Wasco W, Peppercorn J, Tanzi R E
Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Charlestown 02129.
Ann N Y Acad Sci. 1993 Sep 24;695:203-8. doi: 10.1111/j.1749-6632.1993.tb23053.x.
Inherited or Familial Alzheimer's Disease (FAD) has clearly been shown to be a genetically heterogeneous disorder. Mutations in the gene on chromosome 21 encoding the beta-amyloid protein precursor (APP) have been shown to be linked to 2-3% of FAD kindreds examined around the world. A late onset FAD locus has been mapped to a region of chromosome 19 in which a recently isolated APP-like gene, APLP1 has also been localized, making this gene a strong candidate to harbor a late-onset FAD defect. More recently, a major FAD locus has been mapped to the long arm of chromosome 14. The chromosome 14 locus appears to be mainly linked to the gene defect in early onset FAD pedigrees. Besides the FAD loci on chromosome 21, 19, and 14, at least two other loci must exist since the gene defect in some early- and late-onset FAD pedigrees do not appear to segregate with markers from any of these autosomes. As different gene defects responsible for various forms of FAD are discovered, perhaps, a common basis for the etiology of this devastating disorder can be discerned.
遗传性或家族性阿尔茨海默病(FAD)已被明确证明是一种基因异质性疾病。位于21号染色体上编码β-淀粉样蛋白前体(APP)的基因突变已被证明与全球范围内约2%-3%的FAD家族相关。一个晚发性FAD基因座已被定位到19号染色体的一个区域,最近分离出的一个类似APP的基因APLP1也定位于此,这使得该基因成为携带晚发性FAD缺陷的有力候选基因。最近,一个主要的FAD基因座已被定位到14号染色体的长臂上。14号染色体基因座似乎主要与早发性FAD家系中的基因缺陷相关。除了21号、19号和14号染色体上的FAD基因座外,至少还存在其他两个基因座,因为一些早发性和晚发性FAD家系中的基因缺陷似乎并不与这些常染色体上的任何标记物共分离。随着导致各种形式FAD的不同基因缺陷被发现,或许可以识别出这种毁灭性疾病病因的共同基础。