2005
DOI: 10.1038/ng1718
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APP locus duplication causes autosomal dominant early-onset Alzheimer disease with cerebral amyloid angiopathy

Abstract: We report duplication of the APP locus on chromosome 21 in five families with autosomal dominant early-onset Alzheimer disease (ADEOAD) and cerebral amyloid angiopathy (CAA). Among these families, the duplicated segments had a minimal size ranging from 0.58 to 6.37 Mb. Brains from individuals with APP duplication showed abundant parenchymal and vascular deposits of amyloid-beta peptides. Duplication of the APP locus, resulting in accumulation of amyloid-beta peptides, causes ADEOAD with CAA.

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Cited by 1,061 publications
(773 citation statements)
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“…Finally, it is relevant that early onset FAD has been reported in six families carrying a duplication of one of their APP genes and that APP promoter mutations that increase expression are linked to increased AD risk [35,42,44]. Furthermore, women who have a Downs syndrome/ trisomy 21 child before the age of 35 are usually aneuploid for trisomy 21 themselves and have a five-fold increased risk of developing AD later in life [26,37,38].…”
Section: Discussionmentioning
confidence: 99%
“…Finally, it is relevant that early onset FAD has been reported in six families carrying a duplication of one of their APP genes and that APP promoter mutations that increase expression are linked to increased AD risk [35,42,44]. Furthermore, women who have a Downs syndrome/ trisomy 21 child before the age of 35 are usually aneuploid for trisomy 21 themselves and have a five-fold increased risk of developing AD later in life [26,37,38].…”
Section: Discussionmentioning
confidence: 99%
“…Following our national guidelines for AD genetic diagnosis in EOAD, we sequenced the entire coding region of PSEN1, PSEN2 and exons 16 and 17 of APP by Sanger method and searched for APP duplication by QMPSF as previously described 8 in patients with ADEOAD and in patients with sporadic AD with an age of onset before 51 years.…”
Section: Patients and Methods Patientsmentioning
confidence: 99%
“…15 In the Dutch population, duplication of the APP gene has been reported and was found to be associated with autosomal dominant early-onset AD and cerebral amyloid angiopathy. [14][15][16] It is interesting to note the association of the Alzheimer's with Down's syndrome that is due to trisomy 21. APP gene maps on the same chromosome so those with Down's syndrome have three copies of the gene and are more prone to Alzheimer's.…”
Section: Cnv and Neurological Disordersmentioning
confidence: 99%