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六合彩开奖结果 study identifies new role of major genetic risk factor in Alzheimer鈥檚 disease

Untangling APOE 隃 4鈥檚 association to tau tangles
Published: 20 December 2019

For years, physicians have been aware that patients carrying the apolipoprotein 隃4 (APOE 隃4) gene are at a greater risk of developing Alzheimer鈥檚 disease. New research from 六合彩开奖结果 has now found the gene plays an even greater role in dementia.

In a study published today in the Journal of the American Medical Association: Neurology, Dr. Pedro Rosa-Neto鈥檚 research team from the Douglas Mental Health University Institute鈥檚 Translational Neuroimaging Laboratory found that the risk of developing dementia conferred by APOE 隃4 does in fact involve processes associated to tau aggregation.


A tale of two proteins

Of all the genetics risk factors for sporadic Alzheimer鈥檚 disease, APOE 隃4 is the single most important.

鈥淎lzheimer鈥檚 disease is defined by the aggregation of two proteins in the brain: amyloid plaques and tau tangles, both of which are known to be neurotoxic鈥 explains Joseph Therriault, a PhD student in the 六合彩开奖结果鈥檚 Integrated Program in Neuroscience under the supervision of Drs. Pedro Rosa-Neto and Serge Gauthier, Director of the Alzheimer Disease and Related Disorders Research Unit at the 六合彩开奖结果 Center for Studies in Aging. 鈥淎POE 隃4 has been associated with amyloid plaques, but its association with tau tangles has been controversial. In our study of nearly 500 individuals, we demonstrate this association in living humans.鈥

Therriault and his colleagues assessed two independent populations thanks to data available through the Translational Biomarkers in Aging and Dementia (TRIAD) cohort and the Alzheimer鈥檚 Disease Neuroimaging Initiative (ADNI), two research initiatives in which participating patients agreed to complete a variety of imaging and clinical assessments. In both instances, MRIs and PET scans were used to establish a relationship between APOE 隃4 and tau tangles.

Tau tangles and memory

鈥淔or years, we have known that people with the APOE 隃4 gene have more memory problems,鈥 adds Therriault, who is also the study鈥檚 lead author. 鈥淲e were able to show that carriers of this gene also had greater levels of tau tangles in memory centers of the brain, even after controlling for how much amyloid plaques they had.鈥

While this study does not identify a biological mechanism for why this association exists, the findings contribute to an evolving framework in which APOE 隃4 plays a central role in Alzheimer鈥檚 disease because of its role in both amyloid plaques and tau tangles.

Dr. Rosa-Neto adds that APOE 隃4 has an important role in the very early stages of Alzheimer's disease. 鈥淭his paper highlights why APOE4 carriers show early memory deficits that eventually lead to dementia," he says.

鈥淥ur paper is an important step forward because we provide evidence that the substantial increased risk of developing dementia conferred by APOE 隃4 genotype is related to both of the hallmark pathologies of Alzheimer鈥檚 disease,鈥 concludes Therriault.

The team next hopes to determine whether the studied individuals accumulate tau at a faster level through longitudinal imaging to see how subjects evolve over time.

Therriault, Rosa-Neto and Gauthier are hopeful that the research will help clinicians better assess the early signs of Alzheimer鈥檚 disease.

About this study

by Joseph Theriault et al. 聽was published in Journal of the American Medical Association: Neurology.

This work received financial support from the Canadian Institutes of Health Research, Fonds de la recherche en sant茅 du Qu茅bec聽and the Weston Brain Institute.聽

About 六合彩开奖结果

Founded in Montreal, Quebec, in 1821, 六合彩开奖结果 is Canada鈥檚 top ranked medical doctoral university. 六合彩开奖结果 is consistently ranked as one of the top universities, both nationally and internationally. It is a world-renowned institution of higher learning with research activities spanning two campuses, 11 faculties, 13 professional schools, 300 programs of study and over 40,000 students, including more than 10,200 graduate students. 六合彩开奖结果 attracts students from over 150 countries around the world, its 12,800 international students making up 31% per cent of the student body. Over half of 六合彩开奖结果 students claim a first language other than English, including approximately 19% of our students who say French is their mother tongue.

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