[Apolipoproteins and cognitive deterioration].

D Bartrés-Faz, I Clemente
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Abstract

Main studies which have shown an association between the variation in apolipoprotein genes and human neuropsychological impairement are reviewed in this work. Data from literature indicate a special relevance of apolipoprotein E (ApoE) in relation to Central Nervous System (CNS) functions, basically memory. ApoE epsilon 4 is a well documented risk factor for late-onset Alzheimer's Disease (AD). Memory changes in older adults and in AD are also associated with ApoE genotype. Furthermore, ApoE may play a role in formation or degeneration of some neural structures related to memory. In some studies a relation between ApoE's alleles and cerebral vascular disorders like ischemic, haemorrhagic, Vascular (VD) and Multi-infarct (MD) Dementias is also reported. The role of the remaining apolipoproteins in cognitive impairment is still unknown, and these molecules have been considered as risk factors associated with environmental factors in CNS pathologies, essentially the vascular ones.

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[载脂蛋白与认知退化]。
本文综述了载脂蛋白基因变异与人类神经心理功能障碍相关的主要研究进展。文献数据表明载脂蛋白E (ApoE)与中枢神经系统(CNS)功能,主要是记忆有特殊的相关性。ApoE epsilon 4是迟发性阿尔茨海默病(AD)的一个有充分证据的危险因素。老年人和AD患者的记忆变化也与ApoE基因型有关。此外,ApoE可能在一些与记忆有关的神经结构的形成或退化中发挥作用。一些研究也报道了ApoE等位基因与缺血性、出血性、血管性(VD)和多发性梗死性(MD)痴呆等脑血管疾病的关系。其余载脂蛋白在认知障碍中的作用尚不清楚,这些分子被认为是与环境因素相关的中枢神经系统病变的危险因素,主要是血管病变。
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