Cited by 2,558Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchGenetic Associations and Epidemiology

The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.

Variant of TREM2 Associated with the Risk of Alzheimer's Disease

Open access
Jonsson, Thorlakur, Stefansson, Hreinn, Steinberg, Stacy, Jonsdottir, Ingileif, Jonsson, Palmi V., Snaedal, Jon, Bjornsson, Sigurbjorn, Huttenlocher, Johanna, Levey, Allan I., Lah, James J., Rujescu, Dan, Hampel, Harald, Giegling, Ina, Andreassen, Ole A., Engedal, Knut, Ulstein, Ingun, Djurovic, Srdjan, Ibrahim-Verbaas, Carla, Hofman, Albert, Ikram, M. Arfan, van Duijn, Cornelia M, Thorsteinsdottir, Unnur, Kong, Augustine, Stefansson, Kari·2013·New England Journal of Medicine

Abstract

BACKGROUND: Sequence variants, including the ε4 allele of apolipoprotein E, have been associated with the risk of the common late-onset form of Alzheimer's disease. Few rare variants affecting the risk of late-onset Alzheimer's disease have been found. METHODS: We obtained the genome sequences of 2261 Icelanders and identified sequence variants that were likely to affect protein function. We imputed these variants into the genomes of patients with Alzheimer's disease and control participants and then tested for an association with Alzheimer's disease. We performed replication tests using case-control series from the United States, Norway, The Netherlands, and Germany. We also tested for a genetic association with cognitive function in a population of unaffected elderly persons. RESULTS: A rare missense mutation (rs75932628-T) in the gene encoding the triggering receptor expressed on myeloid cells 2 (TREM2), which was predicted to result in an R47H substitution, was found to confer a significant risk of Alzheimer's disease in Iceland (odds ratio, 2.92; 95% confidence interval [CI], 2.09 to 4.09; P=3.42×10(-10)). The mutation had a frequency of 0.46% in controls 85 years of age or older. We observed the association in additional sample sets (odds ratio, 2.90; 95% CI, 2.16 to 3.91; P=2.1×10(-12) in combined discovery and replication samples). We also found that carriers of rs75932628-T between the ages of 80 and 100 years without Alzheimer's disease had poorer cognitive function than noncarriers (P=0.003). CONCLUSIONS: Our findings strongly implicate variant TREM2 in the pathogenesis of Alzheimer's disease. Given the reported antiinflammatory role of TREM2 in the brain, the R47H substitution may lead to an increased predisposition to Alzheimer's disease through impaired containment of inflammatory processes. (Funded by the National Institute on Aging and others.).

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1056/nejmoa1211103

Cites

51 of 51 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 3

  1. Hakola HP, 1972, Acta Psychiatr Scand Suppl, 232, 1
  2. Nasu T, 1973, Acta Pathol Jpn, 23, 539
  3. Montalbetti L, 2005, Funct Neurol, 20, 71

Cited by

Sorted by citations

See all 2,558

Metadata

Authors
Jonsson, T., Stefansson, H., Steinberg, S., Jonsdottir, I., Jonsson, P. V., Snaedal, J., Bjornsson, S., Huttenlocher, J., Levey, A. I., Lah, J. J., Rujescu, D., Hampel, H., Giegling, I., Andreassen, O. A., Engedal, K., Ulstein, I., Djurovic, S., Ibrahim-Verbaas, C., Hofman, A., Ikram, M. A., van Duijn, C. M., Thorsteinsdottir, U., Kong, A., & Stefansson, K.
Affiliations
  • deCODE Genetics (Iceland) (IS)
  • University of Tübingen (DE)
  • Emory University (US)
  • Martin Luther University Halle-Wittenberg (DE)
  • Goethe University Frankfurt (DE)
  • Oslo University Hospital (NO)
  • Norwegian National Centre for Ageing and Health (NO)
  • Erasmus MC (NL)
Venue
New England Journal of Medicine
Published
2013-01-10
Volume
368
Issue
2
Pages
107-116
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2128613449
Cited by
2,558
References
51
Citations by year
2026: 133 · 2025: 160 · 2024: 201 · 2023: 202 · 2022: 211 · 2021: 233 · 2020: 232 · 2019: 192 · 2018: 220 · 2017: 168 · 2016: 151 · 2015: 167 · 2014: 150 · 2013: 129
FWCI
96.88
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • Hirsla (Landspítali University Hospital) (submittedVersion, other-oa)
Funders
  • National Institute on Aging (U01AG006781, P50AG025688, U24AG021886)
  • National Human Genome Research Institute (U01HG004438, U01HG004610, U01HG006375, U01HG004603)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › 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
TREM2, Alzheimer's disease, late-onset Alzheimer's disease, genetic risk, rare variants, cognitive function, neuroinflammation, Icelandic population, replication
MeSH terms
Aged, 80 and over, Alzheimer Disease, Cognition, Heterozygote, Humans, Iceland, Membrane Glycoproteins, Receptors, Immunologic, Risk Factors, Genetic Variation, Case-Control Studies, Sequence Analysis, DNA, Mutation, Missense, Polymorphism, Single Nucleotide, Apolipoprotein E4, Genotyping Techniques

About these checks

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.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review