title: APOE is a potential modifier gene in an autosomal dominant form of frontotemporal dementia (IBMPFD).
abstract: OBJECTIVE
  Inclusion-body myopathy, Paget's disease of bone and frontotemporal dementia is an adult-onset autosomal dominant illness (IBMPFD) caused by mutations in the valosin-containing protein (VCP) on chromosome 9p21.1-p12. The penetrance of the gene is 82% for myopathy, 49% for Paget's disease, but may be as low as 30% for frontotemporal dementia. Modifier genes could account for decreased frontotemporal dementia penetrance. In this study apolipoprotein-E (APOE) was evaluated for this role in IBMPFD families based on its known modifier effect in Alzheimer's disease.
  
  
  METHODS
  From a database of 231 members of 15 families, 174 had APOE genotype available for analysis. Logistic regressions on APOE genotype and frontotemporal dementia were performed, using appropriate covariates.
  
  
  CONCLUSIONS
  FTD was associated with APOE 4 genotype (P=0.0002), myopathy (P=0.0006), and age (P=0.01), but not microtubule associated protein tau (MAPT) H2 haplotype (P=0.5) or gender (0.09) after adjustment for membership in pedigrees with at least one APOE 4 genotype. These data suggest a potential link between APOE 4 genotype and the specific form of frontotemporal dementia found in IBMPFD. The molecular basis of this link bears further investigation. We did not observe an association of frontotemporal dementia and H2 MAPT haplotype.
authors.affiliation: Children's Hospital Clinical Genetics and Metabolism, Boston, Massachusetts, and Department of Neurology and Sanders-Brown Center on Aging, University of Kentucky, Lexington, Kentucky, USA.
authors.forename: Sarju G
authors.initials: SG
authors.lastname: Mehta
authors.forename: Giles D J
authors.initials: GD
authors.lastname: Watts
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Adamson
authors.forename: Mike
authors.initials: M
authors.lastname: Hutton
authors.forename: Geanie
authors.initials: G
authors.lastname: Umberger
authors.forename: Shuling
authors.initials: S
authors.lastname: Xiong
authors.forename: Sheena
authors.initials: S
authors.lastname: Ramdeen
authors.forename: Mark A
authors.initials: MA
authors.lastname: Lovell
authors.forename: Virginia E
authors.initials: VE
authors.lastname: Kimonis
authors.forename: Charles D
authors.initials: CD
authors.lastname: Smith
mesh_terms: D000328:Adult; D001057:Apolipoproteins E / Q000235:genetics*; D003704:Dementia / Q000235:genetics*; D005260:Female; D005799:Genes, Dominant; D020022:Genetic Predisposition to Disease / Q000235:genetics; D005838:Genotype; D006239:Haplotypes / Q000235:genetics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000235:genetics; D016875:tau Proteins / Q000235:genetics
chemical_list: D001057:Apolipoproteins E; D016875:tau Proteins