frequency of APOE-ε2ε3 genotype was significantly higher in controls than cases (14.3% vs. 6.1%, P=0.009, OR=0.39) whereas APOE-ε3ε4 genotype frequency was significantly higher in cases compared with controls (8.2% vs. 3.6%, P=0.03, OR=2.4). APOE-ε2 allele frequency in cases was significantly lower than that of controls (4.4% vs. 8.0%, P=0.03, OR=0.52). Also male controls were significantly more likely to have APOE-ε2 allele (7.8% vs. 1%, P=0.01, OR=0.11). APOE-ε4 allele frequency in cases was significantly higher than control group (4.8% versus 2.1%, P=0.03, OR=2.35).
Conclusion:
It seems that individuals carrying APOE-ε4 allele and/or APOE-ε3ε4 genotype develop MS two times more than non-carriers. Also APOE-ε2ε3 genotype or APOE-ε2 allele may have a protective role against MS development in Iranian population. Further investigation would be warranted to understand the role of APOE alleles and genotypes and risk of MS.
Insights
Apolipoprotein E (APOE) ε4 allele and APOE-ε3ε4 genotype increase multiple sclerosis (MS) risk in Iranians. Conversely, APOE-ε2 allele and APOE-ε2ε3 genotype appear protective against MS development.
Area of Science:
- Neuroimmunology
- Genetics
- Epidemiology
Background:
- Multiple sclerosis (MS) is a central nervous system inflammatory demyelinating disease.
- Apolipoprotein E (APOE) is implicated in myelin repair, neuronal plasticity, and neuroinflammation, suggesting a role in MS.
- This study investigates the association between APOE genotypes/alleles and MS susceptibility.
Purpose of the Study:
- To determine the association between apolipoprotein E (APOE) genotypes and alleles and the risk of developing multiple sclerosis (MS) in an Iranian population.
Main Methods:
- Genotyping of the APOE gene in 147 MS cases and 168 controls using the PCR-RFLP method.
- Statistical analysis to compare genotype and allele frequencies between MS patients and control subjects.
Main Results:
- APOE-ε3ε4 genotype was significantly more frequent in MS cases (8.2%) compared to controls (3.6%).
- APOE-ε4 allele frequency was higher in MS cases (4.8%) versus controls (2.1%).
- APOE-ε2 allele frequency was lower in MS cases (4.4%) compared to controls (8.0%), and the APOE-ε2ε3 genotype was also less common in cases.
Conclusions:
- APOE-ε4 allele and APOE-ε3ε4 genotype are associated with an increased risk of MS in the Iranian population.
- APOE-ε2 allele and APOE-ε2ε3 genotype may confer a protective effect against MS development.
- Further research is needed to elucidate the precise role of APOE in MS pathogenesis.
Related Concept Videos
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Multiple Sclerosis l: Introduction
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
