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Three chromosomes
have been found to have tiny flaws in patients suffering from
late-onset Alzheimer's disease, according to Dr. Shirley E. Poduslo,
researcher at the Medical College of Georgia.
The flaws
were found when researchers were studying DNA donated by Texas
families affected by late-onset Alzheimer's disease. At that time
Poduslo was director of basic research for the Department of Neurology
at Texas Tech University Health Sciences Center in Lubbock. Poduslo
has since established a similar DNA bank for patients and families
in Georgia.
"If you live
to be 65, you have a 5 percent change of developing Alzheimer's
disease," said Poduslo. "If you live to be 85, you have a 50 percent
chance. If you have a family history, there is an increased risk,
no doubt about it. As our baby boomers age and retire, we are
going to have a national crisis on our hands."
Poduslo enrolled
nearly 500 patients, including 15 large, extended families in
the TTU DNA bank, collecting family histories, patients' medical
records and blood samples. Poduslo studied chromosome 19; APOE
is a gene on the lower half of that chromosome and is a known
risk factor for Alzheimer's disease.
She reported
in the journal NeuroReport that she found evidence of markers
"downstream" from APOE in some of the families.
"I assumed
naively that all families would be linked with a mutation in one
gene because Alzheimer's was one disease," said Poduslo. "That
is not what we are finding. What we have found out is that we
have three families with the disease linked with markers on chromosome
12. We have four families linked with markers on chromosome 19
and we have one family linked with markers on chromosome 3. What
that means is yes, Alzheimer's definitely is genetic in these
families and there are probably multiple causes for this disease."
"We now have
to go back and identify the mutated genes," said Poduslo. "Once
we identify the mutated genes, we are going to be able to start
to correlate all of this. For example, chromosome 19 may affect
people when they are over age 75 and they may have more problems
with outbursts of anger and may have an increased number of plaques
in certain areas of the brain. What I am thinking is that we are
going to be able to start subdividing this disease into specific
groups."
Poduslo is
hopeful that this subdivision will help physicians optimize the
treatment of Alzheimer's disease that will someday include gene
therapy.
Other
sources: Medical College of Georgia
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