Biochemical and genetic investigations have identified four key proteins, m
utations in which either cause Alzheimer disease (AD) (beta-amyloid precurs
or protein, presenilin 1 and 2) or confer a higher risk of developing AD (a
polipoprotein E). This paper discusses the biochemical evidence that links
each protein to AD, various animal and cell models that have been used in t
hese investigations, and the putative interactions between these proteins t
hat lead to AD. Areas that are especially fertile for novel research are no
ted as are gaps in our present understanding of the etiology of AD.