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July 14, 2006

Gene Gives Insight into Down Syndrome and Alzheimer's Disease

Many of the symptoms of both Alzheimer's disease (AD) and Down syndrome (DS) are caused by degeneration of cells in the brain called basal forebrain cholinergic neurons (BFCNs). A new study in mice shows that a gene tied to AD may be involved in the degeneration of these cells in both diseases. The finding points the way for new strategies to try to treat these conditions.

a healthy neuron  
A healthy neuron. Image courtesy of the Alzheimer's Disease Education and Referral Center, a service of NIH’s National Institute on Aging.  
DS is the most frequent genetic cause of mild to moderate mental retardation. It's usually caused by an error that results in a sperm or egg with an extra copy of chromosome 21. On that chromosome is the amyloid precursor protein gene (App), which is involved in AD. People with DS develop changes in brain structure like those seen in AD, including the loss of selected groups of neurons like BFCNs. A team of researchers led by Dr. William C. Mobley and Dr. Ahmad Salehi of Stanford University set out to investigate whether it was the higher effective "dose" of App that might lead to the symptoms of DS.

With support from three different NIH institutes and other funding sources, the researchers genetically engineered mice with additional third copies of about 140 mouse genes that are equivalent to the genes in a region of human chromosome 21 that's associated with DS. They created two other mouse strains without App for comparison: one with a partial set of about 100 of the 140 genes, and another with all of them except for App.

In the July 6, 2006, issue of Neuron, the team reports that a higher dose of App decreased the transport of a key molecule called nerve growth factor (NGF) that's important for the maintenance and survival of nerve cells in the brain. NGF is normally taken up by the cells and transported within, where it alters the expression of many genes.

The mice with the full set of extra genes had only 4% of the NGF transport levels of control mice. The mice with all of the extra genes except for App had NGF transport levels 56.2% that of the control mice, showing that the extra App gene significantly interferes with normal NGF transport. The mice with only the partial set of extra genes had levels higher than either, 70%, showing that extra App wasn't the only factor inhibiting NGF transport in the other mice. When the researchers looked at the BFCNs under the microscope, they saw significant degeneration in the mice with the extra App genes.

This study suggests that too much App, by inhibiting NGF transport and thus bringing about the degeneration of BFCNs, may be at least partially responsible for some symptoms in both DS and AD. The researchers found signs of how App might affect transport, opening opportunities for further investigation. In the future, strategies to counter higher doses of App may prove a successful way to treat these diseases.

Related Links:
Facts About Down Syndrome:
http://www.nichd.nih.gov/publications/pubs/downsyndrome/down.htm
Alzheimer's Disease:
http://health.nih.gov/result.asp?disease_id=28&terms=alzheimer's

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