在绝经后妇女中,APOE,2型糖尿病和心血管疾病之间的关系
Michelle M Dunk1,2, Ira Driscoll1,3, Mark A Espeland4,5
1Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
概括
不使用他类药物的阿波蛋白E (APOE) ε4载体显示心血管疾病 (CVD) 风险增加. 2型糖尿病 (T2DM) 风险与绝经后妇女的APOE状况没有差异.
科学领域:
- 遗传学与衰老的关系
- 心血管健康 心血管健康
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 脂蛋白E (APOE) ε4等位基因,2型糖尿病 (T2DM) 和心血管疾病 (CVD) 是已知的痴呆症风险因素.
- 了解APOE,T2DM和心血管疾病之间的联系可能会揭示痴呆症的发病因子.
研究的目的:
- 研究APOE基因型与绝经后妇女T2DM和心血管疾病发病率之间的关联.
- 根据APOE ε4等位基的存在和他类药物的使用来探索潜在的差异性风险.
主要方法:
- 分析了来自妇女健康倡议激素治疗试验的6795名绝经后妇女.
- 使用考克斯回归的APOE基因定型和T2DM和心血管疾病事件事件的评估.
- 对他类药物的使用进行调整,以减轻混效应.
主要成果:
- 在APOE基因型之间没有观察到T2DM发病率的显著差异 (p ≥ .09).
- 在非他类药物使用者中,APOE4+载体的CVD总发病率较高 (HR=1.18,p=.03).
- 个人心血管疾病组件 (冠心病,中风) 没有显示出APOE4+载体的风险显著增加.
结论:
- 在绝经后的妇女中,APOE基因型似乎没有影响T2DM风险.
- 不使用他类药物的APOE4+载体面临总心血管事件的风险增加.
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