ASSOCIATION BETWEEN APOLIPOPROTEIN E POLYMORPHISMS AND EPILEPSY IN CHILDREN
Monika Kukuruzović1, Vanja Bašić Kes1, Maša Malenica1
11Department of Pediatrics, University Hospital Center Sestre milosrdnice, Zagreb, Croatia;2Department of Neurology, University Hospital Center Sestre milosrdnice, Zagreb, Croatia.
Insights
This study found no link between Apolipoprotein E (APOE) gene variants and epilepsy types in children. Children with epilepsy showed lower total and LDL cholesterol levels compared to controls.
Area of Science:
- Neuroscience
- Genetics
- Pediatrics
Background:
- Apolipoprotein E (APOE) is crucial for lipid metabolism and linked to neurodegenerative diseases.
- Understanding APOE's role in pediatric epilepsy is essential for disease management.
Purpose of the Study:
- To investigate the association between APOE alleles, blood lipid profiles, and epilepsy types in children.
- To determine if APOE genotype influences epilepsy classification or lipid levels in pediatric patients.
Main Methods:
- Genotyping of APOE alleles and analysis of blood lipid profiles (total cholesterol, HDL, LDL, triglycerides).
- Comparison of APOE distribution and lipid levels between 111 children with epilepsy and 118 controls.
- Analysis of lipid profiles across different epilepsy types (idiopathic vs. symptomatic).
Main Results:
- No significant difference in APOE genotype distribution between children with and without epilepsy.
- Children with epilepsy exhibited lower total cholesterol and LDL cholesterol levels than controls.
- Symptomatic epilepsy was associated with higher total and LDL cholesterol levels compared to idiopathic epilepsy.
Conclusions:
- APOE genotype is not associated with epilepsy type in children.
- Children with epilepsy, particularly idiopathic epilepsy, tend to have lower cholesterol levels.
- Further research is needed to elucidate the relationship between lipid metabolism and pediatric epilepsy.
Abstract:
Apolipoprotein E (APOE) plays an important role in lipid metabolism and is a proven risk factor for development of dementia and other neurodegenerative diseases. The aim of the study was to determine the possible connection between particular APOE alleles, blood lipid profile and different types of epilepsy in children. Alleles of the APOE gene, blood cholesterol (total, high-density lipoprotein and low-density lipoprotein (LDL) cholesterol, and triglyceride levels were analyzed in blood samples of 111 children with epilepsy and 118 age- and sex-matched children without epilepsy. Distribution of APOE genotypes was the same in children of both groups. Significantly increased levels of total cholesterol and LDL cholesterol were found in control group (Z=3.49 and 3.52 respectively, p<0.01). No statistically significant difference was found between the genotypes of children with idiopathic and symptomatic epilepsy (χ2=1.96; df=2; p>0.05). There were statistically significant differences in the levels of total cholesterol (Z=2.09; p<0.05) and LDL cholesterol (Z=2.05; p<0.05) according to the type of epilepsy in favor of symptomatic epilepsy. The study confirmed that there was no connection between APOE and type of epilepsy in children and showed the children with epilepsy to have lower total cholesterol and LDL cholesterol levels. Interestingly, this also held true for children with idiopathic epilepsy compared to those with symptomatic condition.
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