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Health
See other Health Articles

Title: U.S. researchers discover gender-based differences in Alzheimer's disease
Source: [None]
URL Source: http://news.xinhuanet.com/english/health/2012-11/27/c_132001755.htm
Published: Nov 27, 2012
Author: staff
Post Date: 2012-11-27 04:05:31 by Tatarewicz
Keywords: None
Views: 77
Comments: 3

WASHINGTON, Nov. 26 (Xinhua) -- All patients with Alzheimer's disease (AD) lose brain cells, which leads to a shrinking or atrophy of the brain. But the pattern of gray matter loss is significantly different in men from that in women, according to a study released Monday.

In the study presented at the annual meeting of the Radiological Society of North America, Maria Spampinato of Medical University of South Carolina and colleagues analyzed data on 109 patients, including 60 men and 49 women (mean age 77), who participated in a major study that followed hundreds of cognitively healthy individuals and individuals with mild cognitive impairment (MCI) and AD over a period of five years.

During the five-year period, each of the 109 patients progressed from amnestic MCI (in which the patient suffers memory loss but maintains cognitive function) to AD.

Using MR images of the patients' brains taken when they were diagnosed with AD and 12 months before and after the diagnosis, the researchers created brain maps that illustrated gray matter changes.

The brain maps revealed that compared to male patients, women had greater atrophy in gray matter 12 months prior to their AD diagnosis and at the time of their diagnosis.

The brain maps also showed that the men and women in the study lost gray matter volume in different areas of the brain as their disease progressed from MCI to AD.

"The female patients in our study initially had more gray matter atrophy than the male patients but over time, the men caught up," Spampinato said. "In the men, the disease developed more aggressively in a shorter period of time."

Spampinato said these differences should be taken into consideration when testing new drugs in clinical trials.

According to the Alzheimer's Association, 5.4 million Americans have AD, the sixth-leading cause of death in the United States.

Currently, there is no cure for AD, which lends urgency to research efforts designed to better understand, diagnose and treat this devastating illness.

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#1. To: Tatarewicz (#0)

It should be kept in mind that, to this date, the vast majority of women Alzheimer patients are from generations where the wife did most or all of the housework and cooking even if she also had a job. A life built on such (mostly mindless) chores would essentially require a more devastating severity of Alzheimers (more severe than in men) to be recognized and diagnosed in women.

Shoonra  posted on  2012-11-27   10:40:46 ET  Reply   Untrace   Trace   Private Reply  


#2. To: Shoonra (#1)

A life built on such (mostly mindless) chores would essentially require a more devastating severity of Alzheimers (more severe than in men) to be recognized and diagnosed in women.

The study indicated that tho these women had more brain atrophy, men actually suffered greater cognitive impairment. Are you saying that it doesn't matter how mindless a life one leads, women are protected in some way from severe forms of cognitive impairment?

scrapper2  posted on  2012-11-27   11:08:38 ET  Reply   Untrace   Trace   Private Reply  


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#3. To: scrapper2 (#2)

Women-only gene link to dementia

Dementia is more common in women Scientists have found a genetic risk factor for late onset Alzheimer's disease which is carried only by women. The discovery is the first evidence to suggest that genetics may partly explain why more women than men tend to develop the disease. The key variant was found in a gene on the X chromosome, of which females have two copies, but males only one. The study, by the US-based Mayo Clinic College of Medicine, features in the journal Nature Genetics.

The cause of Alzheimer's is unknown, but it is likely that a mixture of environmental and genetic factors is involved Rebecca Wood Alzheimer's Research Trust The Mayo team carried out a detailed genetic analysis of patients with Alzheimer's disease. They identified a particular variant of a gene called PCDH11X which appeared to be closely linked to a higher risk of the disease. However, further analysis showed that the association was almost entirely restricted to women. The raised risk of Alzheimer's was not statistically significant in men who carried one copy of the rogue gene variant, and only marginally so in women with just one copy. But the raised risk was much more significant in women who carried two copies - one inherited from each parent. Cell communication PCDH11X controls production of a protein called a protocadherin, part of a family of molecules that help cells in the central nervous system to communicate with each other. Some evidence has suggested that protocadherins may be broken down by an enzyme which has been linked to some forms of Alzheimer's disease. Lead researcher Dr Steven Younkin said it was likely that many genes contributed to the overall risk of Alzheimer's, and that age was probably a more significant factor. He said: "It is exciting to find a new gene for Alzheimer's, particularly the first that has a gender-specific effect, but we have a lot more work to do to resolve the complex genetics of the disease." Rebecca Wood, of the Alzheimer's Research Trust, described the research as "important". She said: "Finding genes associated with Alzheimer's will tell researchers about the biology of the disease, which could lead to new treatments being developed. "At present, the cause of Alzheimer's is unknown, but it is likely that a mixture of environmental and genetic factors is involved. "Two thirds of people with dementia are women, but this is partly because women live longer and risk of developing dementia increases with age." Neil Hunt, of the Alzheimer's Society, said research by his organisation showed that twice as many women than men over 65 have dementia. "It is likely that a combination of factors cause Alzheimer's disease. Genetics play a part, but whilst dementia isn't a natural part of ageing, age is the biggest risk factor." It is estimated that 700,000 people in the UK have dementia.

Ada  posted on  2012-11-27 18:47:17 ET  Reply   Untrace   Trace   Private Reply  


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