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ApolipoproteinE and Alzheimer's Disease: a Genetic, Molecular and Neuroimaging Review

Published online by Cambridge University Press:  05 August 2019

R.H. Swartz
Affiliation:
Cognitive Neurology Unit, Sunnybrook Health Science Centre, Division of Neurology and Center for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada
S.E. Black*
Affiliation:
Cognitive Neurology Unit, Sunnybrook Health Science Centre, Division of Neurology and Center for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada
P. St. George-Hyslop
Affiliation:
Cognitive Neurology Unit, Sunnybrook Health Science Centre, Division of Neurology and Center for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada
*
Reprint requests to: Dr. S.E. Black, Cognitive Neurology Unit, A421, Sunnybrook Health Science Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5
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Abstract:

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Alzheimer's disease (AD) is the most common cause of dementia in the elderly and an increasingly significant health concern in our aging population. In the past 10 years, our understanding of this disease has increased dramatically. While the discovery of three rare genetic mutations that can cause AD has provided much information about the causes and progression of the disease, a great deal of attention has been focused on apolipoprotien (ApoE) because of its involvement in the more common, later onset form of AD. Due to the rapid pace of recent advances, it has not been easy for health care professionals, researchers and the general public to keep abreast of these developments. This paper reviews recent research in ApoE and late-onset AD, emphasizing molecular neuropathological, genetic and neuroimaging findings and highlighting current controversies that remain to be addressed.

Résumé:

Résumé:

La maladie d'Alzheimer (MA) est la cause la plus fréquente de démence chez les gens âgés et elle est une préoccupation de plus en plus importante en ce qui concerne la santé dans notre population vieillissante. Au cours des 10 dernières années, notre compréhension de cette maladie a augmenté considerablement. Bien que la découverte de trois mutations rares pouvant causer la MA a fourni beaucoup d'attention à cause de son implication dans la forme plus commune de la MA, la MA à début plus tardif. À cause du rythme rapide des progrès, il n'a pas été facile pour les professionnels de la santé, les chercheurs et le public en général de se tenir à date sur ces développements. Cet article revoit les recherches récentes sur la MA à début tardif et l'ApoE, en mettant l'emphase sur les observations moléculaires, neuropathologiques, génétiques et neuroradiologiques et souligne les controverses actuelles qui ne sont pas encore résolues.

Type
Review Article
Copyright
Copyright © The Canadian Journal of Neurological 1999

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