Association between apolipoprotein E gene polymorphism and depression

作者:Feng Fang; Lu Shan Shan; Hu Cai Yun; Gong Feng Feng; Qian Zhen Zhong; Yang Hui Yun; Wu Yi Le; Zhao Yuan Yuan; Bi Peng*; Sun Ye Huan
来源:Journal of Clinical Neuroscience, 2015, 22(8): 1232-1238.
DOI:10.1016/j.jocn.2015.02.012

摘要

We performed an updated meta-analysis to obtain a more precise estimation of the relationship between apolipoprotein E (ApoE) gene polymorphism and susceptibility to depression, as previous reports have been inconsistent. Twenty studies with 2286 depression patients and 3845 controls were included. Odds ratios (OR) with 95% confidence intervals (CI) were calculated to assess the association between ApoE gene polymorphism and depression using a random effects model. Results showed a significant association between ApoE gene polymorphism and susceptibility to depression in the overall population (epsilon 2/epsilon 3 genotype versus epsilon 3/epsilon 3: OR 0.76, 95% CI 0.59-0.99). Subgroup analyses indicated an association in the Caucasian population (epsilon 2 allele versus epsilon 3: OR 0.75, 95% CI 0.58-0.97) as well as in late-life depression (LLD) patients (epsilon 3/epsilon 4 genotype versus epsilon 3/epsilon 3: OR 1.34, 95% CI 1.07-1.68, and epsilon 4 allele versus epsilon 3: OR 1.30, 95% CI 1.06-1.59). We concluded that the epsilon 2/epsilon 3 genotype likely provided a protective effect against depression in the overall population and the epsilon 2 allele acted as a protective factor for depression in the Caucasian population while the epsilon 4 allele and epsilon 3/epsilon 4 genotype were associated with an increased risk of depression in the LLD subjects.