Interleukin- Promoter Polymorphism Enhances the Risk of Sleep Disturbance in Alzheimer's disease
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摘要
Sleep alleviates Alzheimer's disease(AD)-related neuropathological processes,whereas sleep disturbance in AD patients is associated with elevated peripheral inflammatory cytokine levels.In the present study,we assessed interleukin(IL)- and APOEε4 polymorphisms for association with susceptibility of sleep disturbances in AD patients.A total of 123 pretreated AD patients and 120age-,gender- and education level-matched healthy controls were recruited for two consecutive full-night polysomnography and measurement of Epworth Sleepiness Scale(ESS) scores for sleepwake disturbance.Their genomic DNA was analyzed for IL- and APOEε4 SNPs using ligase detection reaction(LDR) technology.Blood levels of IL-,IL-6,and tumor necrosis factor alpha(TNF-α) were measured using ELISA after lipopolysaccharide(LPS) stimulation.The odds ratio and95%confidence interval for genotype-specific risk were calculated using an unconditional logistic regression model and adjusted by age,gender,educational levels,body mass index(BMI),and activities of daily living(ADL).Compared to the non-APOEε4/ε4 genotype,APOEε4/ε4 significantly increased the risk of AD(APOEε4/ε4 vs.non-APOEε4/ε4,adjusted OR = 4.33,95%CI = 1.33-14.10,p = 0.015).Compared to the IL- CC genotype(-31),the TT genotype significantly increased the risk of AD(TT vs.CC,adjusted OR = 1.72,95%CI = 1.13-2.61,p = 0.010).AD patients carrying the APOEε4 allele and the IL- TT genotype showed less time in bed,longer sleep latency and REM latency,more awakenings,and a lower SWS percentage than those carrying CC/CT combined genotypes.In addition,blood IL- levels were significantly greater in AD patients carrying both the APOEε4 allele and the IL-- 31 TT genotype than in those carrying the APOEε4 allele and the-31 TC or CC genotype.In conclusion,this study provides the first evidence indicating that the IL--31 TT genotype and homozygous APOEε4 combined are associated with increased risk of developing AD with sleep disturbance.
Sleep alleviates Alzheimer's disease(AD)-related neuropathological processes,whereas sleep disturbance in AD patients is associated with elevated peripheral inflammatory cytokine levels.In the present study,we assessed interleukin(IL)- and APOEε4 polymorphisms for association with susceptibility of sleep disturbances in AD patients.A total of 123 pretreated AD patients and 120age-,gender- and education level-matched healthy controls were recruited for two consecutive full-night polysomnography and measurement of Epworth Sleepiness Scale(ESS) scores for sleepwake disturbance.Their genomic DNA was analyzed for IL- and APOEε4 SNPs using ligase detection reaction(LDR) technology.Blood levels of IL-,IL-6,and tumor necrosis factor alpha(TNF-α) were measured using ELISA after lipopolysaccharide(LPS) stimulation.The odds ratio and95%confidence interval for genotype-specific risk were calculated using an unconditional logistic regression model and adjusted by age,gender,educational levels,body mass index(BMI),and activities of daily living(ADL).Compared to the non-APOEε4/ε4 genotype,APOEε4/ε4 significantly increased the risk of AD(APOEε4/ε4 vs.non-APOEε4/ε4,adjusted OR = 4.33,95%CI = 1.33-14.10,p = 0.015).Compared to the IL- CC genotype(-31),the TT genotype significantly increased the risk of AD(TT vs.CC,adjusted OR = 1.72,95%CI = 1.13-2.61,p = 0.010).AD patients carrying the APOEε4 allele and the IL- TT genotype showed less time in bed,longer sleep latency and REM latency,more awakenings,and a lower SWS percentage than those carrying CC/CT combined genotypes.In addition,blood IL- levels were significantly greater in AD patients carrying both the APOEε4 allele and the IL-- 31 TT genotype than in those carrying the APOEε4 allele and the-31 TC or CC genotype.In conclusion,this study provides the first evidence indicating that the IL--31 TT genotype and homozygous APOEε4 combined are associated with increased risk of developing AD with sleep disturbance.
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