APOE genotype influences the age at onset of some neurodegenerative disease
s such as AD and the rate of progression in others such as MS. The authors
hypothesize that APOE genotype ubiquitously determines the efficacy of neur
onal maintenance and repair in these diseases and that the seemingly diverg
ent clinical effects are due to the stage of disease at which the diagnosis
is made. Early diagnosis facilitates the measurement of effects on disease
progression rate, whereas late diagnosis results in a marked effect of APO
E genotype on disease onset.