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Stroke. 1998;29:2488-2490

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(Stroke. 1998;29:2488-2490.)
© 1998 American Heart Association, Inc.


Original Contributions

Butyrylcholinesterase K Variant and Cerebral Amyloid Angiopathy

Masahito Yamada, MD, PhD; Nobuyuki Sodeyama, MD, PhD; Yoshinori Itoh, MD, PhD; Naomi Suematsu, MD, PhD; Eiichi Otomo, MD, PhD; Masaaki Matsushita, MD, PhD Hidehiro Mizusawa, MD, PhD

From the Department of Neurology, Tokyo Medical and Dental University (M.Y., N. Sodeyama, H.M.); Departments of Internal Medicine (Y.I., E.O.) and Pathology (N. Suematsu), Yokufukai Geriatric Hospital; and Department of Neuropathology, Tokyo Institute of Psychiatry (M.M.), Tokyo, Japan.

Correspondence to Dr Masahito Yamada, Department of Neurology, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8519, Japan. E-mail m-yamada.nuro{at}med.tmd.ac.jp

Background and Purpose—Cholinesterases are found histochemically in the vessels affected with cerebral amyloid angiopathy (CAA). A gene for the K variant of butyrylcholinesterase (BCHE-K) may be associated with late-onset Alzheimer's disease (AD). In search of genetic risk factors for CAA, we investigated the association of BCHE-K with CAA.

Methods—The association between the severity of CAA and BCHE-K was investigated in 155 autopsy cases of the elderly, including 48 patients with AD.

Results—There was no significant association of BCHE-K with the severity of CAA in the total, AD, or non-AD cases. Status of the {epsilon}4 allele of apolipoprotein E gene did not influence the results.

Conclusions—Our results may suggest that BCHE-K is not a definitive risk factor for CAA in the elderly, although further study with larger samples is necessary to confirm this.


Key Words: Alzheimer's disease • amyloid • cerebrovascular disorders • elderly • polymorphism (genetics)