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Genetics

See also Mitochondrial Dysfunction


More Evidence That Alzheimer's Disease May Be Inherited from Your Mother


ScienceDaily (Feb. 28, 2011) — Results from a new study contribute to growing evidence that if one of your parents has Alzheimer's disease, the chances of inheriting it from your mother are higher than from your father. The study is published in the March 1, 2011, print issue of Neurology®, the medical journal of the American Academy of Neurology... The researchers found that people with a mother who had Alzheimer's disease had twice as much gray matter shrinkage as the groups who had a father or no parent with Alzheimer's disease. In addition, those who had a mother with Alzheimer's disease had about one and a half times more whole brain shrinkage per year compared to those who had a father with the disease. Shrinking of the brain, or brain atrophy, occurs in Alzheimer's disease...
http://www.sciencedaily.com/releases/2011/02/110228163026.htm

Cell loss was especially pronounced in two areas of the brain: the left precuneus (which plays a role in episodic memory, among other functions) and the left parahippocampas gyrus (which is involved in encoding and retrieving memories).

Other regions that took a hit were "the anterior cingulate, the bilateral middle temporal gyrus, the right hippocampus, right precuneus and posterior cingulate," according to a study in the March 1 edition of the journal Neurology.


Progressive regional atrophy in normal adults with a maternal history of Alzheimer disease.
Neurology. 2011 Mar 1;76(9):822-9.
Honea RA, Swerdlow RH, Vidoni ED, Burns JM.

Department of Neurology, University of Kansas School of Medicine, 2100 West 36th Ave., Suite 110, Kansas City, KS 66160 rhonea@kumc.edu.
Abstract

OBJECTIVE: Beyond age, having a family history is the most significant risk factor for Alzheimer disease (AD). This longitudinal brain imaging study examines whether there are differential patterns of regional gray matter atrophy in cognitively healthy elderly subjects with (FH+) and without (FH-) a family history of late-onset AD.

METHODS: As part of the KU Brain Aging Project, cognitively intact individuals with a maternal history (FHm, n = 11), paternal history (FHp, n = 10), or no parental history of AD (FH-, n = 32) similar in age, gender, education, and Mini-Mental State Examination (MMSE) score received MRI at baseline and 2-year follow-up. A custom voxel-based morphometry processing stream was used to examine regional differences in atrophy between FH groups, controlling for age, gender, and APOE ε4 (APOE4) status. We also analyzed APOE4-related atrophy.

RESULTS: Cognitively normal FH+ individuals had significantly increased whole-brain gray matter atrophy and CSF expansion compared to FH-. When FH+ groups were split, only FHm was associated with longitudinal measures of brain change. Moreover, our voxel-based analysis revealed that FHm subjects had significantly greater atrophy in the precuneus and parahippocampus/hippocampus regions compared to FH- and FHp subjects, independent of APOE4 status, gender, and age. Individuals with an ε4 allele had more regional atrophy in the frontal cortex compared to ε4 noncarriers.

CONCLUSIONS: We conclude that FHm individuals without dementia have progressive gray matter volume reductions in select AD-vulnerable brain regions, specifically the precuneus and parahippocampal gyrus. These data complement and extend reports of regional cerebral metabolic differences and increases in amyloid-β burden in FHm subjects, which may be related to a higher risk for developing AD.

PMID: 21357834 [PubMed]
http://www.ncbi.nlm.nih.gov/pubmed/21357834


If your mother has Alzheimer's, you are at greater risk: Study
By Karen Kaplan, Los Angeles Times March 1, 2011
http://www.canada.com/health/Study+your+mother+Alzheimer+greater+risk/4361784/story.html

Since we inherit the mitochondria exclusively from our mothers, not our fathers, the ideas associated with "mitochondrial dysfunction" seem more compelling.

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Updated: July 2, 2012
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