The potential applications of Apolipoprotein E in personalized medicine
Identifieur interne : 000898 ( Main/Merge ); précédent : 000897; suivant : 000899The potential applications of Apolipoprotein E in personalized medicine
Auteurs : Sylvia Villeneuve [Canada, États-Unis] ; Diane Brisson [Canada] ; Natalie L. Marchant [Royaume-Uni] ; Daniel Gaudet [Canada]Source :
- Frontiers in Aging Neuroscience [ 1663-4365 ] ; 2014.
Abstract
Personalized medicine uses various individual characteristics to guide medical decisions. Apolipoprotein (ApoE), the most studied polymorphism in humans, has been associated with several diseases. The purpose of this review is to elucidate the potential role of ApoE polymorphisms in personalized medicine, with a specific focus on neurodegenerative diseases, by giving an overview of its influence on disease risk assessment, diagnosis, prognosis, and therapy. This review is not a systematic inventory of the literature, but rather a summary and discussion of novel, influential and promising works in the field of ApoE research that could be valuable for personalized medicine. Empirical evidence suggests that ApoE genotype informs pre-symptomatic risk for a wide variety of diseases, is valuable for the diagnosis of type III dysbetalipoproteinemia, increases risk of dementia in neurodegenerative diseases, and is associated with a poor prognosis following acute brain damage. ApoE status appears to influence the efficacy of certain drugs, outcome of clinical trials, and might also give insight into disease prevention. Assessing ApoE genotype might therefore help to guide medical decisions in clinical practice.
Url:
DOI: 10.3389/fnagi.2014.00154
PubMed: 25071563
PubMed Central: 4085650
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Marchant</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Old Age Psychiatry, Institute of Psychiatry, King's College London</institution><country>London, UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Gaudet, Daniel" sort="Gaudet, Daniel" uniqKey="Gaudet D" first="Daniel" last="Gaudet">Daniel Gaudet</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Medicine, ECOGENE-21 and Lipid Clinic, Chicoutimi Hospital, Université de Montréal</institution><country>Chicoutimi, QC, Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea></wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Aging Neuroscience</title><idno type="eISSN">1663-4365</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Personalized medicine uses various individual characteristics to guide medical decisions. Apolipoprotein (ApoE), the most studied polymorphism in humans, has been associated with several diseases. The purpose of this review is to elucidate the potential role of ApoE polymorphisms in personalized medicine, with a specific focus on neurodegenerative diseases, by giving an overview of its influence on disease risk assessment, diagnosis, prognosis, and therapy. This review is not a systematic inventory of the literature, but rather a summary and discussion of novel, influential and promising works in the field of ApoE research that could be valuable for personalized medicine. Empirical evidence suggests that ApoE genotype informs pre-symptomatic risk for a wide variety of diseases, is valuable for the diagnosis of type III dysbetalipoproteinemia, increases risk of dementia in neurodegenerative diseases, and is associated with a poor prognosis following acute brain damage. ApoE status appears to influence the efficacy of certain drugs, outcome of clinical trials, and might also give insight into disease prevention. Assessing ApoE genotype might therefore help to guide medical decisions in clinical practice.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adamis, D" uniqKey="Adamis D">D. Adamis</name></author><author><name sortKey="Treloar, A" uniqKey="Treloar A">A. Treloar</name></author><author><name sortKey="Martin, F C" uniqKey="Martin F">F. C. Martin</name></author><author><name sortKey="Gregson, N" uniqKey="Gregson N">N. Gregson</name></author><author><name sortKey="Hamilton, G" uniqKey="Hamilton G">G. Hamilton</name></author><author><name sortKey="Macdonald, A J" uniqKey="Macdonald A">A. J. Macdonald</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahles, T A" uniqKey="Ahles T">T. A. 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