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Access through your institution Buy or subscribe Blacker _et al_.1 reported an association between a deletion in exon 18 of the α-2 macroglobulin (_A2M_) gene and Alzheimer disease (AD) in a
sample of affected and unaffected siblings from families segregating AD. They observed that the degree of conferred risk for AD in _A2M_ allele 2 (_A2M*2_) carriers was similar in magnitude
to that for carriers of the apolipoprotein (_APOE_) _ɛ4_ allele (_APOE*E4_). We set out to test for a similar association in a powerful, case-control sample composed of 2,616 individuals
taken from populations from Europe and the United States. In addition, we extended our analysis of the National Institute of Mental Health (NIMH) family samples studied by Blacker _et al_.1
using linkage and association approaches. We pooled this NIMH series (270 sibpairs) with a similar series of 125 sibpairs collected through the auspices of the National Institution of Aging
(NIA) at the Indiana Alzheimer cell repository to increase the power of our analysis. We studied four independent association samples of unrelated AD patients with onset over 50 years and
relevant controls (Table 1) and diagnosed AD patients according to NINCDS-ADRDA (ref. 2) criteria with either probable or definite AD. We calculated that this sample had over 99% power to
detect an effect of equivalent size to that reported by Blacker _et al_.1 in their familial sample (odds ratio (OR)=3.56), assuming a stringent α level of 0.001. Furthermore, we calculated
that our sample was sufficiently powerful (80%) to detect an extremely small effect (OR≥1.2) assuming an α level of 0.05. This is a preview of subscription content, access via your
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article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in
* Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Blacker, D. et al. _Nature Genet._ 19, 357–360 (1998). Article CAS Google Scholar *
McKhann, G. et al. _Neurology_ 34, 939–944 (1984). Article CAS Google Scholar * Woolf, B. _Ann. Hum. Genet._ 19, 251–253 (1955). Article CAS Google Scholar * Kruglyak, L. & Lander,
E.S. _Am. J. Hum. Genet._ 57, 439–454 (1995). CAS PubMed PubMed Central Google Scholar * Wu, W.S. et al. _JAMA_ 280, 619–622 (1998). Article CAS Google Scholar * Kehoe, P. et al.
_Hum. Mol. Genet._ 8, 237–245 (1999). Article CAS Google Scholar Download references ACKNOWLEDGEMENTS We thank the clinicians and staff of the Mayo Institute and Washington University
School of Medicine, NIMH and NIA. This work was supported by the Medical Research Council (UK), the Institut National pour la Santé Et la Recherche Médicale (INSERM), the Institut Pasteur de
Lille, the Conseil Régional du Nord-Pas de Calais axe régional de recherche sur les maladies neurodégénératives et le vieillissement cérébral and the Fondation pour la Recherche Médicale,
The Mayo Foundation, National Institute of Health, the Alzheimer's Disease Association and the Nettie and Rebecca Brown Foundation. AUTHOR INFORMATION Author notes * Varuni
Rudrasingham, Fabienne Wavrant-De Vrièze, Jean-Charles Lambert and Sumi Chakraverty: These authors contributed equally to this work AUTHORS AND AFFILIATIONS * Department of Psycological
Medicine, University of Wales College of Medicine, Heath Park, Cardiff, CF14 4XN Varuni Rudrasingham, Patrick Kehoe, Frances Rice, Stephanie Carty, Peter Holmans, Michael J. Owen & Julie
Williams * Birdsallh Building, Mayo Clinic Jacksonville, 4500 San Pablo Road, Jacksonville, 32084, Florida, USA Fabienne Wavrant-De Vrièze, Richard Crook, Jordi Pérez-Tur & John Hardy *
CJF 95-05 INSERM, Institut Pasteur de Lille, 1 Rue du Pr Calmette, Lille, 59019, Cedex, France Jean-Charles Lambert, Philippe Amouyel, Bernard Frigard, Dominique Cottel &
Marie-Christine Chartier-Harlin * Departments of Neurology, Psychiatry and Genetics, Washington University School of Medicine, 4940 Children's Place, St. Louis, 63110, Missouri, USA
Sumi Chakraverty, William Wu, John C. Morris, Peter Holmans & Alison Goate * Department of Neurology, Mayo Clinic Rochester, Rochester, 55905, Minnesota, USA Ronald Petersen * Section of
Old Age Psychiatry, Institute of Psychiatry, De Crespigny Park, London, SE5 8AF, UK Nigel Tunstall & Simon Lovestone Authors * Varuni Rudrasingham View author publications You can also
search for this author inPubMed Google Scholar * Fabienne Wavrant-De Vrièze View author publications You can also search for this author inPubMed Google Scholar * Jean-Charles Lambert View
author publications You can also search for this author inPubMed Google Scholar * Sumi Chakraverty View author publications You can also search for this author inPubMed Google Scholar *
Patrick Kehoe View author publications You can also search for this author inPubMed Google Scholar * Richard Crook View author publications You can also search for this author inPubMed
Google Scholar * Philippe Amouyel View author publications You can also search for this author inPubMed Google Scholar * William Wu View author publications You can also search for this
author inPubMed Google Scholar * Frances Rice View author publications You can also search for this author inPubMed Google Scholar * Jordi Pérez-Tur View author publications You can also
search for this author inPubMed Google Scholar * Bernard Frigard View author publications You can also search for this author inPubMed Google Scholar * John C. Morris View author
publications You can also search for this author inPubMed Google Scholar * Stephanie Carty View author publications You can also search for this author inPubMed Google Scholar * Ronald
Petersen View author publications You can also search for this author inPubMed Google Scholar * Dominique Cottel View author publications You can also search for this author inPubMed Google
Scholar * Nigel Tunstall View author publications You can also search for this author inPubMed Google Scholar * Peter Holmans View author publications You can also search for this author
inPubMed Google Scholar * Simon Lovestone View author publications You can also search for this author inPubMed Google Scholar * Marie-Christine Chartier-Harlin View author publications You
can also search for this author inPubMed Google Scholar * Alison Goate View author publications You can also search for this author inPubMed Google Scholar * John Hardy View author
publications You can also search for this author inPubMed Google Scholar * Michael J. Owen View author publications You can also search for this author inPubMed Google Scholar * Julie
Williams View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Julie Williams. RIGHTS AND PERMISSIONS Reprints and
permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Rudrasingham, V., Wavrant-De Vrièze, F., Lambert, JC. _et al._ α-2 macroglobulin gene and Alzheimer disease. _Nat Genet_ 22, 17–19 (1999).
https://doi.org/10.1038/8726 Download citation * Issue Date: May 1999 * DOI: https://doi.org/10.1038/8726 SHARE THIS ARTICLE Anyone you share the following link with will be able to read
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