Cited by 115Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchIntracerebral and Subarachnoid Hemorrhage Research

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Clinical and Neuropathological Features of the Arctic APP Gene Mutation Causing Early-Onset Alzheimer Disease

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Abstract

BACKGROUND: A majority of mutations within the beta-amyloid region of the amyloid precursor protein (APP) gene cause inherited forms of intracerebral hemorrhage. Most of these mutations may also cause cognitive impairment, but the Arctic APP mutation is the only known intra-beta-amyloid mutation to date causing the more typical clinical picture of Alzheimer disease. OBJECTIVE: To describe features of 1 Swedish and 1 American family with the previously reported Arctic APP mutation. DESIGN, SETTING, AND PARTICIPANTS: Affected and nonaffected carriers of the Arctic APP mutation from the Swedish and American families were investigated clinically. In addition, 1 brain from each family was investigated neuropathologically. RESULTS: The clinical picture, with age at disease onset in the sixth to seventh decade of life and dysfunction in multiple cognitive areas, is indicative of Alzheimer disease and similar to the phenotype for other Alzheimer disease APP mutations. Several affected mutation carriers displayed general brain atrophy and reduced blood flow of the parietal lobe as demonstrated by magnetic resonance imaging and single-photon emission computed tomography. One Swedish case and 1 American case with the Arctic APP mutation came to autopsy, and both showed no signs of hemorrhage but revealed severe congophilic angiopathy, region-specific neurofibrillary tangle pathological findings, and abundant amyloid plaques. Intriguingly, most plaques from both of these cases had a characteristic ringlike character. CONCLUSIONS: Overall, our findings corroborate that the Arctic APP mutation causes a clinical and neuropathological picture compatible with Alzheimer disease.

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  1. [20]Wechsler D. Wechsler Adult Intelligence Scale – Revised: Manual. New York: Psychological Corporation; 1981. [Google Scholar]
  2. [21]Lezak M. Neuropsychological Assessment. 3rd. New York: Oxford University Press; 1995. [Google Scholar]

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Metadata

Authors
Basun, H., Bogdanovic, N., Ingelsson, M., Almkvist, O., Näslund, J., Axelman, K., Bird, T. D., Nochlin, D., Schellenberg, G. D., Wahlund, L.-O., & Lannfelt, L.
Affiliations
  • Karolinska Institutet (SE)
  • Uppsala University (SE)
  • Stockholm University (SE)
  • University of Washington (US)
Venue
Archives of Neurology
Published
2008-04-01
Volume
65
Issue
4
Pages
499
ISSN
0003-9942 (ISSN-L)
OpenAlex
W2126866809
Cited by
115
References
26
Citations by year
2026: 3 · 2025: 6 · 2024: 8 · 2023: 5 · 2022: 6 · 2021: 9 · 2020: 6 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 3 · 2015: 4 · 2014: 10 · 2013: 6 · 2012: 10
FWCI
5.88
Type
journal article
Language
en
Open access
Locations
  • Archives of Neurology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (P50AG005136)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Clinical Neurology › Intracerebral and Subarachnoid Hemorrhage Research
Keywords
amyloid precursor protein, early-onset Alzheimer's disease, familial Alzheimer's disease, intracerebral hemorrhage, cognitive impairment, brain atrophy, cerebral amyloid angiopathy, neurofibrillary tangles, amyloid plaques, neuropathology
MeSH terms
Age Factors, Aged, Alzheimer Disease, Atrophy, Brain, Child, Electroencephalography, Female, Genotype, Genetic Carrier Screening, Humans, Magnetic Resonance Imaging, Middle Aged, Neurologic Examination, Neuropsychological Tests, Parietal Lobe, Pedigree, Phenotype, Receptors, Cell Surface, Regional Blood Flow, Sweden, United States, Tomography, Emission-Computed, Single-Photon, Amyloid beta-Protein Precursor, Age of Onset, Plaque, Amyloid, Protease Nexins

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