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Alzheimer Disease l: Introduction01:29

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Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
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Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
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Gene-environment Interaction Models to Unmask Susceptibility Mechanisms in Parkinson's Disease
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Gene-environment interaction in Alzheimer's disease.

Neeraj Kumar Singh1, Neelam Chhillar, B D Banerjee

  • 1Department of Neurochemistry, Institute of Human Behaviour and Allied Sciences, Dilshad Garden, Delhi, India.

American Journal of Alzheimer'S Disease and Other Dementias
|August 21, 2012
PubMed
Summary

Gene-environment interactions involving APOE ε4, lipids, and pesticides are crucial for Alzheimer's disease (AD) risk. These factors, including cholesterol and organochlorine pesticides, contribute to AD independently of APOE ε4 status.

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Area of Science:

  • Neuroscience
  • Genetics
  • Environmental Health

Background:

  • Alzheimer's disease (AD) etiology is complex, involving genetic and environmental factors.
  • The apolipoprotein E (APOE) ε4 allele is a known genetic risk factor for AD.
  • Gene-environment (GxE) interactions may play a significant role in AD pathogenesis.

Purpose of the Study:

  • To investigate GxE interactions in Alzheimer's disease.
  • To examine the roles of APOE genotypes, serum lipids, and organochlorine pesticides (OCPs) in AD etiology.
  • To determine if OCPs and lipids modify AD risk in the presence of APOE ε4.

Main Methods:

  • A case-control study design was employed.
  • APOE HhaI polymorphism was analyzed using PCR/PCR-RFLP.
  • Serum lipids and OCPs were quantified using autoanalyzer and gas chromatography (GC), respectively.

Main Results:

  • APOE ε4 allele frequency was significantly higher in AD cases compared to controls (p=0.000, OR=5.73).
  • Serum cholesterol, β-hexachlorocyclohexane, and dieldrin were identified as independent risk factors for AD.
  • Odds ratios for cholesterol, β-hexachlorocyclohexane, and dieldrin were 1.16, 11.38, and 10.45, respectively.

Conclusions:

  • GxE interactions are relevant to APOE ε4 allele status in Alzheimer's disease.
  • Environmental factors like OCPs and lipids contribute to AD risk, independent of APOE ε4.
  • Future AD research designs and analyses should account for GxE interactions.