2001
DOI: 10.1002/ana.1009
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Novel amyloid precursor protein mutation in an Iowa family with dementia and severe cerebral amyloid angiopathy

Abstract: Several mutations in the amyloid precursor protein (APP) gene have been found to associate with pathologic deposition of the beta-amyloid peptide (Abeta) in neuritic plaques or in the walls of cerebral vessels. We report a mutation at a novel site in APP in a three-generation Iowa family with autosomal dominant dementia beginning in the sixth or seventh decade of life. The proband and an affected brother had progressive aphasic dementia, leukoencephalopathy, and occipital calcifications. Neuropathological exam… Show more

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Cited by 492 publications
(509 citation statements)
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“…We found the amyloid ␤A4 protein and cell-surface receptor, mutations of which are related to Alzheimer (22), dementia, and severe cerebral amyloid angiopathy (23). Other disease-related proteins found comprise defender against cell death 1 protein and programmed cell death 6 interacting protein that are involved in apoptosis.…”
Section: Identification Of Channel Proteins and Other Brain Diseaserementioning
confidence: 90%
“…We found the amyloid ␤A4 protein and cell-surface receptor, mutations of which are related to Alzheimer (22), dementia, and severe cerebral amyloid angiopathy (23). Other disease-related proteins found comprise defender against cell death 1 protein and programmed cell death 6 interacting protein that are involved in apoptosis.…”
Section: Identification Of Channel Proteins and Other Brain Diseaserementioning
confidence: 90%
“…This viewpoint is supported by the two hereditary disorders FBD and FDD (collectively known as chromosome 13 dementias) and by the Iowa variant of familial AD associated with the deposition of the mutant A␤D23N (63). Despite the structural differences among ABri, ADan, and A␤, the absence or limited number of compact plaques and extensive neurofibrillar degeneration with tangles identical to those found in Alzheimer brains are main features of these disorders.…”
Section: Discussionmentioning
confidence: 99%
“…This smaller region may also be important in initiating aggregation, as suggested by aggregation studies of myriad mutation forms. For example, Flemish (A21G) (61), Arctic (E22G) (62), Dutch (E22Q) (61,63), Iowa (D23N) (64), and others (65) exhibit different aggregation behavior compared with the wild-type Aβ 42 , supporting that the middle region of Aβ is important in the aggregation process. The C terminus (residues 36-42) aggregates second, confirming that it plays a smaller but still important role in aggregation (49).…”
Section: Application Of Finke-watzky Modeling and Statistical Evaluatmentioning
confidence: 99%