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Among men, androgens are associated with a decrease in Alzheimer's disease risk

delete2023-03-20
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OA
AI
C
Cynthia Kusters *
K
Kimberly C. Paul
T
Tahmineh Romero
J
Janet S. Sinsheimer
B
Beate Ritz
DOI:10.1002/alz.13013delete
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Abstract

Abstract

En 中文
INTRODUCTION: Increased levels of sex hormones have been hypothesized to decrease Alzheimer's disease (AD) risk. We assessed the association between sex steroid hormones with AD using a Mendelian randomization (MR) approach. METHODS: An inverse-variance weighting (IVW) MR analysis was performed using effect estimates from external genome-wide association study (GWAS) summary statistics. We included independent variants (linkage disequilibrium R-2 < 0.001) and a p-value threshold of 5 x 10(-8). RESULTS: An increase in androgens was associated with a decreased AD risk among men: testosterone (odds ratio [OR]: 0.53; 95% confidence interval [CI]: 0.32-0.88; p-value: 0.01; false discovery rate [FDR] p-value: 0.03); dehydroepiandrosterone sulfate (DHEAS; OR: 0.56; 95% CI: 0.38-0.85; p-value: 0.01; FDR p-value: 0.03); and androsterone sulfate (OR: 0.69; 95% CI: 0.46-1.02; p-value: 0.06; FDR p-value: 0.10). There was no association between sex steroid hormones and AD among women, although analysis for estradiol had limited statistical power. DISCUSSION: A higher concentration of androgens was associated with a decreased risk of AD among men of European ancestry, suggesting that androgens among men might be neuroprotective and could potentially prevent or delay an AD diagnosis.
Keywords:
Alzheimer's disease
androgens
epidemiology
genetics
Mendelian randomization
sex hormones
sex stratified

Journal

A
Alzheimer and Dementia
IF:
11.1
Papers:
3.9K
Citations:
3.5W

Organization

U
university of california los angeles
Scholars:
5.3W
Papers: 4.2W
Citations: 89
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University of California System
Scholars:
37.5W
Papers: 33.7W
Citations: 6.6K