As Alzheimer's Studies Progress, Debate On Cause Persists

Sidebar: Genetics of Alzheimer's Disease -- Further Information At its annual meeting in November 1995, the Society for Neuroscience hosted a lively debate on whether ß-amyloid deposition is the cause of Alzheimer's disease. The debate was light in tone, but that masked real and often rancorous divisions in the field (R. Finn, The Scientist, Oct. 16, 1995, page 14.). Since then, significant advances in this rapidly developing discipline have generated considerable excitement among Alzheim

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Sidebar: Genetics of Alzheimer's Disease -- Further Information

Back in 1907, Alois Alzheimer first noticed the two main neuropathological hallmarks of the disease-amyloid plaques and neurofibrillary tangles-in the brain tissue of a 51-year-old demented woman. The idea that abnormal deposition of ß-amyloid (also called Ab) was the primary cause was given considerable weight by the 1991 discovery that a rare inherited form of early-onset Alzheimer's disease was caused by a mutant form of the gene encoding amyloid precursor protein (APP), which is found on chromosome 21.

UNCONVINCED: Warren Strittmatter is skeptical that presenilin mutations work through an amyloid-related mechanism. But others focused on mechanisms involving neurofibrillary tangles, especially after the 1993 discovery of the role of apolipoprotein E (apoE) in Alzheimer's. There are three main alleles of apoE-E2, E3, and E4. Warren J. Strittmatter, Allen Roses, and their colleagues at Duke University Medical Center determined that individuals who inherit one ...

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