Oral Presentation Asia Pacific Stroke Conference 2024

Systematic review and meta-analysis of the association of common variants in ABCA7 with Alzheimer’s Disease in non-Hispanic White and Asian cohorts (107564)

Da Liu 1 , Hongwei Zhang 1 , Cao Liu 2 , Jianyu Liu 3 , Yan Liu 3 , Na Bai 4 , Qiang Zhou 3 , Zhiyao Xu 5 , Linyan Li 1 , Hua Liu 3
  1. North Sichuan Medical College, Nanchong, Sichuan, China
  2. Chengdu Municipal Health Commission, Chengdu, Sichuan, China
  3. The Affiliated Hospital of Southwest Jiaotong University & The Third People's Hospital of Chengdu, Chengdu, Sichuan, China
  4. Department of Neurology, the Sixth People’s Hospital of Chengdu, Chengdu, Sichuan, China
  5. Southwest Jiaotong University, Chengdu, Sichuan, China

Background: The relationship between ABCA7 gene and Alzheimer's disease (AD) has been widely studied across populations, however, the results are inconsistent. This study aimed to evaluate the association of ABCA7 gene with AD by the application of meta-analysis.

Methods: Relevant studies were identified through comprehensive searches. The quality of each study was assessed using the Newcastle-Ottawa Scale (NOS). Allele and genotype frequencies were extracted from the included studies. The pooled Odds ratio with corresponding 95% confidence intervals was calculated using a random-effects or fixed-effects model. Multiple testing corrections were conducted using the false discovery rate method. The Cochran Q statistic and I2 metric were used to evaluate heterogeneity between studies, and Egger’s test and Funnel plot were employed to assess publication bias.

Results: A total of 36 studies (21 polymorphisms, involving a total of 31,809 cases and 44,994 controls maximum) were identified and included in this meta-analysis. Eleven SNPs (rs3764650, rs3752246, rs4147929, rs3752232, rs3752243, rs3764645, rs4147934, rs200538373, rs4147914, rs4147915, and rs115550680) in ABCA7 were significantly associated with AD risk, and two of these SNPs (rs3764650, rs3752246) were also found to be related to the late-onset AD (LOAD) subtype. In addition, two SNPs (rs4147929, rs4147934) were associated with the susceptibility to AD only in Caucasians. Ten SNPs (rs3764647, rs3752229, rs3752237, rs4147932, rs113809142, rs3745842, rs3752239, rs4147918, rs74176364, and rs117187003) showed no significant relationship to AD risk.

Conclusion: Available evidence indicated that ABCA7 SNPs may be associated with AD risk. Future studies with larger sample sizes will be necessary to confirm the results.