Genome-wide meta-analysis, fine-mapping and integrative prioritization implicate new Alzheimer’s disease risk genes
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Abstract
Genome-wide association studies have discovered numerous genomic loci associated with Alzheimer's disease (AD); yet the causal genes and variants are incompletely identified. We performed an updated genome-wide AD meta-analysis, which identified 37 risk loci, including new associations near CCDC6, TSPAN14, NCK2 and SPRED2. Using three SNP-level fine-mapping methods, we identified 21 SNPs with >50% probability each of being causally involved in AD risk and others strongly suggested by functional annotation. We followed this with colocalization analyses across 109 gene expression quantitative trait loci datasets and prioritization of genes by using protein interaction networks and tissue-specific expression. Combining this information into a quantitative score, we found that evidence converged on likely causal genes, including the above four genes, and those at previously discovered AD loci, including BIN1, APH1B, PTK2B, PILRA and CASS4.
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Nine loci (APP, CCDC6, GRN, LILRB2, NCK2, TNIP1, TMEM106B, TSPAN14 and SHARPIN) were recently reported in three articles using part of the GWAS data included in the study.
“Nine of these loci (APP, CCDC6, GRN, LILRB2, NCK2, TNIP1, TMEM106B, TSPAN14 and SHARPIN) were recently reported in three articles using part of the GWAS data included in our study11–13.”
From New insights into the genetic etiology of Alzheimer’s disease and related dementias (2022) · cites this paper as [11]
The Results section (“Meta-analysis discovers 37 loci associated with Alzheimer’s disease risk”; page unavailable) identifies several listed loci and describes overlap with earlier GWAS reports. It does not establish that all nine named loci were reported in three articles using part of the citing study’s GWAS data. (LLM, conf=0.78)
Experimental — accuracy not yet measuredMicroglia are implicated in the pathology and genetic risk of several central nervous system diseases, including Alzheimer's disease.
“Microglia, the resident immune cells of the brain, are implicated in the pathology and genetic risk of several CNS diseases, including AD.46,47,48,49”
From hdWGCNA identifies co-expression networks in high-dimensional transcriptomics data (2023) · cites this paper as [48]
The Results section (‘AD risk is enriched near genes with high microglial gene expression’; page not provided) reports enrichment of Alzheimer’s disease risk near genes highly expressed in microglia. The paper also discusses a possible role for microglial activation in AD, but the passages do not extend that finding to several CNS diseases. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIndependent association signals detected in the CD33, HLA, PICALM and RHOH loci are new compared to refs. 4-6,9.
“Compared to refs. 4–6,9, the independent association signals detected in the CD33, HLA, PICALM and RHOH loci are new”
From Consensus meta-analysis of genome-wide association studies for Alzheimer’s disease and related dementias (2026) · cites this paper as [9]
The Results section ('Meta-analysis discovers 37 loci associated with Alzheimer’s disease risk'; page unavailable) reports independent signals at several loci, supporting the general finding. It does not identify CD33, HLA, PICALM and RHOH as loci with new independent signals or establish their novelty relative to refs. 4–6,9. The Discussion’s four novel associations concern different loci and do not resolve that comparison. (LLM, conf=0.82)
Experimental — accuracy not yet measuredSeveral AD GWAS loci implicate B cell relevant genes including SCIMP, BLNK, PLCG2, HLA class II region and IGHG1.
“Indeed, several AD GWAS loci implicate B cell relevant genes as well, albeit with varying strength of evidence and confidence in causal gene assignment. These include SCIMP , BLNK , PLCG2 , HLA class II region and IGHG1 [26 -32].”
From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [29]
The Results (pages unavailable) identify PLCG2 among AD genes supported by network scores and report an AD-associated locus near IGHG1. The Online Methods also discuss an HLA locus, but the passages do not identify it as a class II signal. Our copy does not substantiate the inclusion of SCIMP or BLNK, or characterize these loci as B-cell-relevant. (LLM, conf=0.85)
Experimental — accuracy not yet measuredHLA class II locus encompassing HLA-DRB1/HLA-DQA1 is a well established AD risk locus, although extensive linkage disequilibrium makes it difficult to pin down the specific causal gene.
“The HLA class II locus encom passing HLA-DRB1/HLA-DQA1 is also a well established AD risk locus, although extensive linkage disequilibrium across this region makes it difficult to pin down the specific causal gene.”
From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [29]
The Online Methods treat HLA as an AD risk locus, and Extended Data Fig. 2 cautions that its fine-mapping results should be interpreted carefully. But our copy does not identify the locus as encompassing HLA-DRB1/HLA-DQA1 or say that extensive LD across that region prevents identification of the causal gene; the fine-mapping discussion instead points to sensitivity to the reference panel. (LLM, conf=0.84)
Experimental — accuracy not yet measured
27 of 36 AD risk loci colocalized with expression quantitative trait loci in multiple tissues.
“a genome-wide fine-mapping study revealed that 27 of 36 AD risk loci colocalized with expression quantitative trait loci in multiple tissues [50].”
From Association of SPI1 haplotypes with altered SPI1 gene expression and Alzheimer’s disease risk (2022) · cites this paper as [50]
Two-sample MR using 36 AD risk polymorphisms as instruments and CHIP as the outcome found no evidence of a causal effect of AD on CHIP (OR = 0.97, P = 0.26).
“we also performed two-sample MR using 36 polymorphisms for risk of AD as the instruments18 and CHIP as the outcome, which found no evidence of a causal effect in this direction (OR = 0.97 per 1 log-odds increase in risk of AD, P = 0.26 using the weighted median estimator).”
From Clonal hematopoiesis is associated with protection from Alzheimer’s disease (2023) · cites this paper as [18]
IGHG1 is less well established as a causal AD gene and is more accurately described as residing within an AD associated locus rather than as a validated risk gene.
“IGHG1 , in contrast, is less well established as a causal AD gene and is more accurately described as residing within an AD associated locus rather than as a validated risk gene.”
From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [29]
If missing in Bellenguez et al., 2022 summary statistics, the Schwartzentruber et al., 2021 summary statistics were used.
“If missing in the Bellenguez et al., 2022 summary statistics, the Schwartzentruber et al., 2021 summary statistics were used.”
From A genetic and proteomic comparison of key AD biomarkers across tissues (2024) · cites this paper as Schwartzentruber et al., 2021
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 [59]
In Alzheimer's disease, many genetic loci have been identified, but for some the functional gene is not clear.
“In AD, many genetic loci have been identified, but for some the functional gene is not clear23,59.”
From Proteogenomic analysis of human cerebrospinal fluid identifies neurologically relevant regulation and implicates causal proteins for Alzheimer’s disease (2024) · cites this paper as [59]
MR using 24 CHIP-associated polymorphisms found that higher genetic risk of CHIP was associated with reduced odds of AD using the weighted median estimator (OR = 0.90 per 1 log-odds increase, P = 3.3 × 10−4).
“One- and two-sample MR using 24 CHIP-associated polymorphisms18 as the instruments (Supplementary Table 7) found that higher genetic risk of CHIP was associated with reduced odds of AD using the weighted median estimator (OR = 0.90 per 1 log-odds increase in risk of CHIP, P = 3.3 × 10−4, Fig. 2c).”
From Clonal hematopoiesis is associated with protection from Alzheimer’s disease (2023) · cites this paper as [18]
The Results section reports an Alzheimer’s disease GWAS meta-analysis, and Online Methods describes fine-mapping and AD meta-analysis, but neither reports the claimed CHIP Mendelian-randomization result. Searches for CHIP, Mendelian randomization, the weighted-median estimate, and the stated P value found no passage addressing it. (LLM, conf=0.76)
Experimental — accuracy not yet measuredSCIMP is expressed across myeloid and B cell lineages and has been identified as an AD-associated locus.
“SCIMP is expressed accross myeloid and B cell lineages and has been identified as an AD-associated locus.”
From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [29]
The Results sections on AD risk loci and gene-expression colocalization discuss other genes, but the passages found do not identify SCIMP as an AD-associated locus or describe its expression in myeloid and B-cell lineages. Searches for “SCIMP” and for those cell lineages found no passage addressing the claim. (LLM, conf=0.72)
Experimental — accuracy not yet measuredBLNK is a central adaptor downstream of BCR, and PLCG2 is a major BCR proximal signaling node implicated in germinal center and memory B cell formation.
“Two further loci provide more direct mechanistic links to B cell receptor (BCR) signaling: BLNK is a central adaptor downstream of the BCR, and PLCG2 is a major BCR proximal signaling node implicated in germinal center and memory B cell formation.”
From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [29]
The Results section on network evidence names PLCG2 as an Alzheimer’s disease gene with a high network score, but does not describe its role in B-cell receptor signaling. Searches for BLNK, BCR signaling, and germinal-center or memory B-cell formation found no passage addressing the claimed mechanisms in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredLinked peaks identified in microglia were significantly enriched for heritability of AD across five different studies.
“Consistent with previous studies,55,56 linked peaks identified in microglia were significantly enriched for heritability of AD across five different studies2,3,4,5,6”
From Single nucleus multiomics identifies ZEB1 and MAFB as candidate regulators of Alzheimer’s disease-specific cis-regulatory elements (2023) · cites this paper as [4]
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Self-citationGene–environment interactions in Alzheimer disease: the emerging role of epigenetics
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Microglial Phagocytosis: A Disease-Associated Process Emerging from Alzheimer’s Disease Genetics
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Epigenomic dissection of Alzheimer’s disease pinpoints causal variants and reveals epigenome erosion
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Clonal hematopoiesis is associated with protection from Alzheimer’s disease
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“Summary statistics from a large AD genome-wide association study (GWAS) and GWAS-by-proxy metaanalysis(16) were then used to perform Mendelian randomization using the inverse-variance weighted”
Genetics of the human microglia regulome refines Alzheimer’s disease risk loci
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Absence of microglia promotes diverse pathologies and early lethality in Alzheimer’s disease mice
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Functional characterization of Alzheimer’s disease genetic variants in microglia
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Artificial intelligence for dementia genetics and omics
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Is there a role for B cells in Alzheimer's disease?
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- Authors
- Schwartzentruber, J., Cooper, S., Liu, J. Z., Barrio-Hernandez, I., Bello, E., Kumasaka, N., Young, A. M. H., Franklin, R. J. M., Johnson, T., Estrada, K., Gaffney, D. J., Beltrao, P., & Bassett, A.
- Affiliations
- European Bioinformatics Institute (GB)
- Wellcome Sanger Institute (GB)
- Biogen (United States) (US)
- Wellcome/MRC Cambridge Stem Cell Institute (GB)
- GlaxoSmithKline (United Kingdom) (GB)
- BioMarin (United States) (US)
- Corresponding author
- Schwartzentruber, Jeremy
- Bassett, Andrew
- ORCID
- Venue
- Nature Genetics
- Published
- 2021-02-15
- Volume
- 53
- Issue
- 3
- Pages
- 392-402
- ISSN
- 1061-4036 (ISSN-L)
- 1546-1718
- PMC
- PMC7610386
- OpenAlex
- W3115346491
- Cited by
- 532
- References
- 128
- Citations by year
- 2026: 75 · 2025: 105 · 2024: 117 · 2023: 96 · 2022: 86 · 2021: 50 · 2020: 3
- FWCI
- 56.94
- Type
- journal article
- Language
- en
- Update notices
- correction (2021-02-26)
- Open access
- green
- doi.org
- Locations
- Nature Genetics (publishedVersion)
- medRxiv (acceptedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Apollo (University of Cambridge) (submittedVersion)
- Apollo
- Funders
- Multiple Sclerosis Society (50)
- Dr. Miriam and Sheldon G. Adelson Medical Research Foundation
- Wellcome Trust (203151/Z/16/Z, PhD for clinicians fellowship)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, genetic susceptibility loci, causal variant identification, fine mapping, colocalization, expression quantitative trait loci, protein-protein interaction network, tissue-specific gene expression, CCDC6, Nck2, SPRED2, BIN1, Pyk2, susceptibility genes
- MeSH terms
- Alzheimer Disease, Chromosome Mapping, Cytoskeletal Proteins, Humans, Risk Factors, Oncogene Proteins, Linkage Disequilibrium, Gene Expression, Microglia, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Quantitative Trait Loci, Adaptor Proteins, Signal Transducing, Genome-Wide Association Study, Tetraspanins, Protein Interaction Maps
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