학술논문

Common variants in Alzheimer’s disease and risk stratification by polygenic risk scores
Document Type
Original Paper
Author
de Rojas, ItziarMoreno-Grau, SoniaTesi, NiccoloGrenier-Boley, BenjaminAndrade, VictorJansen, Iris E.Pedersen, Nancy L.Stringa, NajadaZettergren, AnnaHernández, IsabelMontrreal, LauraAntúnez, CarmenAntonell, AnnaTankard, Rick M.Bis, Joshua C.Sims, RebeccaBellenguez, CélineQuintela, InésGonzález-Perez, AntonioCalero, MiguelFranco-Macías, EmilioMacías, JuanBlesa, RafaelCervera-Carles, LauraMenéndez-González, ManuelFrank-García, AnaRoyo, Jose LuísMoreno, FerminHuerto Vilas, RaquelBaquero, MiquelDiez-Fairen, MónicaLage, CarmenGarcía-Madrona, SebastiánGarcía-González, PabloAlarcón-Martín, EmilioValero, SergiSotolongo-Grau, OscarUllgren, AbbeNaj, Adam C.Lemstra, Afina W.Benaque, AlbaPérez-Cordón, AlbaBenussi, AlbertoRábano, AlbertoPadovani, AlessandroSquassina, Alessiode Mendonça, AlexandreArias Pastor, AlfonsoKok, Almar A. L.Meggy, AlunPastor, Ana BelénEspinosa, AnaCorma-Gómez, AnaïsMartín Montes, AngelSanabria, ÁngelaDeStefano, Anita L.Schneider, AnjaHaapasalo, AnnakaisaKinhult Ståhlbom, AnneTybjærg-Hansen, AnneHartmann, Annette M.Spottke, AnnikaCorbatón-Anchuelo, ArturoRongve, ArvidBorroni, BarbaraArosio, BeatriceNacmias, BenedettaNordestgaard, Børge G.Kunkle, Brian W.Charbonnier, CamilleAbdelnour, CarlaMasullo, CarloMartínez Rodríguez, CarmenMuñoz-Fernandez, CarmenDufouil, CaroleGraff, CarolineFerreira, Catarina B.Chillotti, CaterinaReynolds, Chandra A.Fenoglio, ChiaraVan Broeckhoven, ChristineClark, ChristopherPisanu, ClaudiaSatizabal, Claudia L.Holmes, CliveBuiza-Rueda, DoloresAarsland, DagRujescu, DanAlcolea, DanielGalimberti, DanielaWallon, DavidSeripa, DavideGrünblatt, EdnaDardiotis, EfthimiosDüzel, EmrahScarpini, ElioConti, ElisaRubino, ElisaGelpi, EllenRodriguez-Rodriguez, EloyDuron, EmmanuelleBoerwinkle, EricFerri, EvelynTagliavini, FabrizioKüçükali, FahriPasquier, FlorenceSanchez-Garcia, FlorentinoMangialasche, FrancescaJessen, FrankNicolas, GaëlSelbæk, GeirOrtega, GemmaChêne, GenevièveHadjigeorgiou, GeorgiosRossi, GiacominaSpalletta, GianfrancoGiaccone, GiorgioGrande, GiuliaBinetti, GiulianoPapenberg, GoranHampel, HaraldBailly, HenriZetterberg, HenrikSoininen, HilkkaKarlsson, Ida K.Alvarez, IgnacioAppollonio, IldebrandoGiegling, InaSkoog, IngmarSaltvedt, IngvildRainero, InnocenzoRosas Allende, IreneHort, JakubDiehl-Schmid, JanineVan Dongen, JasperVidal, Jean-SebastienLehtisalo, JenniWiltfang, JensThomassen, Jesper QvistKornhuber, JohannesHaines, Jonathan L.Vogelgsang, JonathanPineda, Juan A.Fortea, JuanPopp, JuliusDeckert, JürgenBuerger, KatharinaMorgan, KevinFließbach, KlausSleegers, KristelMolina-Porcel, LauraKilander, LenaWeinhold, LeonieFarrer, Lindsay A.Wang, Li-SanKleineidam, LucaFarotti, LuciaParnetti, LucillaTremolizzo, LucioHausner, LucreziaBenussi, LuisaFroelich, LutzIkram, M. ArfanDeniz-Naranjo, M. CandidaTsolaki, MagdaRosende-Roca, MaitéeLöwenmark, MalinHulsman, MarcSpallazzi, MarcoPericak-Vance, Margaret A.Esiri, MargaretBernal Sánchez-Arjona, MaríaDalmasso, Maria CarolinaMartínez-Larrad, María TeresaArcaro, MarinaNöthen, Markus M.Fernández-Fuertes, MartaDichgans, MartinIngelsson, MartinHerrmann, Martin J.Scherer, MartinVyhnalek, MartinKosmidis, Mary H.Yannakoulia, MarySchmid, MatthiasEwers, MichaelHeneka, Michael T.Wagner, MichaelScamosci, MichelaKivipelto, MiiaHiltunen, MikkoZulaica, MirenAlegret, MontserratFornage, MyriamRoberto, Nataliavan Schoor, Natasja M.Seidu, Nazib M.Banaj, NerisaArmstrong, Nicola J.Scarmeas, NikolaosScherbaum, NorbertGoldhardt, OliverHanon, OliverPeters, OliverSkrobot, Olivia AnnaQuenez, OlivierLerch, OndrejBossù, PaolaCaffarra, PaoloDionigi Rossi, PaoloSakka, ParaskeviMecocci, PatriziaHoffmann, PerHolmans, Peter A.Fischer, PeterRiederer, PeterYang, QiongMarshall, RachelKalaria, Rajesh N.Mayeux, RichardVandenberghe, RikCecchetti, RobertaGhidoni, RobertaFrikke-Schmidt, RuthSorbi, SandroHägg, SaraEngelborghs, SebastiaanHelisalmi, SeppoBotne Sando, SigridKern, SilkeArchetti, SilvanaBoschi, SilviaFostinelli, SilviaGil, SilviaMendoza, SilviaMead, SimonCiccone, SimonaDjurovic, SrdjanHeilmann-Heimbach, StefanieRiedel-Heller, SteffiKuulasmaa, Teemudel Ser, TeodoroLebouvier, ThibaudPolak, ThomasNgandu, TiiaGrimmer, TimoBessi, ValentinaEscott-Price, ValentinaGiedraitis, VilmantasDeramecourt, VincentMaier, WolfgangJian, XueqiuPijnenburg, Yolande A. L.Kehoe, Patrick GavinGarcia-Ribas, GuillermoSánchez-Juan, PascualPastor, PauPérez-Tur, JordiPiñol-Ripoll, GerardLopez de Munain, AdolfoGarcía-Alberca, Jose MaríaBullido, María J.Álvarez, VictoriaLleó, AlbertoReal, Luis M.Mir, PabloMedina, MiguelScheltens, PhilipHolstege, HenneMarquié, MartaSáez, María EugeniaCarracedo, ÁngelAmouyel, PhilippeSchellenberg, Gerard D.Williams, JulieSeshadri, Sudhavan Duijn, Cornelia M.Mather, Karen A.Sánchez-Valle, RaquelSerrano-Ríos, ManuelOrellana, AdelinaTárraga, LluísBlennow, KajHuisman, MartijnAndreassen, Ole A.Posthuma, DanielleClarimón, JordiBoada, Mercèvan der Flier, Wiesje M.Ramirez, AlfredoLambert, Jean-Charlesvan der Lee, Sven J.Ruiz, Agustín
Source
Nature Communications. 12(1)
Subject
Language
English
ISSN
2041-1723
Abstract
Genetic discoveries of Alzheimer’s disease are the drivers of our understanding, and together with polygenetic risk stratification can contribute towards planning of feasible and efficient preventive and curative clinical trials. We first perform a large genetic association study by merging all available case-control datasets and by-proxy study results (discovery n = 409,435 and validation size n = 58,190). Here, we add six variants associated with Alzheimer’s disease risk (near APP, CHRNE, PRKD3/NDUFAF7, PLCG2 and two exonic variants in the SHARPIN gene). Assessment of the polygenic risk score and stratifying by APOE reveal a 4 to 5.5 years difference in median age at onset of Alzheimer’s disease patients in APOE ɛ4 carriers. Because of this study, the underlying mechanisms of APP can be studied to refine the amyloid cascade and the polygenic risk score provides a tool to select individuals at high risk of Alzheimer’s disease.
Known genetic loci account for only a fraction of the genetic contribution to Alzheimer’s disease. Here, the authors have performed a large genome-wide meta-analysis comprising 409,435 individuals to discover 6 new loci and demonstrate the efficacy of an Alzheimer’s disease polygenic risk score.