Is Alzheimer’s Genetic?

Medically Reviewed by Christopher Melinosky, MD on August 23, 2022
3 min read

No one knows the exact cause of Alzheimer's disease, but scientists do know that genes are involved. For many years, researchers have looked for specific genes that affect how likely you are to get Alzheimer's disease. There have been some intriguing clues, but more research will help doctors fully understand the genetic links in the disease.

Genes are the basic building blocks that direct almost every aspect of how you’re built and how you work. They’re the blueprint that tells your body what color your eyes should be or if you’re likely to get some kinds of diseases.

You get your genes from your parents. They come grouped in long strands of DNA called chromosomes. Every healthy person is born with 46 chromosomes in 23 pairs. Usually, you get one chromosome in each pair from each parent.

Scientists have found evidence of a link between Alzheimer's disease and genes on four chromosomes, labeled as 1, 14, 19, and 21.

One connection lies between a gene on chromosome 19, called the APOE gene, and late-onset Alzheimer's. That’s the most common form of the disease that affects people over age 65. Dozens of studies around the world have shown that when a person has one type of the APOE gene, called APOE4, it raises their odds of getting Alzheimer's at some point in their lives.

But the link isn’t completely clear-cut. Some people who have APOE4 don’t get Alzheimer’s. And others have the disease even though they don’t have APOE4 in their DNA. In other words, though the APOE gene clearly influences Alzheimer's risk, it’s not a consistent sign that someone will have the disease. Scientists need to learn more about the connection.

Alzheimer's disease strikes early and fairly often in some families -- often enough that experts single it out as a separate form of the disease. It’s called early-onset familial Alzheimer's disease.

By studying the DNA of these families, researchers have found that many of them have flaws in related genes on chromosomes 1 and 14. A few of the families share a difference in one gene on chromosome 21.

The chromosome 21 gene is an interesting Alzheimer's clue because of its role in Down syndrome. People with Down syndrome have an extra copy of chromosome 21. As they grow older, they often get Alzheimer’s symptoms, though at a younger age than others who get the disease. Their brain cells also show the same damage that happens to brains affected by Alzheimer’s. Scientists are still trying to fully understand the link between these two conditions.

Few researchers think that the search for Alzheimer's genes is over. But they also know genes aren’t the only cause of the disease. More research will show how DNA, lifestyle habits, and things in the environment play roles in making people more likely to get the condition.

A blood test can tell which APOE gene you have, but the results can’t predict whether you’ll get Alzheimer’s. Doctors use these tests mostly for research purposes. The test can tell them who has certain risk factors so they can watch for brain changes in case the disease develops.

Doctors don’t typically recommend genetic testing for late-onset Alzheimer’s because the results can be confusing and cause emotional distress. If you’re showing symptoms or have a family history, your doctor may recommend testing to help diagnose early-onset Alzheimer’s. Doctors can usually diagnose Alzheimer’s without a genetic test.

Researchers think there are probably many more genes that affect the risk of Alzheimer’s. Discovery of these genes will help doctors:

  • Understand the disease better and learn why it affects certain people in certain ways
  • Learn more about what increases your risk of getting it
  • Identify people who are at higher risk so they can home in on preventive care
  • Develop new treatments