Alzheimer risk associated with a copy number variation in the complement receptor 1 increasing C3b/C4b binding sites
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Two multicentre genome-wide association (GWA) studies provided substantial evidence, implicating the complement receptor 1 gene (CR1) in Alzheimer disease (AD) genetic etiology. CR1 encodes a large transmembrane receptor with a crucial role in the immune complement cascade. We performed a genetic follow-up of the GWA CR1 association in a Flanders-Belgian cohort (n=1883), and investigated the effect of single-nucleotide polymorphisms (SNPs) located in the CR1 locus on AD risk and cerebrospinal fluid (CSF) biomarker levels. We obtained significant association (P(adj)<0.03; odds ratio (OR)=1.24 (95% confidence interval (CI): 1.02-1.51)) for one CR1 risk haplotype, and haplotype association was strongest in individuals carrying apolipoprotein E (APOE) ɛ4 alleles (P(adj)<0.006; OR=1.50 (95% CI: 1.08-2.09)). Also, four SNPs correlated with increased CSF amyloid Aβ₁₋₄₂ levels, suggesting a role for the CR1 protein in Aβ metabolism. Moreover, we quantified a low-copy repeat (LCR)-associated copy number variation (CNV) in CR1, producing different CR1 isoforms, CR1-F and CR1-S, and obtained significant association in carriers of CR1-S. We replicated the CR1 CNV association finding in a French cohort (n=2003) and calculated in the combined cohorts, an OR of 1.32; 95% CI: 1.10-1.59 (P=0.0025). Our data showed that the common AD risk association may well be explained by the presence of CR1-S increasing the number of C3b/C4b and cofactor activity sites and AD risk with 30% in CR1-S carriers. How precisely the different functional role of CR1-S in the immune complement cascade contributes to AD pathogenesis will need additional functional studies.
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The analyses nominate alternative candidates at three AD risk loci: CR2 at 1q32.2, PILRA at 7q22.1, and PRSS8 at 16p11.2.
“Our analyses also nominate alternative candidates at three AD risk loci. First, the association at 1q32.2 has been linked to CR153–55, but we observed a colocalized association for both CR1 and CR2 levels with AD risk (Supp. Fig. 23).”
From Proteogenomic analysis of human cerebrospinal fluid identifies neurologically relevant regulation and implicates causal proteins for Alzheimer’s disease (2024) · cites this paper as [55]
SCFAs, as important metabolites of the intestinal flora, can modulate the immune response and act as important communication signals on the brain-gut axis.
“SCFAs, as important metabolites of the intestinal flora, can modulate the immune response (38) and act as important communication signals on the brain–gut axis (39).”
From Modulation of the gut–brain axis via the gut microbiota: a new era in treatment of amyotrophic lateral sclerosis (2023) · cites this paper as [39]
A functional CNV in the gene CR1 modifying isoform production was shown to increase risk for LOAD in two populations.
“a functional CNV in the gene CR1 modifying isoform production was shown to increase risk for LOAD in two populations [253]”
From Genetic architecture of Alzheimer's disease (2020) · cites this paper as [253]
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- Authors
- Brouwers, N., Van Cauwenberghe, C., Engelborghs, S., Lambert, J.-C., Bettens, K., Le Bastard, N., Pasquier, F., Montoya, A. G., Peeters, K., Mattheijssens, M., Vandenberghe, R., De Deyn, P. P., Cruts, M., Amouyel, P., Sleegers, K., & Van Broeckhoven, C.
- Affiliations
- VIB-UAntwerp Center for Molecular Neurology (BE)
- University of Antwerp (BE)
- Inserm (FR)
- Centre Hospitalier Universitaire de Lille (FR)
- KU Leuven (BE)
- Venue
- Molecular Psychiatry
- Published
- 2011-03-15
- Volume
- 17
- Issue
- 2
- Pages
- 223-233
- ISSN
- 1359-4184 (ISSN-L)
- 1476-5578
- PMC
- PMC3265835
- OpenAlex
- W2153240577
- Cited by
- 227
- References
- 39
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 17 · 2023: 13 · 2022: 9 · 2021: 23 · 2020: 15 · 2019: 16 · 2018: 9 · 2017: 11 · 2016: 13 · 2015: 20 · 2014: 13 · 2013: 16 · 2012: 27
- FWCI
- 13.52
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- www.springer.com/tdm (unspecified)
- Locations
- Molecular Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Trinity's Access to Research Output (TARA) (Trinity College Dublin) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- Institut National de la Santé et de la Recherche Médicale
- Belgian Federal Science Policy Office
- Fonds Wetenschappelijk Onderzoek (P6/43)
- Universiteit Antwerpen
- Vlaamse regering
- Instituut Born-Bunge
- Bijzonder Onderzoeksfonds UGent
- 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 › Immunology and Microbiology › Immunology › Complement system in diseases
- Keywords
- Alzheimer's disease, complement receptor 1, copy number variation, complement system, APOE ε4, amyloid-beta, cerebrospinal fluid biomarkers, risk haplotype, genetic risk
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Female, Gene Frequency, Genotype, Humans, Male, Peptide Fragments, Receptors, Complement, Meta-Analysis as Topic, Cohort Studies, Logistic Models, Odds Ratio, Amyloid beta-Peptides, tau Proteins, Complement Factor I, Polymorphism, Single Nucleotide, Apolipoprotein E4, Genome-Wide Association Study, DNA Copy Number Variations, Segmental Duplications, Genomic
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