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The ApoE4 allele is a genetic factor associated with an increased risk of developing late-onset Alzheimer disease. This allele is one of three forms of the apolipoprotein E gene, which plays a role in cholesterol transport and metabolism.12

In individuals with the ApoE4 allele, there is a tendency for increased deposition of amyloid beta-protein in the brain and a potential increase in neurofibrillary tangles, both of which are characteristic of Alzheimer disease. While the presence of ApoE4 does not guarantee the development of the disease, it is considered a significant risk factor.12

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