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Hannah's Heirs: The Quest for the Genetic Origins of Alzheimer's Disease
 
 
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Hannah's Heirs: The Quest for the Genetic Origins of Alzheimer's Disease [Paperback]

Daniel A. Pollen (Author)
3.0 out of 5 stars  See all reviews (2 customer reviews)

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Book Description

0195106520 978-0195106527 July 18, 1996 Exp Sub
The internationally acclaimed story of Hannah's Heirs now resumes in this updated paperback edition with the discovery in June, 1995 of Hannah's gene--now known to account for the majority of mutations causing early onset familial Alzheimer's disease--and the equally important identification of the major genetic risk factor rendering increased susceptibility to the more frequently occurring late-onset Alzheimer's. With these recent discoveries, medical science is now poised to reach for an understanding of the causes of the various forms of Alzheimer's disease which, in turn, will inevitably lead to rational attempts to treat and prevent Alzheimer's. This fascinating medical detective story of modern science's promising assault on "the disease of the century" continues to unfold with suspense and to inform and inspire through the final word.
In Hannah's Heirs, neurologist Dr. Dan Pollen himself tells the compelling story of Hannah's family and their monumental contributions to the fight against Alzheimer's. We are there in 1985 when Charles presents Pollen with three decades' worth of family medical records as well as data from studies that even Pollen and his associates did not then know existed. We see the selfless acts of Hannah's descendants in their struggle against Alzheimer's: great-grandson Jeff's conviction that after his death his brain be used for all possible research; great-granddaughter Lucy's decision to overcome her dread of flying in order to reach the research center for testing; and Charles's continued research in the face of a disease that might strike him at any moment.
Pollen sets this gripping story within the larger context of the efforts to solve the mysteries of Alzheimer's. He presents the foundations of modern genetic research, from Gregor Mendel's classic discovery of genes, to Alois Alzheimer's work on the brains of presenile dementia victims, to Watson and Crick's double helix model for the structure of DNA. He narrates the latter-twentieth-century efforts of scientists to systematically narrow down the causes of Alzheimer's: Carlton Gajdusek's research excluding slow viruses as a cause of Alzheimer's; and the stunning discovery of Peter St. George-Hyslop's group in Toronto in June, 1995 identifying Hannah's gene and thereby opening a new era in understanding the origins of Alzheimer's disease. At the same time, Pollen offers a penetrating look at the ongoing conflicts involved in scientific research, revealing how intense competition for prestige and funding has driven some scientists to hoard precious cell lines. These practices have impeded efforts to discover both the causes and the treatment of Alzheimer's in the shortest possible time.
As Hannah's great-grandson Ben has written, "This is a story that had to be told. Aspirations were transcendent, but because it involved people it could not be told without tears." Written by a physician-scientist who has been a central figure in the study of familial Alzheimer's, Hannah's Heirs is an inspiring portrait of the efforts of a courageous family to confront and overcome a "personal biological Holocaust," and an encouraging look at the advances in science that have created the basis for the eventual understanding and treatment of Alzheimer's disease. And for those who have seen the horrors of Alzheimer's, for all who fear the aging process that will take its toll on everyone, here is an inside look at one of the great medical detective stories of our time.

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Editorial Reviews

From Publishers Weekly

This account follows the subtle trail left by Alzheimer's in a woman's life and death--and well past it. In the late 1890s, Hannah, a Ukrainian woman, died with a then-unnamed disease of the brain which had caused premature senility by mid-life. In 1985, almost a century after her death, Pollen, a professor of neurology and physiology at the University of Massachusetts Medical Center, first came into contact with Jeff, one of Hannah's heirs. Only 51, Jeff too appeared to be in the early stages of Alzheimer's, the degenerative illness of the brain that damages memory and higher thought processes. Studying Jeff's family history, Pollen observed that the "information that would help molecular geneticists to find an abnormal gene that causes familial Alzheimer's disease was literally placed in my hands." And the author thus begins his tale of the pursuit of the genes responsible for this devastating illness. The foundation for the quest originates in Gregor Mendel's classic discovery of genes, in Alois Alzheimer's descriptions of the neurofibrillary tangles found in the brains of those with presenile dementia, and in Watson and Crick's model for the double-helix strands of DNA. While Pollen explains the larger context of the scientific search for the cause of the disease, he also underscores the frustrations of those families affected by its ravages. Pollen's portrait of Hannah and her family bestows a human dimension to his complex scientific detective story. Illustrations not seen by PW.
Copyright 1993 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

From Kirkus Reviews

High technology and human tragedy; luck and persistence; altruism and competition--they all come together in this absorbing tale of medical detection that spans decades and crosses continents. In 1985, Pollen (Neurology and Physiology/UMass Medical Center) examined an Alzheimer's patient who brought with him a multigenerational family tree representing the most extensive known pedigree of the disease. The records began with ``Hannah,'' an ancestor born in Byelorussia 150 years ago, and included data on dozens of her descendants, living and dead--information, Pollen immediately realized, of great significance to geneticists. Here, he recounts a two-fold tale--that of geneticists determined to find the abnormal gene that causes familial-based Alzheimer's, and of an afflicted family determined to help them. Science basics are provided in a brief look at the work of Gregor Mendel, the founder of genetic science, and of Alois Alzheimer, the 19th-century Bavarian physician who identified the dementia that bears his name. Occasionally, the technicalities of modern molecular genetics may slow the general reader down, but Pollen doesn't lose sight of the human story: In one chapter, he describes his own mother's descent into dementia. The author also explains that, despite the 1991 linking by British researchers of a mutation in a specific gene to one form of familial Alzheimer's, the key to the vast majority of cases remains to be found. Teams of researchers in England, Belgium, Canada, and the US are competing fiercely to be the first with new findings, prompting Pollen to question the roles of competition and cooperation in modern medical research. In spite of some difficult technical passages: an exciting story that reveals much about how science is done--and that says something affirmative about the human spirit as well. (Eleven illustrations--not seen). -- Copyright ©1993, Kirkus Associates, LP. All rights reserved. --This text refers to an out of print or unavailable edition of this title.

Product Details

  • Paperback: 336 pages
  • Publisher: Oxford University Press, USA; Exp Sub edition (July 18, 1996)
  • Language: English
  • ISBN-10: 0195106520
  • ISBN-13: 978-0195106527
  • Product Dimensions: 9.2 x 6.1 x 0.9 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 3.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Best Sellers Rank: #693,332 in Books (See Top 100 in Books)

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3 of 3 people found the following review helpful:
4.0 out of 5 stars Terryfying, But Fascinating, January 1, 2003
By 
C. Gaudiano (Houston, Texas United States) - See all my reviews
(REAL NAME)   
This review is from: Hannah's Heirs: The Quest for the Genetic Origins of Alzheimer's Disease (Paperback)
I consider this to be one of the scariest books I have ever read--terrifying becaust it is true. The people in this family are afflicted with an autosomal (not sex-linked) dominant gene for early-onset Alzheimer's Disease. I can imagine few things more nightmarish than growing up in a family in which you fear that you could start losing your mental faculties at age 42--as many of your relatives already have.

The scientific research and family genealogical history that made this book possible are fascinating to read about. This is a thoroughly riveting book.

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1 of 3 people found the following review helpful:
2.0 out of 5 stars Most disappointing, May 17, 2003
By 
J. Qidwai "wonderfishmedia" (Coralville, IA United States) - See all my reviews
(REAL NAME)   
This review is from: Hannah's Heirs: The Quest for the Genetic Origins of Alzheimer's Disease (Paperback)
The cover of this book gave me reason to expect that it would focus on the story of a family afflicted with Alzheimer's disease and the transmission of the disease through the generations. Instead, the majority of the book reads like a gigantic journal article. The author (a doctor) throws in a mere smattering of human interest here and there, but it's simply not enough to make the story interesting. I am not incapable of reading scientific writing, but page after page of it, as if it were a story in itself, is incredibly tedious.
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
new sightings, amyloid gene, gene mappers, affected ancestor, precursor protein gene, abnormal gene
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, British Canadian, Soviet Union, Alois Alzheimer, World War, Nancy Wexler, Peter Hyslop, Jim Gusella, Lake Maracaibo, Volga Germans, New York, John Hardy, Gregor Mendel, Milton Wexler, New Guinea, Mendel's Heirs, National Institutes of Health, Robert Terry, Rudolph Tanzi, Cal Tech, The First Abnormal Gene Is Found, Paul Brown, Genetic Research, Base Camp, Enter Genetics
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