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Updated: May 21, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Good gene, bad gene: new APP variant may be both
Giuseppe Di Fede1, Marcella Catania, Michela Morbin
1Neurology V & Neuropathology, IRCCS Foundation Carlo Besta Neurological Institute, Via Celoria 11, 20133 Milan, Italy.
A novel Alzheimer disease (AD) mutation (A673V) in APP, inherited recessively, increases amyloid-beta (Aβ) production and aggregation. This discovery offers new therapeutic avenues for AD using modified Aβ peptides.
Area of Science:
- Genetics
- Neuroscience
- Biochemistry
Background:
- Amyloid precursor protein (APP) mutations are a known cause of Alzheimer disease (AD).
- The A673V mutation in APP was identified in a family with early-onset dementia.
- This mutation appears to be inherited in an autosomal recessive pattern.
Purpose of the Study:
- To investigate the pathogenic mechanisms of the novel APP A673V mutation.
- To explore the potential of Aβ peptides as a therapeutic strategy for AD.
Main Methods:
- Genetic analysis of affected family members.
- Biochemical assays to study APP processing and Aβ aggregation.
- In vitro studies using mutated and wild-type Aβ peptides.
Main Results:
- The homozygous A673V mutation increases Aβ production and enhances Aβ aggregation.
- Heterozygous carriers of the mutation do not develop AD, and mutated Aβ inhibits wild-type Aβ aggregation.
- A D-amino acid-based peptide derived from the mutated Aβ sequence demonstrated enhanced stability and anti-amyloidogenic properties.
Conclusions:
- The A673V mutation provides a new model for autosomal recessive AD pathogenesis.
- The anti-amyloidogenic properties of this Aβ variant offer a promising basis for developing novel AD therapies.
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