Genome-wide association study identifies four novel loci associated with Alzheimer’s endophenotypes and disease modifiers
Open accessAbstract
More than 20 genetic loci have been associated with risk for Alzheimer's disease (AD), but reported genome-wide significant loci do not account for all the estimated heritability and provide little information about underlying biological mechanisms. Genetic studies using intermediate quantitative traits such as biomarkers, or endophenotypes, benefit from increased statistical power to identify variants that may not pass the stringent multiple test correction in case-control studies. Endophenotypes also contain additional information helpful for identifying variants and genes associated with other aspects of disease, such as rate of progression or onset, and provide context to interpret the results from genome-wide association studies (GWAS). We conducted GWAS of amyloid beta (Aβ 42), tau, and phosphorylated tau (ptau 181) levels in cerebrospinal fluid (CSF) from 3146 participants across nine studies to identify novel variants associated with AD. Five genome-wide significant loci (two novel) were associated with ptau 181, including loci that have also been associated with AD risk or brain-related phenotypes. Two novel loci associated with Aβ 42 near GLIS1 on 1p32.3 (β = -0.059, P = 2.08 × 10-8) and within SERPINB1 on 6p25 (β = -0.025, P = 1.72 × 10-8) were also associated with AD risk (GLIS1: OR = 1.105, P = 3.43 × 10-2), disease progression (GLIS1: β = 0.277, P = 1.92 × 10-2), and age at onset (SERPINB1: β = 0.043, P = 4.62 × 10-3). Bioinformatics indicate that the intronic SERPINB1 variant (rs316341) affects expression of SERPINB1 in various tissues, including the hippocampus, suggesting that SERPINB1 influences AD through an Aβ-associated mechanism. Analyses of known AD risk loci suggest CLU and FERMT2 may influence CSF Aβ 42 (P = 0.001 and P = 0.009, respectively) and the INPP5D locus may affect ptau 181 levels (P = 0.009); larger studies are necessary to verify these results. Together the findings from this study can be used to inform future AD studies.
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Several novel loci not previously associated with AD risk have been identified through CSF Aβ1-42 and/or tau GWAS, including variants located near the genes GLIS3, GLIS1, GEMC1, and within SERPINB1.
“While the majority of loci overlap with GWAS loci, several novel loci not previously associated with AD risk have also been identified through these analyses, including variants located near the genes GLIS3, GLIS1, GEMC1, and within SERPINB1 [23, 211].”
From Genetic architecture of Alzheimer's disease (2020) · cites this paper as [211]
In Deming et al., individual GWAS SNPs were not significantly associated with CSF levels of Aβ1-42 or tau.
“Although in their analysis the individual GWAS SNPs were not significantly associated with CSF levels of Aβ1–42 or tau”
From Genetic architecture of Alzheimer's disease (2020) · cites this paper as [211]
In Deming et al., together the additive risk conferred by all variants was significantly associated with both Aβ1-42 and tau.
“together the additive risk conferred by all variants was significantly associated with both Aβ1–42 and tau.”
From Genetic architecture of Alzheimer's disease (2020) · cites this paper as [211]
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ApoE4 markedly exacerbates tau-mediated neurodegeneration in a mouse model of tauopathy
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- Authors
- (ADNI), A. D. N. I., Deming, Y., The Alzheimer Disease Genetic Consortium (ADGC), Li, Z., Kapoor, M., Harari, O., Del-Aguila, J. L., Black, K., Carrell, D., Cai, Y., Fernandez, M. V., Budde, J., Ma, S., Saef, B., Howells, B., Huang, K.-L., Bertelsen, S., Fagan, A. M., Holtzman, D. M., Morris, J. C., Kim, S., Saykin, A. J., De Jager, P. L., Albert, M., Moghekar, A., O’Brien, R., Riemenschneider, M., Petersen, R. C., Blennow, K., Zetterberg, H., Minthon, L., Van Deerlin, V. M., Lee, V. M.-Y., Shaw, L. M., Trojanowski, J. Q., Schellenberg, G., Haines, J. L., Mayeux, R., Pericak-Vance, M. A., Farrer, L. A., Peskind, E. R., Li, G., Di Narzo, A. F., Kauwe, J. S. K., Goate, A. M., & Cruchaga, C.
- Affiliations
- Washington University in St. Louis (US)
- State University of New York at Oswego (US)
- Broad Institute (US)
- Johns Hopkins University (US)
- Duke University (US)
- Mayo Clinic (US)
- Sahlgrenska University Hospital (SE)
- Lund University (SE)
- University of Pennsylvania (US)
- Vanderbilt University (US)
- University of Miami (US)
- Boston University (US)
- University of Washington (US)
- Brigham Young University (US)
- Corresponding author
- Cruchaga, Carlos
- ORCID
- Deming, Yuetiva
- Li, Zeran
- Kapoor, Manav
- Harari, Oscar
- Carrell, David
- Budde, John
- Huang, Kuan-lin
- Bertelsen, Sarah
- Fagan, Anne M.
- Holtzman, David M.
- Morris, John C.
- Kim, Sungeun
- Saykin, Andrew J.
- Albert, Marilyn
- Moghekar, Abhay
- O’Brien, Richard
- Petersen, Ronald C.
- Blennow, Kaj
- Zetterberg, Henrik
- Lee, Virginia Man-Yee
- Shaw, Leslie M.
- Trojanowski, John Q.
- Schellenberg, Gerard
- Haines, Jonathan L.
- Mayeux, Richard
- Farrer, Lindsay A.
- Peskind, Elaine R.
- Li, Ge
- Kauwe, John S. K.
- Goate, Alison M.
- Cruchaga, Carlos
- Venue
- Acta Neuropathologica
- Published
- 2017-02-28
- Volume
- 133
- Issue
- 5
- Pages
- 839-856
- ISSN
- 0001-6322 (ISSN-L)
- 1432-0533
- PMC
- PMC5613285
- OpenAlex
- W2593636852
- Cited by
- 231
- References
- 89
- Citations by year
- 2026: 15 · 2025: 18 · 2024: 26 · 2023: 39 · 2022: 30 · 2021: 28 · 2020: 25 · 2019: 21 · 2018: 23 · 2017: 6
- FWCI
- 15.18
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Acta Neuropathologica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Purdue University Indianapolis (Indiana University) (submittedVersion)
- PMC
- Funders
- National Institute on Aging (R01AG044546, RF1AG053303, P01AG003991)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- Alzheimer's disease, endophenotypes, amyloid-beta 42, phosphorylated tau 181, cerebrospinal fluid biomarkers, disease modifiers, disease progression, age of onset, GLIS1, SERPINB1, clusterin, FERMT2, INPP5D, novel genetic loci, hippocampal gene expression, genetic susceptibility loci
- MeSH terms
- Adult, Aged, Aged, 80 and over, Alzheimer Disease, Apolipoproteins E, Genotype, Humans, Middle Aged, Risk Factors, Biomarkers, Amyloid beta-Peptides, tau Proteins, Disease Progression, Genetic Predisposition to Disease, Genome-Wide Association Study, Genetic Loci, Endophenotypes
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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