{"id":16553,"date":"2023-12-11T12:53:33","date_gmt":"2023-12-11T12:53:33","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/?p=16553"},"modified":"2026-03-20T14:46:57","modified_gmt":"2026-03-20T12:46:57","slug":"genotiparea-apoe-apolipoproteina-e","status":"publish","type":"post","link":"https:\/\/www.clinica-sante.com\/ro\/genotiparea-apoe-apolipoproteina-e\/","title":{"rendered":"Genotiparea APOE (Apolipoproteina E)"},"content":{"rendered":"    <div class=\"block_cuprins_articol\">\r\n        <div class=\"block_cuprins_articol_title\">\r\n            <p>Cuprins<\/p>\r\n        <\/div>\r\n        <ol  class=\"block_cuprins_articol_list\" > \r\n                            <li>\r\n                    <span><a href=\"#titlu_1\">Ce este APOE?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_2\">Ce implica\u021bii clinice au aceste genotipuri?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_3\">Bibliografie<\/a><\/span>\r\n                <\/li>\r\n                    <\/ol>\r\n    <\/div>\r\n    \r\n\n\n\n<div id=\"titlu_1\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">1.<\/span>\n                <span style=\"color: #f58220\"> Ce este APOE? <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p><span data-contrast=\"auto\">Studiile arat\u0103 c\u0103 APOE este implicat\u0103 \u0219i \u00een procese cognitive \u0219i \u00een reglarea sistemului imun.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                                <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M7.99997 0.626465C3.98647 0.626465 0.732971 3.87996 0.732971 7.89347C0.732971 11.907 3.98647 15.1605 7.99997 15.1605C12.0135 15.1605 15.267 11.907 15.267 7.89347C15.267 3.87996 12.0135 0.626465 7.99997 0.626465ZM8.66397 12.079H7.30997V10.7815H8.66397V12.079ZM8.66397 9.39546V9.82446H7.30997V9.29646C7.30997 7.70146 9.12497 7.44847 9.12497 6.31497C9.12497 5.79847 8.66347 5.40246 8.05847 5.40246C7.43147 5.40246 6.88147 5.86447 6.88147 5.86447L6.11147 4.90647C6.11147 4.90647 6.86997 4.11346 8.17897 4.11346C9.42197 4.11346 10.5765 4.88347 10.5765 6.18147C10.5765 7.99747 8.66297 8.20647 8.66297 9.39497L8.66397 9.39546Z\" fill=\"#666666\"\/>\n                        <\/svg>\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><span style=\"color: #008080\">Toate persoanele au aceea\u0219i variant\u0103 APOE?<\/span><\/h2>\n        <p><p><span data-contrast=\"auto\">Nu! APOE difer\u0103 de la persoan\u0103 la persoan\u0103.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Exist\u0103 3 forme comune ale genei APOE in popula\u021bie: APOE2, APOE3, APOE4 cu diferen\u021be mici de structur\u0103. Aceste diferen\u021be modific\u0103 activitatea proteinei.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Fiecare persoan\u0103 mo\u0219tene\u0219te 2 gene APOE, c\u00e2te una de la fiecare p\u0103rinte.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Astfel c\u0103 exist\u0103 6 combina\u021bii posibile, adic\u0103 6 genotipuri diferite pentru APOE:\u00a0<\/span><span style=\"color: #008080\"><b>E2\/E2; E2\/E3; E3\/E3; E3\/E4; E4\/E4; E2\/E4.<\/b>\u00a0<\/span><span data-mce-type=\"bookmark\" style=\"width: 0px;overflow: hidden;line-height: 0\" class=\"mce_SELRES_start\">\ufeff<\/span><\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2023\/12\/femeie-din-asia-care-arat83-bra9Bul-ei-de-gr83sime-superioar83.jpg_s1024x1024wisk20ciPRC1I7r7hKwl7qsJXW-yk9Bwrc7mmrDSEg64XzfnDQ.jpg\" alt=\"\" class=\"wp-image-16563\" srcset=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2023\/12\/femeie-din-asia-care-arat83-bra9Bul-ei-de-gr83sime-superioar83.jpg_s1024x1024wisk20ciPRC1I7r7hKwl7qsJXW-yk9Bwrc7mmrDSEg64XzfnDQ.jpg 1024w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2023\/12\/femeie-din-asia-care-arat83-bra9Bul-ei-de-gr83sime-superioar83.jpg_s1024x1024wisk20ciPRC1I7r7hKwl7qsJXW-yk9Bwrc7mmrDSEg64XzfnDQ-900x450.jpg 900w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2023\/12\/femeie-din-asia-care-arat83-bra9Bul-ei-de-gr83sime-superioar83.jpg_s1024x1024wisk20ciPRC1I7r7hKwl7qsJXW-yk9Bwrc7mmrDSEg64XzfnDQ-300x150.jpg 300w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2023\/12\/femeie-din-asia-care-arat83-bra9Bul-ei-de-gr83sime-superioar83.jpg_s1024x1024wisk20ciPRC1I7r7hKwl7qsJXW-yk9Bwrc7mmrDSEg64XzfnDQ-768x384.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_2\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">2.<\/span>\n                <span style=\"color: #f58220\"> Ce implica\u021bii clinice au aceste genotipuri?  <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><ul>\n<li>Diferitele alele APOE confer\u0103 risc diferen\u021biat pentru dezvoltarea diverselor patologii.<\/li>\n<li>Genotipul E3\/E3 este cel comun, frecvent la nivelul popula\u021biei.<\/li>\n<li>Alela ApoE4 este unul dintre cei mai importan\u021bi factori genetici de risc pentru Boala Alzheimer, dislipidemie \u0219i boala cardiovascular\u0103.<\/li>\n<\/ul>\n<p>Alela E4 este asociat\u0103 cu un risc crescut pentru Boala Alzheimer idiopatica, \u00een mod special forma cu debut tardiv (dup\u0103 v\u00e2rsta de 65 ani). Riscul este, de asemenea, influen\u021bat \u0219i de al\u021bi factori genetici sau nongenetici. Persoanele cu genotipul E3\/E4 au un risc relativ de 4 ori mai mare pentru Boala Alzheimer, \u00een timp ce homozigo\u021bii E4\/E4 au un risc de 15 ori mai mare pentru Boala Alzheimer. Riscul crescut pentru demen\u021b\u0103 \u0219i boala Alzheimer asociat genotipului E4 este sus\u021binut \u0219i de markerii neuroimagistici care arat\u0103 o reducere a volumului hipocampului (regiunea din creier cu rol \u00een memorie) \u0219i cre\u0219terea hiperintensit\u0103\u021bii substan\u021bei albe (ce implic\u0103 leziuni semnificative cerebrale). .<\/p>\n<\/div>\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <path d=\"M5.22552 0.893555L4.05811 8.69521H6.61909V16.8936H0V8.62909L1.83449 0.893555H5.22552ZM14.2312 0.893555L13.0638 8.69521H16V16.8936H9.00568V8.62909L10.8402 0.893555H14.2312Z\" fill=\"#666666\"\/>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><\/h2>\n        <p><p>Este de notat c\u0103 alela <span style=\"color: #008080\"><strong>APOE4<\/strong><\/span> nu este nici suficient\u0103 \u0219i nici necesar\u0103 pentru dezvoltarea Bolii Alzheimer. Aproximativ 50% din pacientii cu Boala Alzheimer poart\u0103 o alel\u0103 E4 \u0219i multe dintre persoanele care au o alel\u0103 E4 nu vor dezvolta niciodat\u0103 Boala Alzheimer.<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div  class=\"bloc_description_section\"><ul>\n<li><span data-contrast=\"auto\">Genotipurile E3\/E4 \u0219i E4\/E4 sunt asociate cu un risc de 30-40% de a dezvolta boal\u0103 cardiaca fa\u021b\u0103 de genotipul comun E3\/E3.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">\u00a0\u00cen contrast, alela E2 este considerat\u0103 varianta rar\u0103 protectiv\u0103 pentru demen\u021b\u0103, iar alela E3 este considerat\u0103 un factor neutru, f\u0103r\u0103 impact pentu dezvoltarea declinului cognitiv \u0219i a bolilor cardiovasculare.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Studiile de specialitate arat\u0103\u00a0<\/span><span style=\"color: #008080\"><b>c\u0103 purt\u0103torii alelei E4 au un profil lipidic cu valori crescute\u00a0<\/b><b>ale<\/b><b>\u00a0colesterolului total \u0219i\u00a0<\/b><b>ale<\/b><b>\u00a0LDL-colesterol.<\/b>\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Genotipul E2\/E3 se asociaz\u0103, \u00eens\u0103, cu valori crescute ale indicatorilor colesterolului \u201cbun\u201c (HDL-colesterol \u0219i APOA) \u0219i astfel cu un risc sc\u0103zut de ateroscleroz\u0103.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">\u00cen mod particular, homozigo\u021bii E2\/E2 care reprezint\u0103 doar 0.6% din popula\u0219ie au un risc mai mare pentru un set de afec\u021biuni neasociate cu alte genotipuri: hipertrigliceridemie (factor de risc independent pentru AVC) \u0219i boal\u0103 vascular\u0103 periferic\u0103 (tromboz\u0103 sau ruptur\u0103 vascular\u0103). Date recente sugereaz\u0103 c\u0103 femeile E2\/E2 au un risc de 2-3 ori mai mare pentru boala cervical\u0103 noninflamatorie comparativ cu femeile E3\/E3. Boala cervical\u0103 noninflamatorie poate s\u0103 cuprind\u0103: eroziuni cervicale, ectropion, stricturi, stenoze, incompeten\u021b\u0103 cervical\u0103, ceea ce reduce \u0219ansa men\u021binerii unei sarcini la femeile E2\/E2 ceea ce poate s\u0103 contribuie la prevalen\u021ba sc\u0103zut\u0103 a variantei E2 \u00een popula\u021bie.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/div>\n\n\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <path d=\"M5.22552 0.893555L4.05811 8.69521H6.61909V16.8936H0V8.62909L1.83449 0.893555H5.22552ZM14.2312 0.893555L13.0638 8.69521H16V16.8936H9.00568V8.62909L10.8402 0.893555H14.2312Z\" fill=\"#666666\"\/>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><\/h2>\n        <p><p><span data-contrast=\"auto\"><span style=\"color: #008080\"><strong>Studiile arat\u0103 c\u0103 5-10% dintre pacien\u021bii cu genotip homozigot E2\/E2 dezvolt\u0103 Hiperlipoproteinimia tip III<\/strong><\/span> (sau Disbetalipoproteinemia familal\u0103), o boal\u0103 genetic\u0103 ce determin\u0103 depunerea de lipide la nivelul tegumentului (xantoame), hipertrigliceridemie \u0219i ateroscleroz\u0103 la v\u00e2rste tinere. In general, aceast\u0103 patologie se dezvolt\u0103 la pacien\u021bii care asociaz\u0103 \u0219i al\u021bi factori de risc precum obezitate sau diabet. Majoritatea persoanelor cu genotip E2\/E2 au un profil lipidic normal.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bgOrange bloc_title_section\">\n    <div class=\"m-3\">\n     <div class=\"row\">\n        <div class=\"col-md-3 col-lg-2 borderMap \">\n        <div class=\" leftBox\">\n                <div class=\"flexMob\">\n            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"61\" height=\"61\" viewBox=\"0 0 61 61\" fill=\"none\">\n            <g clip-path=\"url(#clip0_15501_13162)\">\n                <path d=\"M53.8333 0.260742H7.16667C3.5 0.260742 0.533333 3.26074 0.533333 6.92741L0.5 53.5941C0.5 57.2607 3.5 60.2607 7.16667 60.2607H53.8333C57.5 60.2607 60.5 57.2607 60.5 53.5941V6.92741C60.5 3.26074 57.5 0.260742 53.8333 0.260742ZM47.1667 36.9274H37.1667V46.9274C37.1667 48.7607 35.6667 50.2607 33.8333 50.2607H27.1667C25.3333 50.2607 23.8333 48.7607 23.8333 46.9274V36.9274H13.8333C12 36.9274 10.5 35.4274 10.5 33.5941V26.9274C10.5 25.0941 12 23.5941 13.8333 23.5941H23.8333V13.5941C23.8333 11.7607 25.3333 10.2607 27.1667 10.2607H33.8333C35.6667 10.2607 37.1667 11.7607 37.1667 13.5941V23.5941H47.1667C49 23.5941 50.5 25.0941 50.5 26.9274V33.5941C50.5 35.4274 49 36.9274 47.1667 36.9274Z\" fill=\"white\"\/>\n            <\/g>\n            <defs>\n                <clipPath id=\"clip0_15501_13162\">\n                <rect width=\"60\" height=\"60\" fill=\"white\" transform=\"translate(0.5 0.260742)\"\/>\n                <\/clipPath>\n            <\/defs>\n            <\/svg>\n        <\/div>\n        <p class=\"text-white textMap\">\n            Centre de <br> recoltare                            \n        <\/p>\n        <\/div>\n    <\/div>\n    <div class=\"col-md-8 col-lg-9\">\n        <div class=\"marginDekstop\">\n      <h2 class=\"text-white mb-4\">Sun\u0103 la num\u0103rul scurt *8787, alege centrul de recoltare cel mai apropiat de tine \u0219i programeaz\u0103-te pentru efectuarea analizelor.<\/h2>\n\n     <p class=\"text-white mb-4\">Peste 300 de centre proprii de recoltare, \u00een toate jude\u021bele \u021b\u0103rii<\/p>\n          <a href=\"https:\/\/www.clinica-sante.com\/ro\/locatii\" class=\"buttonCentre\">\n                Vezi harta loca\u021biilor\n            <i class=\"fa-solid fa-caret-right\"><\/i>\n         <\/a>\n    <\/div>\n<\/div>\n  <\/div>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p><span style=\"color: #f58220\"><strong>Biografie autor<\/strong><\/span><\/p>\n<p><em>1.Mohammed Amir Husain et al., APOE and Alzheimer\u2019s Disease: From Lipid Transport to Physiopathology and Therapeutics, Front. Neurosci., february 2021<\/em><\/p>\n<p><em>2.Amanda L. Lumsden, Anwar Mulugeta, Ang Zhou, Elina Hypponen, Apolipoprotein E (APOE) genotype-associated disease risks: a phenome-wide, registry-based, case-control study utilizing the UK Biobank, EBioMedicine 59, august 2020<\/em><\/p>\n<\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Studiile arat\u0103 c\u0103 APOE este implicat\u0103 \u0219i \u00een procese cognitive \u0219i \u00een reglarea sistemului imun.\u00a0<\/p>\n","protected":false},"author":6,"featured_media":16554,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[396],"tags":[],"class_list":["post-16553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-util-pentru-sanatatea-ta"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/16553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/comments?post=16553"}],"version-history":[{"count":19,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/16553\/revisions"}],"predecessor-version":[{"id":30587,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/16553\/revisions\/30587"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media\/16554"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=16553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/categories?post=16553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/tags?post=16553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}