Cited by 28Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

Genes, pathways and risk prediction in Alzheimer’s disease

Open access
Hardy, John, Escott-Price, Valentina·2019·Human Molecular Genetics

Abstract

The failure of recent clinical trials in Alzheimer's disease has highlighted the need for the development of a more complete understanding of the pathogenesis of the disorder and also a belief that therapies may only work if given very early in the disease process before overt symptoms occur. The rare, early onset forms of the disease are all caused by mutations which make amyloid deposition a more likely event. Here we discuss the recent data showing that, in contrast, much of the risk of late onset disease is encoded by loci involved in lipid metabolism and/or encoded by microglia. We discuss these finding and suggest that amyloid induced membrane damage may be a key factor in disease and also review the evidence that genome wide genetic analysis can substantially help in the prediction of those individuals at high risk of disease in the general population.

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Crossref · 10.1093/hmg/ddz163

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57 of 57 references verified0 citation errors · 0 not checkable

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Authors
Hardy, J., & Escott-Price, V.
Affiliations
  • UK Dementia Research Institute (GB)
  • Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences and Dementia Research Institute, Cardiff University, Cardiff, UK
Corresponding author
Hardy, John
Venue
Human Molecular Genetics
Published
2019-09-30
Volume
28
Issue
R2
Pages
R235-R240
ISSN
  • 0964-6906 (ISSN-L)
  • 1460-2083
OpenAlex
W2963956782
Cited by
27
References
59
Citations by year
2025: 1 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 8 · 2020: 2
FWCI
0.47
Type
journal article
Language
en
Open access
Locations
  • Human Molecular Genetics (publishedVersion)
  • PubMed (publishedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
Funders
UK Dementia Research Institute
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
Alzheimer's disease, late-onset Alzheimer's disease, genetic risk prediction, lipid metabolism genes, microglia, amyloid deposition, genome-wide association study, pathogenesis, genetic susceptibility loci
MeSH terms
Alzheimer Disease, Apolipoproteins E, Brain, Epistasis, Genetic, Humans, Risk Factors, Amyloid beta-Peptides, Genetic Predisposition to Disease, White People, Lipid Metabolism, Presenilin-1, Presenilin-2, Genome-Wide Association Study

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