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  Vol. 55 No. 7, July 1998 TABLE OF CONTENTS
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Apolipoprotein E Genotype and Deposits of A{beta}40 and A{beta}42 in Alzheimer Disease

Megan J. McNamara, BS; Teresa Gomez-Isla, MD, PhD; Bradley T. Hyman, MD, PhD

Arch Neurol. 1998;55:1001-1004.

Objective  To examine the differential deposition of amyloid {beta} (A{beta}) peptide isoforms A{beta}40 and A{beta}42 in the Alzheimer disease (AD) brain in relation to the apolipoprotein E (APOE) genotype.

Background  The APOE {epsilon}4 genotype is an inherited risk factor for AD and is associated with increased deposition of A{beta} protein in the cerebral cortex. Previous data from familial AD due to mutations in presenilin 1 and presenilin 2 genes and the amyloid precursor protein suggest that the long form of A{beta} peptide, A{beta}42, is selectively increased in these circumstances. Herein, we examine whether APOE genotype influenced the species of A{beta} peptide deposited.

Design and Methods  The amount of A{beta}40, A{beta}42, and total A{beta} deposited in immunostained temporal lobe tissue of 28 cases of AD of known APOE genotype was determined.

Results  Individuals with the APOE {epsilon}4 genotype (APOE {epsilon}4/4) were associated with both increased A{beta}40 (P<.05) and A{beta}42 (P<.05) compared with individuals without the APOE {epsilon}4/4 genotype.

Conclusion  Our results differ from the data from AD due to mutations in presenilin 1 and presenilin 2 genes and the amyloid precursor protein and suggest that the APOE {epsilon}4 genotype mediates increased A{beta} deposition by a mechanism that differs from that found in other genetic causes of AD.


From the Departments of Neurology, Massachusetts General Hospital, Boston (Ms McNamara and Dr Hyman) and the University of Minnesota, Minneapolis (Dr Gomez-Isla).



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