Research on Alzheimer's Disease
What is Alzheimer’s Disease? Alzheimer’s disease affects primarily
the elderly. It causes profound memory loss. First short term or recent
memory fades and then eventually long term memory is also lost. Those having
the disease slowly forget not only current events, but also how to dress and
feed themselves. Eventually they do not recognize their loved ones and must
be cared for as one cares for a child.
Alzheimer’s disease is difficult to diagnose. Many medical disorders can
cause memory loss, including thyroid deficiency and overmedication. There is
no definitive treatment for this disease.
Why is Research Important? Understanding what causes this disease
will lead to identification of patients early before symptoms start. Then
intervention will be possible to prevent this disease.
Our research suggests that several genes that are mutated or changed may
be the cause of late-onset Alzheimer’s disease. In our DNA Bank of Texas
families we had a number of very large extended families that had 3-4 family
members affected. We found that several of these families had one mutated
gene while other families had another mutated gene.
What is the Next Step in this Research? We will use these extended
families to identify the mutated genes. Then we will screen our pool of
Alzheimer’s patients who enrolled into the DNA Bank for these mutations.
Controls will be unaffected spouses. This will tell us the significance of
these mutations for late-onset Alzheimer’s disease.
What is New About our Findings? In the past it has been questioned
whether there is a genetic link for late-onset Alzheimer’s disease. Our
studies prove that mutated genes may cause late-onset Alzheimer’s disease.
What is the Significance of these Findings? We believe that
late-onset Alzheimer’s disease is a complex disease. It is likely that
multiple genes will be involved, either as risk factors or as causative
agents. Different forms of the disease may be caused by different mutated
genes. For example, patients with behavioral problems may have a mutated
gene on chromosome 12 while patients with problems in walking or initiating
movements (parkinsonism) may have a mutated gene on chromosome 3.
Why is this Important? We believe that different groups of
Alzheimer’s patients (e.g., those with behavioral problems, those with
parkinsonism, etc) may have disparate responses to the various drugs that
are coming on the market. One group of Alzheimer’s patients may be helped by
the drug while another group may not be helped. Medical treatment must be
designed to meet individual needs. Pharmacogenomics will help families by
customizing medications for their loved ones without the expense of paying
for inappropriate medicines.
Statistics on Alzheimer’s Disease: In 1993 there were 4 million
people with Alzheimer’s disease in this country. The cost for care in 1991
was $6 billion dollars. It has been estimated that if a person lives to be
65 years old, that person has a 5% risk of developing Alzheimer’s disease.
However, if that person lives to be 85 years old, he/she has a 50% risk of
developing the disease. That number will surely escalate as our baby boomers
retire. This disease knows no boundaries. It affects rich and poor alike,
all races, all religions, both sexes. It is only through research that we
will find the cause of this devastating disease and ultimately its
prevention.
|