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August 01, 1997; 49 (2) Articles

Evidence for association of HLA-A2 allele with onset age of Alzheimer's disease

H. Payami, G. D. Schellenberg, S. Zareparsi, J. Kaye, G. J. Sexton, M. A. Head, S. S. Matsuyama, L. F. Jarvik, B. Miller, D. Q. McManus, T. D. Bird, R. Katzman, L. Heston, D. Norman, G. W. Small
First published August 1, 1997, DOI: https://doi.org/10.1212/WNL.49.2.512
H. Payami
PhD
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G. D. Schellenberg
PhD
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S. Zareparsi
MS
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J. Kaye
MD
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G. J. Sexton
PhD
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M. A. Head
CHD
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S. S. Matsuyama
PhD
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L. F. Jarvik
MD
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B. Miller
MD
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D. Q. McManus
MD
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T. D. Bird
MD
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R. Katzman
MD
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L. Heston
MD
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D. Norman
PhD
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G. W. Small
MD
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Citation
Evidence for association of HLA-A2 allele with onset age of Alzheimer's disease
H. Payami, G. D. Schellenberg, S. Zareparsi, J. Kaye, G. J. Sexton, M. A. Head, S. S. Matsuyama, L. F. Jarvik, B. Miller, D. Q. McManus, T. D. Bird, R. Katzman, L. Heston, D. Norman, G. W. Small
Neurology Aug 1997, 49 (2) 512-518; DOI: 10.1212/WNL.49.2.512

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Abstract

Our earlier studies had suggested a possible association between the HLA-A2 allele and Alzheimer's disease (AD). In the present study we tested the hypothesis that A2 is associated with earlier AD onset. We performed two independent studies: a collaborative study with 111 patients and a confirmatory study with 96 patients. We found similar patterns of reduced age at onset as a function of A2 in both data sets. Overall, A2 was associated with a significant 3-year shift to earlier onset. The effects of A2 andϵ4 on age at onset appeared additive. Our results suggest A2, or a closely linked gene, modulates onset age of AD. Association with A2 would suggest an immune/inflammatory response mechanism for AD.

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