Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (4): 47-51.doi: 10.6040/j.issn.1671-7554.0.2018.1427

Previous Articles    

Association between apolipoprotein E gene polymorphism and cerebral microbleeds in ischemic cerebrovascular patients

SONG Yu, TIAN Shufen   

  1. Department of Neurology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China
  • Published:2022-09-27

Abstract: Objective To investigate the association between apolipoprotein E genotype(ApoE)and cerebral microbleeds(CMBs)in ischemic cerebrovascular. Methods A total of 130 ischemic cerebrovascular patients treated in our hospital during Nov. 2016 and Nov. 2018 were randomly selected and divided into the CMBs group and non-CMBs group according to the results of susceptibility-weighted imaging(SWI). Clinical information and related laboratory tests were collected. The genotypes of ApoE were determined with polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP). Results There were statistical differences in the frequency distributions of ApoE genotypes and alleles between the CMBs group and non-CMBs group (P<0.05). Logistic regression analysis showed that ApoE ε4 carrier (OR: 3.628, 95%CI 1.214~10.839), male (OR: 3.287, 95%CI 1.209~8.934) and carotid atherosclerosis (OR: 4.401, 95%CI 1.614~12.005) were the independent risk factors for CMBs. ApoE ε4 carriers had higher possibility of developing lobar CMBs. Conclusion Apolipoprotein E gene polymorphism is associated with cerebral microbleeds in ischemic cerebrovascular. ApoE ε4 carriers are more likely to develop CMBs than non-carriers.

Key words: Apolipoprotein E, Polymorphism, Cerebral microbleeds, Ischemic cerebrovascular, Susceptibility-weighted imaging

CLC Number: 

  • R743
[1] González-Castro TB, Fresán A, Juárez-Rojop IE, et al. No association between ApoE and schizophrenia: evidence of systematic review and updated meta-analysis[J]. Schizophr Res, 2015, 169(1-3): 355-368.
[2] Luo X, Jiaerken Y, Yu X, et al. Associations between APOE genotype and cerebral small-vessel disease: a longitudinal study[J]. Oncotarget, 2017, 8(27): 44477-44489.
[3] Greenberg SM, Vernooij MW, Cordonnier C, et al. Cerebral microbleeds: a guide to detection and interpretation[J]. Lancet Neurol, 2009, 8(2): 165-174.
[4] Haller S, Vernooij MW, Kuijer JPA, et al. Cerebral microbleeds: imaging and clinical significance[J]. Radiology, 2018, 287(1): 11-28.
[5] Charidimou A, Kakar P, Fox Z, et al. Cerebral microbleeds and recurrent stroke risk[J].Stroke, 2013, 44(4): 995-1001.
[6] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑小血管病诊治共识[J]. 中华神经科杂志, 2015, 48(10): 838-844.
[7] Gregoire SM, Chaudhary UJ, Brown MM, et al. The microbleed anatomical rating scale(MARS)reliability of a tool to map brain microbleeds[J]. Neurology, 2009, 73(21): 1759-1766.
[8] Arauz A, Murillo L, Cantú C, et al. Prospective study of single and multiple lacunar infarcts using magnetic resonance imaging: risk factors, recurrence, and outcome in 175 consecutive cases[J]. Stroke, 2003, 34(10): 2453-2458.
[9] Lau KK, Lovelock CE, Li LX, et al. Antiplatelet treatment after transient ischemic attack and ischemic stroke in patients with cerebral microbleeds in 2 large cohorts and an updated systematic review[J]. Stroke, 2018, 49(6): 1434-1442.
[10] Wu Y, Chen T. An up-to-date review on cerebral microbleeds[J]. J Stroke Cerebrovasc Dis, 2016, 25(6): 1301-1306.
[11] Charidimou A, Giese AK, Pasi M, et al. Florbetapir imaging in cerebral amyloid angiopathy-related hemorrhages[J]. Neurology, 2018, 91(12): 574-577.
[12] Biffi A, Anderson CD, Jagiella JM, et al. APOE genotype and extent of bleeding and outcome in lobar intracerebral hemorrhage: a genetic association study[J]. Lancet Neurol, 2011, 10(8): 702-709.
[13] 罗仁国, 印晓鸿, 范杰, 等. 载脂蛋白E基因与脑血管淀粉样变对高血压脑出血的影响[J]. 中国实用神经疾病杂志, 2015, 18(7): 17-19. LUO Renguo, YIN Xiaohong, FAN Jie, et al. Effect of apolipoprotein E gene and cerebrovascular amyloid on hypertensive cerebral hemorrhage[J]. Chinese Journal of Practical Nervous Diseases, 2015, 18(7): 17-19.
[14] Romero JR, Preis SR, Beiser A, et al. Risk factors, stroke prevention treatments, and prevalence of cerebral microbleeds in the Framingham Heart Study[J]. Stroke, 2014, 45(5): 1492-1494.
[15] Yubi T, Hata J, Ohara T, et al. Prevalence of and risk factors for cerebral microbleeds in a general Japanese elderly community[J]. Neuro Clin Pract, 2018, 8(3): 223-231.
[16] Tsai HH, Tsai LK, Chen YF, et al. Correlation of cerebral microbleed distribution to amyloid burden in patients with primary intracerebral hemorrhage[J]. Sci Rep, 2017, 7: 44715. doi:10.1038/srep44715.
[17] Yates PA, Villemagne VL, Ellis KA, et al. Cerebral microbleeds: a review of clinical, genetic, and neuroimaging associations[J]. Front Neurol, 2014, 4: 205. doi: 10.3389/fneur.2013.00205.
[18] Gao Z, Zhai Y, Zhao X, et al. Deep cerebral microbleeds are associated with the severity of lacunar infarcts and hypertension: a retrospective analysis[J]. Medicine, 2018, 97(23):e11031.doi:10.1097/MD.0000000000011031.
[19] Zhao FF, Gao HY, Gao Y, et al. A correlational study on cerebral microbleeds and carotid atherosclerosis in patients with ischemic stroke[J]. J Stroke Cerebrovasc Dis, 2018, 27(8): 2228-2234.
[20] Graff-Radford J, Simino J, Kantarci K, et al. Neuroimaging correlates of cerebral microbleeds: The ARIC study(atherosclerosis risk in communities)[J]. Stroke, 2017, 48(11): 2964-2972.
[21] Vernooij MW, van der Lugt A, Ikram MA, et al. Prevalence and risk factors of cerebral microbleeds: the Rotterdam Scan Study[J]. Neurology, 2008, 70(14): 1208-1214. doi:10.1212/01.wnl.0000307750.41970.d9.
[22] Wang BR, Ou Z, Jiang T, et al. Independent correlation of serum homocysteine with cerebral microbleeds in patients with acute ischemic stroke due to large-artery atherosclerosis[J]. J Stroke Cerebrovasc Dis, 2016, 25(11): 2746-2751.
[23] Schonewille WJ, Singer MB, Atlas SW, et al. The prevalence of microhemorrhage on gradient-echo magnetic resonance imaging in acute lacunar infarction[J]. J Stroke Cerebrovasc Dis, 2005, 14(4): 141-144.
[24] Jeerakathil T, Wolf PA, Beiser A, et al. Cerebral microbleeds: prevalence and associations with cardiovascular risk factors in the Framingham Study[J]. Stroke, 2004, 35(8): 1831-1835.
[1] GE Li-Juan, JIN Rui-Feng, WANG Ji-Wen, HU Xin-Sheng, LIKun. Association between the C1236T polymorphism in multi-drug resistance gene 1 and response to antiepileptic drug treatment in epileptic patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2209, 47(6): 99-102.
[2] ZHANG Lin, WANG Yan, MA Xu, FAN Xuesong, YUAN Hui. Association between MTHFR polymorphism and serum homocysteine in patients with unstable angina pectoris [J]. Journal of Shandong University (Health Sciences), 2021, 59(6): 71-75.
[3] XU Xiaoming, ZENG Qi, CAO Jun, CHEN Xiaorong, LYU Zhen, WANG Wo, AI Ming, KONG Yiting, KUANG Li. Associations between self-harm behavior and psychosocial-polymorphism in female freshmen [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 84-92.
[4] MENG Zhaotun, LI Qin, SUN Hui, WU Xinfang, SUN Wenkai, GAO Wei. Correlation between interleukin-18 single nucleotide polymorphism and susceptibility of laryngeal squamous cell carcinoma: a report of 73 cases [J]. Journal of Shandong University (Health Sciences), 2020, 1(9): 58-63.
[5] XU Yuxiang, LIU Yudong, ZHANG Peng, DUAN Ruisheng. A retrospective analysis of risk factors of cerebral microbleeds in 101 patients with cerebral small vessel disease [J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 67-71.
[6] YIN Xiaolin, YANG Xiaorong, ZHANG Tongchao, MAN Jinyu, LÜ Ming. Association of catechol-O-methyl transferase gene G1947A polymorphism with smoking behavior: a Meta-analysis [J]. Journal of Shandong University (Health Sciences), 2019, 57(2): 110-116.
[7] TIAN Zhongyan, LI Yuqian, LIU Xiaotian, SHI Yuanyuan, ZHANG Haiqing, ZHANG Xia, QIAN Xinling, YIN Lei, ZHAO Jingzhi, WANG Chongjian. Relationship between PSMD6 gene rs831571 locus polymorphism and the susceptibility of T2DM: a case-control study [J]. Journal of Shandong University (Health Sciences), 2018, 56(7): 51-56.
[8] ZHANG Xiuling, ZHANG Lei, LIU Dan, LIANG Jiangjiu. Association of ApoE gene polymorphism and risk of atrial fibrillation among Han people in Shandong Province [J]. Journal of Shandong University (Health Sciences), 2018, 56(3): 79-84.
[9] DU Jinge, CHEN Hui, YANG Xiaorong, LÜ Ming. Meta-analysis of the association between the STAT4 rs7574865 polymorphism and systemic lupus erythematosus [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(5): 95-102.
[10] WANG Liya, MA Zhenzhen, YANG Qingrui. Association between PTGER4 gene polymorphism and susceptibility of ankylosing spondylitis in Han population in Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 31-34.
[11] Muhadasi TUERXUNYIMING, Patamu MOHEMAITI, Tuolanguli MAIMAITIKUERBAN. Association of CDKAL1 rs10946398 C/A polymorphism with type 2 diabetes [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(2): 75-85.
[12] CHEN Si, WANG Muchuan, REN Nannan, XU Wei, WANG Lingling, LUAN Haihui, MA Jun, LIU Yiming. Relationship between polymorphisms of Parkin gene and the risk of Parkinson's disease in Han nationality of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(4): 71-74.
[13] LI Fang. Association between receptor of advanced glycation end products gene polymorphisms, soluble receptor of advanced glycation end products and susceptibility of type 2 diabetes mellitus [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(12): 57-61.
[14] WANG Yao, CHEN Yan-hong, CHEN Hong. Correlation between sensibility, and side effects of 5-FU and DPYD gene polymorphisms in periphrel blood of patients with colon cancer [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S1): 18-21.
[15] YANG Yong-rong, LI Jun, LIANG Ye, LI Jin-du, LAN Jia-fu, LI Tian-zi. The study on association of TNF-α-238G/A gene polymorphisms in patients with oral lichen planus [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S1): 10-11.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!