Variations in a gene known as SORL1 may be one
cause for the development of the late onset Alzheimer's disease, according to a
new study supported in part by the U.S. National Institute of Health and published
in the Nature Genetics online on Jan. 14 2007.
Scientists said that faulty variations of the
SORL1 gene resulted in changes in the level of a protein that contribute to buildup
of amyloid plaques, a hallmark sign of Alzheimer's in the brains of people with
the disease.
In total, 29 variations of the gene
were identified that may cause the disease, but the researchers did not know
which variations are responsible for Alzheimer's.
In the study, Richard Mayeux of
Columbia
University
and colleagues from
Boston
University and the
University
of
Toronto in collaboration of 14
institutions in
North America analyzed genetic
variations in 6,000 individuals who donated blood samples.
"We do not fully understand
what causes Alzheimer's disease, but we know that genetic factors can play a
role," said Richard J. Hodes, M.D. director of
National Institute on Aging.
"Scientists have previously
identified three genes, variants of which can cause early onset Alzheimer's,
and one that increases risk for the late onset form. This discovery provides a
completely new genetic clue about the late onset forms of this very complex
disease. We are eager to investigate the role of this gene further," he
said.
The scientists believed that the processing
of amyloid precursor protein or APP into amyloid beta protein fragments that
make up plagues in the brain in the Alzheimer's patients.
Among the seven genes initially
searched that are involved in moving APP within cells, the scientists found that
many families with a history of Alzheimer’s disease had variations in the
SORL1, but not consistently in other six genes.
"We are seeing the gene
implicated in multiple data sets, across ethnic and racial groups,"
Lindsay Farrer, Ph.D., of
Boston
University, one of the
lead authors of the study. He adds that the group was "encouraged and
excited" by cell biology experiments that demonstrate SORL1's role in
production of beta amyloid fragments.
The researchers found that levels
of SORL1 protein in Alzheimer's disease was 50 percent lower than that found in
people who did not have the disease. Low levels of SORL1 protein resulted in
high production of amyloid beta fragments, which form plaques in the brains of
Alzheimer’s patients.
But they said other genetic and
non-genetic factors are likely to affect production of the SORL1 protein in people.
The finding does not seem to have
any immediate application in the prevention or treatment of Alzheimer's disease.
The researchers said more research is needed
to determine how different variations of the SORL1 gene influence production of
the harmful protein.
In the
U.S., about one in twelve people over
age 65 have Alzheimer's.
Incidence of the
disease has increased so much that it is being referred to as a "20th
Century disease," according to Wei Liu and Changzhen Gong of the
American
Academy of Acupuncture and Oriental
Medicine, who said in their article published on http://www.tcmpage.com/hpalzheimer.html
that genetics is just one of the factors for degenerative diseases like Alzheimer's.
They said risk factors also include
inadequate diets and environmental toxins such as aluminum, lead, and
pesticides, which can affect both the brain and the digestive system.
Young people who show symptoms of Alzheimer's
may have been affected by their unhealthy diets or environmental toxins.
According to Liu and Gong, refined
sugar, dairy products, wheat, deep fried, and high fat foods should be eliminated
in the diet to reduce the risk of Alzheimer's disease.
"A lot of foods are great for
our memories and reduce the risk of Alzheimer's, such as whole grains, soy
products, legumes, fish, brewer's yeast, millet, rice, wheat germ, nuts
(especially walnuts), black sesame seeds, pumpkin seeds, and sprouts. These
foods are rich in vitamin B, beneficial proteins and many other nutrients.
Also, make sure that you eat fruits and lightly-cooked vegetables every
day," they wrote in their article.
They also said both amino acids and
the B-complex of vitamins such as choline and B6 are important with the former
for building protein and the latter for increasing blood circulation, improving
memory and lowering cholesterol.
In addition, they suggested people
use foods and herbs that are friendly to the kidneys.
What benefits the kidneys are also
beneficial to the brain as both organs are related, according to the theory of
the traditional Chinese medicine by which Alzheimer's disease can be
explained.
These foods include
"black sesame seeds, kelp, shiitake and black ear mushrooms."
Beneficial herbs include He Shou Wu
(Fo Ti), rehmannia root, ginseng, hyperzia serrata root and ginkgo extract, Yi
Ye Chau (Securinega suffruticosa) and Fan Hong Hua (Crocus sativa), which may
also have a positive effect on Alzheimer's disease by promoting vasodilation
and blood flow.
They pointed out that the simple
way to minimize the risk of Alzheimer's or other similar diseases is to keep
physically and mentally active.