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Cited by 606

The DOI matches its Crossref record; 111 of the 111 references it cites were found in a registry or an index.

Risk factors for Alzheimer’s disease

Open access
A. Armstrong, Richard·2019·Folia Neuropathologica

Abstract

Early reviews identified over 20 risk factors associated with Alzheimer's disease (AD) including age, familial inheritance, exposure to aluminium, traumatic brain injury (TBI), and associated co-morbidities such as vascular disease and infection. In the light of recent evidence, this review reconsiders these risk factors, identifies those currently regarded as important, and discusses various hypotheses to explain how they may cause AD. Rare forms of early-onset familial AD (EO-FAD) are strongly linked to causal gene mutations, viz. mutations in amyloid precursor protein (APP) and presenilin (PSEN1/2) genes. By contrast, late-onset sporadic AD (LO-SAD) is a multifactorial disorder in which age-related changes, genetic risk factors, such as allelic variation in apolipoprotein E (Apo E) and many other genes, vascular disease, TBI and risk factors associated with diet, the immune system, mitochondrial function, metal exposure, and infection are all implicated. These risk factors may act collectively to cause AD pathology: 1) by promoting the liberation of oxygen free radicals with age, 2) via environmental stress acting on regulatory genes early and later in life ('dual hit' hypothesis), or 3) by increasing the cumulative 'allostatic load' on the body over a lifetime. As a consequence, life-style changes which reduce the impact of these factors may be necessary to lower the risk of AD.

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Metadata

Authors
A. Armstrong, R.
Venue
Folia Neuropathologica
Published
2019
Volume
57
Issue
2
Pages
87-105
ISSN
  • 1509-572X (ISSN-L)
  • 1641-4640
OpenAlex
W1804731458
Cited by
606
References
111
FWCI
29.72
Type
journal article
Language
en
Open access
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A. Armstrong, R. (2019). Risk factors for Alzheimer’s disease. Folia Neuropathologica. https://doi.org/10.5114/fn.2019.85929

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