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Synergistic Effects of Traumatic Head Injury and Apolipoprotein-E4 In Patients with Alzheimer's Disease
Neurol 45:555-557, Mayeux,R.,et al, 1995
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Article Abstract
The apolipoprotein-e4 allele increases the risk of Alzheimer's disease (AD),but cerebral deposition of b-amyloid with age,a genetic mutation,or head injury may contribute to the pathogenesis of this disease.We examined the risks of AD associated with traumatic head injury and apolipoprotein- e4 in 236 community-dwelling elderly persons.A 10-fold increase in the risk of AD was associated with both apolipoprotein-e4 and a history of traumatic head injury,compared with a two-fold increase in risk with apolipoprotein-e4 alone.Head injury in the absence of an apolipoprotein-e4 allele did not increase risk.These data imply that the biological effects of head injury may increase the risk of AD,but only through a synergistic relationship with apolipoprotein-e4.
 
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Alzheimer's disease
apolipoprotein E
dementia
head injury

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