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GMJ News > GMJ Briefs > One in Four People Carry Genetic Alzheimer’s Risk Factor; New Enzyme Target Offers Relief

One in Four People Carry Genetic Alzheimer’s Risk Factor; New Enzyme Target Offers Relief

GMJ
Last updated: 03/07/2026 21:35
By
Prof. Giorgi Pkhakadze
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1 Min Read
Scientific illustration of brain inflammation pathways in Alzheimer's disease research
USC researchers have identified a new approach to combat Alzheimer's by targeting the cPLA2 enzyme that drives brain inflammation. The strategy may particularly benefit APOE4 gene carriers, who represent 25% of the global population. — "brain inflammation" by Oregon State University is licensed under CC BY-SA 2.0. To view a copy of this license, visit https://creativecommons.org/licenses/by-sa/2.0/. (CC BY-SA 2.0)
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1 min read|135 words

A striking 25 percent of the global population carries the APOE4 gene variant, making this genetic marker one of the most prevalent risk factors for late-onset Alzheimer’s disease. Regional analysis reveals even higher frequencies in Sub-Saharan Africa at 37 percent and the Middle East at 28 percent, underscoring the global health significance of APOE4-related disease vulnerability.

APOE4 carriers experience 2-3 fold increased Alzheimer’s risk compared to individuals with other APOE variants, largely through excessive neuroinflammation. New research from USC has identified cytosolic phospholipase A2 (cPLA2) as the specific enzyme driving this harmful inflammatory cascade. The development of selective cPLA2 inhibitors represents a major breakthrough, offering a targeted intervention that could reduce disease burden across millions of at-risk individuals worldwide. This precision approach addresses the biological mechanisms underlying APOE4-associated neurodegeneration.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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