resulting in dementia and memory loss that occurs in 10% of the US population older than 65. In the 1990s, several researchers showed evidence that the allele of a cholesterol precursor gene, APO E4, increased risk of developing the disorder compared to APO E2 or APO E3. This was especially pronounced if patients carried two alleles of APO E4. However, not all people with APO E4 develop the disorder and some without it will present with Alzheimer's nevertheless. This suggests other genes influence development of the disease. Current research has elucidated dozens of genes that interact with APO E4 pathways in hundreds of ways. As many as 27 of the interactions are epistatic, with some as dominant epistasis and some as recessive epistasis. In addition, some of the gene candidates for non-APO E4 Alzheimer’s have other relationships such as dominant, codominant

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Alzheimer’s is a progressive neurological disorder resulting in dementia and memory loss that occurs in 10% of the US population older than 65. In the 1990s, several researchers showed evidence that the allele of a cholesterol precursor gene, APO E4increased risk of developing the disorder compared to APO E2 or APO E3. This was especially pronounced if patients carried two alleles of APO E4. However, not all people with APO E4 develop the disorder and some without it will present with Alzheimer's nevertheless. This suggests other genes influence development of the disease. Current research has elucidated dozens of genes that interact with APO E4 pathways in hundreds of ways. As many as 27 of the interactions are epistatic, with some as dominant epistasis and some as recessive epistasis. In addition, some of the gene candidates for non-APO E4 Alzheimer’s have other relationships such as dominantcodominant or incomplete dominant. No reliable cure currently exists for Alzheimer’s although some treatments may slow progression of the disease. A recent medication that was rushed through approval for Alzheimer's, aducanumab, was released last year, but whether or not is has any effect is doubtful in trials that have been completed so far.

 

1) 

Yakim develops both short and long-term memory loss at age 75. His granddaughter, Ysraelina, brings him to a geriatric physician for a check-up. The physician diagnoses him with Alzheimer’s. What is the next most likely step the physician will take?
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a
Suggest the family attend counseling sessions to understand the disorder.
b
Sequence his DNA to determine if he has one or two alleles of APO E2.
c
Sequence Ysraeli’s DNA to determine if she has one or two alleles of APO E3.
d
Quarantine him from the rest of his family so they cannot catch this contagious disorder.
 
2) 
Ysraelina asks the physician how likely it is she will develop her grandfather’s disorder in old age if neither of her parents nor her siblings have Alzheimer’s. His response is?
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a
A low likelihood.
b
A high likelihood.
c
Since it is clear that Yakim’s condition must be caused by APO E4, a very high likelihood.
d
It is as impossibility for her to develop the disorder.
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