Alzheimer Society of Ontario website
September 2009
Meet our researchers: Ekaterina Rogaeva
The possibilities for human genetic variation surpass 10 million, yet it’s Dr. Ekaterina Rogaeva’s job to track down the ones that boost our risk of Alzheimer’s disease.
“Our main task as geneticists is to ask, ‘Is it a guilty or innocent variation?’ says Dr. Rogaeva, a researcher with University of Toronto’s Centre for Research in Neurodegenerative Diseases. “Then we have to ask, ‘Is it enough to have the variation to cause Alzheimer’s disease, or does it act only in combination with other factors?’”

Ekaterina Rogaeva in her lab. (Photo by Steve McKinley)
Despite the mind-boggling challenge, Dr. Rogaeva was instrumental in figuring out that a mutated form of the gene SORL1 increases the risk of late-onset Alzheimer’s disease by 10 to 20 per cent.
SORL1 directs the traffic of amyloid precursor protein (APP) inside nerve cells of the brain.
When the gene is working properly, it diverts APP into certain areas of the cell. But in its mutated form, the gene tells APP to accumulate in a different region of the cell, where it degrades into abnormal protein fragments responsible for Alzheimer’s disease.
Dr. Rogaeva and her team sifted through 6,000 DNA samples to uncover the risk involved in carrying this particular variation of SORL1.
She also helped discover the mutated form of two presenilin genes – PS1 and PS2 – responsible for the most aggressive early-onset form of the disease.
While neither breakthrough has immediate implications for those suffering from Alzheimer’s disease, it will be meaningful to those at risk for the debilitating disease in the future.
“Once treatment is available – and I believe we will have treatment, there are so many people working on it – early diagnosis will be extremely important,” says Dr. Rogaeva.
That’s because most people are diagnosed only after the disease has progressed and many brain cells have already died. Once these cells are dead, there is nothing for the drug to treat.
Identifying genes that increase the risk of Alzheimer’s is also important in more direct ways. “It gives us another therapeutic target,” says Dr. Rogaeva. “Can we fix the gene? That work is going on in this centre right now.”
In the meantime, she continues to investigate other potential genetic links to neurodegenerative disease.
Dr. Rogaeva is currently working with researchers at Columbia University in New York to analyze complete genetic scans of 1,000 people to pinpoint more guilty variations. She is also investigating possible genetic links between Alzheimer’s disease and other neurodegenerative illnesses such as Parkinson’s disease and frontal temporal dementia.
“Thirty per cent of people with Parkinson’s disease end up having Alzheimer’s disease. Is there a common genetic factor, or is it just the way disease progresses as people lose brain cells?” she says, clearly eager to get to the bottom of it.
“It’s never boring. I love this job.”