In search of genetic risk factors of sporadic cerebral amyloid angiopa
thy (CAA), we investigated the association of a polymorphism in the si
gnal peptide sequence of alpha 1-antichymotrypsin (ACT) with the sever
ity of CAA in 155 autopsy cases of the elderly, including 48 patients
with Alzheimer's disease. In the total cases, there was no significant
association of the ACT genotypes (AA, AT, and TT) with the severity o
f CAA. Within the Alzheimer's disease group, however, a significant co
rrelation was found between the ACT A allele frequency and the severit
y of CAA.