Relationship between apolipoprotein E gene polymorphism and mild cognitive impairment among the patients with type 2 diabetes mellitus
10.3760/cma.j.issn.1008-1372.2010.02.004
- VernacularTitle:载脂蛋白E基因多态性与2型糖尿病患者轻度认知功能障碍的相关性研究
- Author:
Fangfang SHEN
;
Yun XIE
;
Xia ZHAO
;
Xianhai MENG
;
Weilin WANG
;
Liping HAN
;
Xiuying QI
- Publication Type:Journal Article
- Keywords:
Apolipoproteins/GE;
Diabetes mellitus,type 2/GF,/CO;
Cognition disorders/GE/CO
- From:
Journal of Chinese Physician
2010;12(2):153-156
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between apolipoprotein E(Apo E) gene poly-morphism and mild cognitive impairment (MCI) in patients with type 2 diabetes mellitus (T2DM), and e-valuate the correlative risk factors. Method 40 cases of type 2 diabetes with MCI and 80 cases of type 2 diabetes without MCI were enrolled in this study. The polymorphism of the Apo E gene was detected by PCR-restriction fragment length polymorphism(PCR-RFLP). According to the clinical data such as course of disease, plasma glucose, plasma fat and body mass index (BMI), the independent risk factors of T2DM and MCI were analyzed by non-conditional logistic regression. Results The frequency of Apo E ε_4 allele in the group of type 2 diabetes with MCI was higher than that without MCI ( 25.0% vs 10. 0% ), and the difference had statistical significance( P < 0. 01 ). The indexes of the statistical significant difference be-twcen the two groups were age, course of disease, postprandial blood glucose ( P2BG), HBA1C, BMI,family history of T2DM, hypertension, diabetic retinopathy, diabetic peripheral neuropathy, Apo E gene. The independent risk factors included diabetic retinopathy ( OR = 3. 452, P < 0. 05 ), diabetic peripheral neuropathy( OR = 3. 252, P <0. 05), Ape E gene( OR = 2. 441, P < 0.01 ), HBA1C ( OR = 1. 372, P <0.05), P2BG(OR = 1. 194, P <0.05), age(OR = 1. 194, P <0.01) and course of disease(OR =1. 142, P <0. 05). Conclusion Apo E ε_4 allele has significant relationship with T2DM and MCI. The age, course of disease, control of plasma glucose, and microvascular complication of diabetes have relation-ship with the cognitive function.
