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How Alzheimer’s Risk Starts Decades Before Symptoms

Researchers found that the APOE4 gene variant causes neurons to overproduce the Nell2 protein, leading to neuron shrinkage and hyperactivity decades before Alzheimer's symptoms appear.

Jyotismita Choudhury - - 2 min read
How Alzheimer’s Risk Starts Decades Before Symptoms
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In This Story

Researchers at the Gladstone Institutes have discovered how the APOE4 gene variant—carried by 25% of people and linked to up to 75% of Alzheimer’s cases—damages memory circuits long before symptoms appear.


The Discovery

  1. Protein Overproduction: APOE4 causes neurons to overproduce a protein called Nell2.
  2. Shrinkage & Hyperactivity: High Nell2 levels shrink neurons, making them overly sensitive and hyperactive. Young mice with high early hyperactivity went on to develop the worst memory loss.
  3. Neuron-Driven: The damage originates inside neurons themselves, not in supporting brain cells as previously thought.


Reversing the Damage

Using gene-silencing (CRISPRi) to lower Nell2 in adult mice restored neurons to their normal size and stabilized brain cell firing. This suggests early damage from APOE4 isn't permanent, offering a promising new target for early treatment before cognitive decline sets in.


Source: Science Daily

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