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Multiple Sclerosis, Vol. 8, No. 2,
98-103 (2002)
DOI: 10.1191/1352458502ms787oa
© 2002 SAGE Publications
APOE genotypes and disease severity in multiple sclerosis
T Masterman
Division of Neurology, NEUROTEC, Karolinska Institutet at Huddinge University Hospital, Stockholm S-141 86, Sweden, thomas.masterman{at}neurotec.ki.se
Z Zhang
Section for Disease Genetics and Bioinformatics, Department of Molecular Sciences, AstraZeneca R&D Södertälje, Stockholm S-141 57, Sweden
D Hellgren
Section for Disease Genetics and Bioinformatics, Department of Molecular Sciences, AstraZeneca R&D Södertälje, Stockholm S-141 57, Sweden
H Salter
Section for Disease Genetics and Bioinformatics, Department of Molecular Sciences, AstraZeneca R&D Södertälje, Stockholm S-141 57, Sweden
M Anvret
Department of Molecular Sciences, AstraZeneca R&D Södertälje, Stockholm S-141 57, Sweden
L Lilius
Division of Geriatric Medicine, NEUROTEC, Karolinska Institutet at Huddinge University Hospital, Stockholm S-141 57, Sweden
L Lannfelt
Division of Geriatric Medicine, NEUROTEC, Karolinska Institutet at Huddinge University Hospital, Stockholm S-141 57, Sweden
J Hillert
Division of Neurology, NEUROTEC, Karolinska Institutet at Huddinge University Hospital, Stockholm S-141 86, Sweden
Apolipoprotein E (apoE) is involved in the transport of lipids necessary for membrane repair and is encoded by a gene on chromosome 19q13, a region positive for linkage in two multiple sclerosis (MS) genome-wide screens. The APOE e4 allele confers susceptibility to both familial and sporadic Alzheimers disease (AD). Carriage of e4 is associated with defective dendritic remodeling in AD, and with unfavorable clinical outcome in head trauma and cerebrovascular disease. According to the results of previous studies, APOE e4 does not increase the risk of developing MS, but it may influence disease progression and ultimate disability. From a total cohort of over 900 MS patients, we compared APOE e2-4 genotypes in, roughly, the cohorts least disabled and most disabled septiles. Benign MS (n=124) was defined as an Expanded Disability Status Scale (EDSS) score of 3.0 or less, despite at least 10 years of disease duration, and severe MS (n=140) as the attainment of an EDSS score of 6.0 within 8 years of disease onset. We found no significant differences in genotype or phenotype frequencies between the benign-MS and severe-MS septiles; however, the risk conferred by e4 rose progressively upon comparison of carriage rates in more narrowly defined anti-podal quantiles.
Key Words: apolipoprotein E genotype multiple sclerosis phenotype polymorphism prognosis

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