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This volume contains the proceedings of the 14th Colloque Médecine et Recherche of the Fondation Ipsen pour la Recherche Thérapeutique devoted to Alzheimer's Disease and dedicated to the epidemiological study of this dementia, a very important issue because the incidence and prevalence of Alzheimer's Disease rise exponentially with age. Epidemiological findings not only confirm dementia as a major challenge for the coming years but also contribute defining risk factors, predicting and may be preventing this disease.
This book describes the important role that epidemiologic methods play in the continuum from gene discovery to the development and application of genetic tests. It proceeds systematically from the fundamentals of genome technology and gene discovery, to epidemiologic approaches to gene characterization in the population, to the evaluation of genetic tests and their use in health services.
This book covers some of the most novel genetic and genomic concepts in epidemiology, such as geospatial statistics and systems biology from a clinical point of view by explaining molecular applications with accessible human studies. Featuring a comprehensive table of contents, it includes chapters from genomics and epidemiology surveillance to transcriptomics and alternative splicing principles. Across 17 well-organized chapters, this book meets attempt to explain easily to clinicians and students with basic principles of the genetics, genomics, molecular biology and its applications to epidemiology and public health. The text is distinct from other literature on the market because it covers useful genomic tools applied in epidemiology for clinicians who may not be experts in this branch of health science. Principles of Genetics and Molecular Epidemiology demystifies the idea that biomedicine is far from being applied in both epidemiology and clinical practice.
This volume contains the proceedings of the meeting Genetics and Alzheimer's Disease held in Paris, on March 25,1988, by the Fondation Ipsen pour la Recherche Therapeuti que. This meeting was the second of the series of Colloques Medecine et Recherche devoted to Alzheimer's disease. The first one was held in Angers (France) on September 14, 1987; the proceedings of this meeting have already been published and are entitled Immunology and Alzheimer's Disease (1988, edited by A Pouplard-Barthelaix, J Emile, and Y Christen). The third Colloque Medecine et Recherche, organized in Montpellier on Sep tember 19, 1988, dealt with neuronal grafting; the proceedings of this last meeting will be published in early 1989 (Neuronal Grafting and Alzheimer's Disease: Future Perspectives, edited by F Gage, A Privat and Y Christen). In each case, the Fondation Ipsen deliberately focuses attention on the most up-to-date themes, and sometimes the most controversial ones, from medical and scientific research. The genetic aspects of Alzheimer's Disease (AD) stands at the very forefront of research carried out in the last 2 years. It complements research using the formal approach, which has become possible thanks to the study of extended kindreds by J-F Foncin and other scientists. The recent work on molecular and genetics biology has followed two main pathways: 1. The study of the gene(s) responsible for the familial form(s), which can be considered the AD gene(s).
The continuing high incidence of dementia among the Chamorro people of Guam, and clinical and neuropathologic similarities of this disorder to Alzheimer's and Parkinson's disease is of great public health concern. A molecular epidemiology study was conducted to determine prevalence of dementia among a cohort of 75 Chamorro migrants residing in San Diego, California, in 1992-1995. Risk of disease and genetically mediated differences in susceptibility to environmental neurotoxins that may confer risk of dementia were also examined in this case-control study. The Chamorro cohort displayed a dramatically higher prevalence of dementia using the Cross Cultural Cognitive Examination (CCCE) when compared to U.S. and European estimates. The pattern of impairment observed is comparable to Parkinsonism and dementia seen on Guam, with 50% of those aged 70 and above showing significant cognitive impairment. Subjects with dementia displayed dissociation between odor identification and olfactory threshold scores, which is typical of early dementia. No CYP2D6 alleles or APOE genotypes previously associated with Parkinson's or Alzheimer's disease were found to be highly represented in the cohort, or in the dementia group in particular. The data suggest that molecular and cellular processes involved in Guam dementia may be different. A DNA specimen bank was created for future molecular-based studies. Age and education (protective) were significant predictions of dementia. Age and odor identification ability (protective) were predictions of impairment in visual memory. Although not reaching significance, there was a consistent pattern of higher risk of dementia in subjects exposed to cycad during ages 18-40. History of smoking was protective against dementia only in the presence of the a CYP2D6 mutation. The results of this research show the need to follow the migrant Chamorro population from Guam closely to see if dementia, manifested as Parkinsonism-dementia or Marianas dementia, will disappear as older cohorts die, and to maintain surveillance of neurologic disease in the first and second generation Chamorros residing in California. Research must continue before the time frame of opportunity vanishes.
The book Alzheimer's Disease - Epidemiology, Neuropathology, Neurochemistry, and Clinics is derived from an International Symposium on the occasion of the 125th Anniversary of the Birth of Alois Alzheimer (14.6.1864-19.12.1915). Over the past decade, as the elderly have become the fastest-growing segment of the population in industrialized countries, Alzheimer's disease has emerged as one of the major mental health problems. The contributors to this book represent internationally recognized authorities in the field of dementia and present new information about epidemiology, neuropathology, neurochemistry, and clinics in Alzheimer's disease. This book is a rich and valuable up-to-date resource for psychiatrists, neurologists, scientists working in the fields of neuropathology, neurochemistry and molecular genetics, behavioral scientists, family physicians and all who share an interest in understanding and treating the older individual with Alzheimer's disease/dementia.
Published in 1996: Alzheimer's disease is characterized by memory disturbances and changes in personality and is associated with aging, although it can occur in people under 65. It is a progressive disease, painful to witness as the patient's health declines. Alzheimer's Disease: Cause(s), Diagnosis, and Care, with its complete and authoritative discussions, will help you understand all facets of this complex disease. This book addresses a broad spectrum of topics ranging from diagnosis, causes, treatment, epidemiology, genetics, risk factors, and care and management. Alzheimer's Disease: Cause(s), Diagnosis, and Care is intended for a diverse audience, including practitioners and students, family members, and everyone who is concerned about this disease.
There is now considerable genetic evidence that the type 4 allele of the apolipoprotein E gene is a major susceptibility factor associated with late-onset Alzheimer's disease, the common form of the disease defined as starting after sixty years of age. The role of apolipoprotein E in normal brain metabolism and in the pathogenesis of Alzheimer's disease are new and exciting avenues of research. This book, written by the most outstanding scientists in this new filed, is the first presentation of results concerning the implications of apolipoprotein E on the genetics, cell biology, neuropathology, biochemistry, and therapeutic management of Alzheimer's disease.