[HN Gopher] Alzheimer's disease may be inherited more often than...
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       Alzheimer's disease may be inherited more often than previously
       known
        
       Author : ecolonsmak
       Score  : 20 points
       Date   : 2024-05-06 16:12 UTC (6 hours ago)
        
 (HTM) web link (www.cnn.com)
 (TXT) w3m dump (www.cnn.com)
        
       | chiefalchemist wrote:
       | I'll have to read it again but I didn't notice where they ruled
       | out environmental factors (read: epigenetics). The thing about
       | families is they share environments, diet, habits, other norms,
       | etc.
        
         | tupshin wrote:
         | They haven't ruled out epigenetics causes, but they are talking
         | about a very specific gene (APOE4) with an extremely strong
         | correlation with Alzheimer's when two copies of the gene are
         | present.
        
           | odyssey7 wrote:
           | Does everybody with two copies get Alzheimer's? If not, then
           | there _must_ be at least one additional ingredient  / cause.
        
             | tupshin wrote:
             | > Not only were people with two copies of the APOE4 gene
             | much more likely to develop the biological changes that
             | lead to Alzheimer's disease, similar to people with the
             | other genetic forms of the disease, they were almost
             | assured the diagnosis: Nearly 95% of the people in the
             | studies with two copies of the APOE4 gene had the biology
             | of Alzheimer's disease by the time they were 82 years old.
        
               | odyssey7 wrote:
               | What percentage of people have microplastics in their
               | body? Or have been previously infected by _common
               | childhood illness_? I'm not giving these as theories for
               | Alzheimer's etiology, but to show that some environmental
               | factors are ubiquitous.
               | 
               | Just because an environmental factor is ubiquitous---or
               | is ubiquitous within the frame of some sampling bias for
               | the study---doesn't mean we should conclude the cause
               | does not exist.
        
               | zybftjmvs wrote:
               | If a person is given an IV line, wouldn't friction
               | introduce micro plastics into their body?
        
               | mistersquid wrote:
               | > What percentage of people have microplastics in their
               | body? Or have been previously infected by common
               | childhood illness? I'm
               | 
               | Unless 95% of these populations also are assured an
               | Alzheimer's diagnosis by 82, your chosen confounding
               | statistics may have little bearing on how closely double
               | copies of the APOE4 gene is associated with Alzheimer's
               | diagnoses.
        
               | Thorentis wrote:
               | Their point is that if 100% (for the sake of argument) of
               | the population contains microplastics, and the
               | combination of that PLUS the two genes, equals
               | Alzheimers, then the microplastics was still a cause,
               | it's just that in reality, given the entire population
               | now has the first factor, the gene is what is appearing
               | as the sole contributing factor. But that doesn't mean we
               | can rule out other (albeit ubiquitous) environmental
               | factors as additional contributing (or perhaps even
               | required) causes.
        
         | m463 wrote:
         | Yeah if it is a prion disease, it might be transmitted.
        
           | subsubzero wrote:
           | I read a book called "Brain trust" last year about prion
           | diseases being the cause of massive increases in Alzheimers
           | cases. The idea was intriguing but one fact the author
           | mentioned was about how the US does not test meat in decent
           | intervals for CJD or other prion diseases, while Japan does.
           | The book was written in the early 2000's so alot of the stuff
           | that was posited can be checked today and that was one thing
           | that I did check, comparing Japans rate of Alzheimers to the
           | US and both countries are seeing the same huge uptick in
           | cases. So it seems like its a global issue and not really one
           | that is based in the US due to "potentially" infected meat.
           | 
           | On a side note I know alot of people(not related to me) that
           | are being affected with severe memory issues in their 60's
           | and 70's. A friends Dad is in a memory care facility and he
           | is in his mid 60's and was extremely fit(he was also a avid
           | hunter - unsure if this was a cause). My Wife's aunt's Mom
           | (not related by blood to her) has severe dementia and is in
           | her 70's and needs $7k a month constant memory care. A
           | friends mom has sundowners and every day her memory "erases",
           | my Friend was looking into memory care for her and was quoted
           | $13k a month for this. All these cases seem quite strange as
           | the individuals led normal lives and then just started
           | suffering these extreme memory/brain issues. I do not know
           | what is causing it but I think its alot more widespread than
           | people know.
        
         | icegreentea2 wrote:
         | I -think- this is a working shareable link
         | https://www.nature.com/articles/s41591-024-02931-w
        
       | Metacelsus wrote:
       | This isn't really anything new, the paper is just proposing APOE4
       | homozygous Alzheimer's as a special category.
        
         | alwillis wrote:
         | > This isn't really anything new
         | 
         | Not true.
         | 
         | As someone who's recently spoken to a genetic counselor about
         | this very issue, this is basically a 180 degree turn.
         | 
         |  _Now, researchers say APOE4 shouldn't just be recognized as a
         | risk factor, it should be viewed as an inherited form of the
         | disease, virtually assuring that a person who has two copies
         | will get the biological changes associated with Alzheimer's
         | disease in their brains._
        
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       (page generated 2024-05-06 23:01 UTC)