Alzheimer’s is a progressive neurological disorder resulting in dementia and memory loss that occurs in 10% of the US population older than 65. In the 1990s, several researchers showed evidence that the allele of a cholesterol precursor gene, APO E4, increased risk of developing the disorder compared to APO E2 or APO E3. This was especially pronounced if patients carried two alleles of APO E4. However, not all people with APO E4 develop the disorder and some without it will present with Alzheimer's nevertheless. This suggests other genes influence development of

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Alzheimer’s is a progressive neurological disorder resulting in dementia and memory loss that occurs in 10% of the US population older than 65. In the 1990s, several researchers showed evidence that the allele of a cholesterol precursor gene, APO E4increased risk of developing the disorder compared to APO E2 or APO E3. This was especially pronounced if patients carried two alleles of APO E4. However, not all people with APO E4 develop the disorder and some without it will present with Alzheimer's nevertheless. This suggests other genes influence development of the disease. Current research has elucidated dozens of genes that interact with APO E4 pathways in hundreds of ways. As many as 27 of the interactions are epistatic, with some as dominant epistasis and some as recessive epistasis. In addition, some of the gene candidates for non-APO E4 Alzheimer’s have other relationships such as dominantcodominant or incomplete dominant. No reliable cure currently exists for Alzheimer’s although some treatments may slow progression of the disease. A recent medication that was rushed through approval for Alzheimer's, aducanumab, was released last year, but whether or not is has any effect is doubtful in trials that have been completed so far

1) 

Suppose 40 years from now, Ysraelina and her fifteen brothers and sisters are all now in their 70s and 80s. Researchers are still exploring the epistatic relationships of APO E4. Considering inheritance ratios, if four of Ysraelina’s 15 siblings have developed Alzheimer’s, what assumptions could be made about APO E4 in regards to epistasis in her family?
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a
It has a recessive epistatic relationship with whatever other gene it is interacting with.
b
It has a dominant epistatic relationship with whatever other gene it is interacting with.
c
It is not possible to tell with the information that has been provided.
d
APO E4 is haploinsufficient since it is epistatically dominant.
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