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Outline the genetic association of Apolipoprotein E with Alzheimer’s Disease (AD) and describe its function in the brain. What is the likelihood that the patient will develop early onset AD (before 60 years of age
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APOE and Alzheimer’s Disease
layout
component details
components
APOE Function
Alleles
Risk Association
Mechanism in AD
Early-Onset AD
Likelihood of Early-Onset
Testing Implication
APOE Function
Lipid transport, neuronal repair in CNS
Alleles
ε2 (protective), ε3 (neutral), ε4 (risk)
Risk Association
ε4/ε4 → 10–15× risk; ε3/ε4 → 2–3× risk
Mechanism in AD
Promotes amyloid-beta aggregation and reduced clearance
Early-Onset AD
Usually caused by mutations in APP, PSEN1, or PSEN2—not APOE
Likelihood of Early-Onset
Low, unless rare high-penetrance mutations are present
Testing Implication
APOE genotyping gives risk insight, not diagnos