An increase in the size of the amyloid β-peptide (Aβ42 versus Aβ40) may be a key factor in the pathogenesis of Alzheimer's disease. By altering the activities of enzymes involved in the metabolism of cholesterol and sphingomyelin, an increase in the Aβ42:Aβ40 ratio may cause dysfunction and death of neurons.
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Mattson, M., Cutler, R. & Jo, DG. Alzheimer peptides perturb lipid-regulating enzymes. Nat Cell Biol 7, 1045–1047 (2005). https://doi.org/10.1038/ncb1105-1045
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DOI: https://doi.org/10.1038/ncb1105-1045
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