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Human Molecular Genetics, Vol 5, 985-988, Copyright © 1996 by Oxford University Press


ARTICLES

Alzheimer's disease associated with mutations in presenilin 2 is rare and variably penetrant

R Sherrington, S Froelich, S Sorbi, D Campion, H Chi, EA Rogaeva, G Levesque, EI Rogaev, C Lin, Y Liang, M Ikeda, L Mar, A Brice, Y Agid, ME Percy, F Clerget- Darpoux, S Piacentini, G Marcon, B Nacmias, L Amaducci, T Frebourg, L Lannfelt, JM Rommens and PH St George-Hyslop
Department of Medicine, University of Toronto, Ontario, Canada.

Missense mutations in the presenilin 2 (PS-2) gene on chromosome 1 were sought by direct nucleotide sequence analysis of the open reading frame of 60 pedigrees with familial Alzheimer's disease (FAD). In the majority of these pedigrees, PS-1 and beta-amyloid precursor protein (beta APP) gene mutations had been excluded. While no additional PS-2 pathogenic mutations were detected, four silent nucleotide substitutions and alternative splicing of nucleotides 1338-1340 (Glu325) were observed. Analysis of additional members of a pedigree known to segregate a Met239Val mutation in PS-2 revealed that the age of onset of symptoms is highly variable (range 45-88 years). This variability is not attributable to differences in ApoE genotypes. These results suggest (i) that, in contrast to mutations in PS-1, mutations in PS-2 are a relatively rare cause of FAD; (ii) that other genetic or environmental factor modify the AD phenotype associated with PS-2 mutations; and (iii) that still other FAD susceptibility genes remain to be identified.
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