Increased butyrylcholinesterase (BChE) activity has been reported to be ass
ociated with the formation of amyloid plaques and neurofibrillary tangles a
nd may consequently be involved in the pathogenesis of Alzheimer disease (A
D), Because the catalytic activity of BChE-K variant is reduced by one-thir
d compared with non-variant, we speculated that BChE-K variant has a protec
tive effect on AD. However, Lehmann et al, [1997] reported a synergistic ef
fect between the genes for BChE-K variant and apolipoprotein E (ApoE) epsil
on 4, which increases the risk for late onset AD, In the present study, we
tested 89 Chinese AD patients and 101 Chinese controls and found no evidenc
e of association between BCHE-K and AD of either early or late onset (age >
65 years). No evidence of a synergistic effect was found between the BCHE-
K variant and APOE epsilon 4 in this study. Our data suggest that BChE-K va
riant has no modifying effect on the pathogenesis of AD. (C) 2000 Wiley-Lis
s, Inc.