对神经认知障碍的经手术多基因和基于APOE的遗传风险评估:生物银行研究
Mariana Thedim1, Jie Hu2, Matthew Maher3
1Department of Anesthesiology, Mass General Brigham, Harvard Medical School, Boston, MA, USA.
British journal of anaesthesia
|June 25, 2025
概括
基因风险评分,包括APOE基因型,可以识别患有阿尔茨海默病等神经认知障碍风险较高的手术患者. 这有助于制定更好的术前风险评估策略.
科学领域:
- 遗传学 是一个遗传学.
- 神经科学是一个神经科学.
- 在外科手术期间的医学.
背景情况:
- 术前风险评估对于有针对性的策略至关重要.
- 遗传生物标志物在痴呆风险分层方面表现有前途.
- 对认知风险的遗传生物标志物的周围手术应用尚未被探索.
研究的目的:
- 在手术患者中评估手术前神经认知遗传风险概况.
- 评估这些特征对术后结果的影响.
主要方法:
- 分析了来自Mass General Brigham Biobank的33526名手术患者 (40-89岁) 的数据.
- 对阿尔茨海默病 (AD) 的计算多基因风险评分 (PRS).
- 推断的阿波利波蛋白E (APOE) 基因型,并使用后勤回归来评估与神经认知障碍的关联.
主要成果:
- 在欧洲祖先患者中,AD PRS与AD风险增加有关 (OR 2.25).
- 携带APOE-ε4的患者表现为 Delirium (OR 1.32),轻度认知障碍 (OR 1.70) 和AD (OR 3.42) 的风险较高.
- 调查结果具有统计学意义,错误发现率 (FDR) <0.001.
结论:
- APOE基因型和PRS对于评估手术患者中神经认知遗传风险非常有价值.
- 这些遗传因素可能会增强术前风险评估策略.
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