Alzheimer's disease

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For early-onset Alzheimer's, more than 150 mutations of the presenilin 1 PS1, presenilin 2 PS2, and amyloid precursor protein APP genes have been associated with autosomally dominant inheritance (of early-onset ALZ).

The most significant risk for the more common late-onset Alzheimer's disease is related to ApoE status. rs4420638 near ApoE has a powerful association with late-onset AD. The authors of one study estimate that people with two ApoE4 copies have a 25-fold increased risk for developing the disease compared to ApoE3/ApoE3 carriers. AD Genetics — Problems and Promise

Most genes other than ApoE have much smaller individual effects on the risk for developing Alzheimer's disease, however, numerous reports about other genes have been published (see below).

APOE4 homozygosity (i.e. the rs429358(C;C) genotype) is associated with increased risk of Alzheimer's PMID 15956169. However ApoE4 differences only affect the brain after age 60. The memory changes that occur from 20 to 60 do not seem to be connected to ApoE4 at all. See People at genetic risk for Alzheimer's age mentally just like noncarriers.

Conversely: although SNPs in the MAPT gene do not influence the risk of having Alzheimer's, they appear to lead to increased MAPT mRNA production, which leads to increased levels of the tau protein in cerebrospinal fluid, which ultimately led to an earlier age of onset of Alzheimer symptoms (in those who eventually developed Alzheimer's). So if - and only if - a person is fated to develop Alzheimer's for other reasons, then these MAPT SNPs are correlated with exhibiting symptoms sooner. PMID 18541914

One hypothesis is that genes relevant to viral infection, and in particular herpes simplex virus (HSV-1) infection, may increase the risk for Alzheimer's, especially in individuals already predisposed to Alzheimer's, such as those carrying ApoE4 alleles. PMID 16406033 In connection to this hypothesis, rs2254958, a SNP in a gene influencing HSV-1 infection, has been found in higher frequency in certain AD patients. PMID 17420072

Two studies (Caffeine Reverses Cognitive Impairment and Decreases Brain Amyloid-? Levels in Aged Alzheimer's Disease Mice and Caffeine Suppresses Amyloid-? Levels in Plasma and Brain of Alzheimer's Disease Transgenic Mice published in the July 2009 issue of the Journal of Alzheimer's Disease point to caffeine as reducing a protein (beta amyloid) that is a sign of Alzheimer's disease.

[edit] List of related genes


[edit] Links to external information