A Common DIO2 Polymorphism and Alzheimer Disease Dementia in African and European Americans
Open accessAbstract
Context: A common single nucleotide polymorphism in DIO2, Thr92AlaD2, has been associated with a transcriptome typically found in neurodegenerative diseases in postmortem human brain tissue. Objective: To determine whether Thr92AlaD2 is associated with incident Alzheimer disease (AD). Design: Population-based study; human brain tissue microarray. Setting: Community-based cohorts from Chicago and northeastern Illinois and religious clergymen from across the United States constituted the primary population. A representative sample of the U.S. population was used for secondary analyses. Participants: 3054 African Americans (AAs) and 9304 European Americans (EAs). Main Outcome Measure: Incident AD. Results: In the primary population, AAs with Thr92AlaD2 had 1.3 times [95% confidence interval (CI), 1.02 to 1.68; P = 0.048] greater odds of developing AD. AAs from a second population with Thr92AlaD2 showed a trend toward increased odds of dementia (odds ratio, 1.33; 95% CI, 0.99 to 1.78; P = 0.06) and 1.35 times greater odds of developing cognitive impairment not demented (CIND; 95% CI, 1.09 to 1.67; P = 0.006). Meta-analysis showed that AAs with Thr92AlaD2 had 1.3 times increased odds of developing AD/dementia (95% CI, 1.07 to 1.58; P = 0.008). In EAs, no association was found between Thr92AlaD2 and AD, dementia, or CIND. Microarray of AA brain tissue identified transcriptional patterns linked to AD pathogenesis. Conclusions: Thr92AlaD2 was associated with molecular markers known to underlie AD pathogenesis in AAs, translating to an observed phenotype of increased odds of developing AD/dementia in AAs in these populations. Thr92AlaD2 might represent one factor contributing to racial discrepancies in incident AD.
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Many patients complained of difficulties managing body weight and exhibited elevated serum cholesterol levels despite higher statin utilization.
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- Authors
- McAninch, E. A., Rajan, K. B., Evans, D. A., Jo, S., Chaker, L., Peeters, R. P., Bennett, D. A., Mash, D. C., & Bianco, A. C.
- Affiliations
- Rush University Medical Center (US)
- Erasmus MC (NL)
- University of Miami (US)
- Corresponding author
- Bianco, Antonio C
- ORCID
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2018-02-22
- Volume
- 103
- Issue
- 5
- Pages
- 1818-1826
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- PMC
- PMC6276710
- OpenAlex
- W2789887292
- Cited by
- 59
- References
- 39
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 9 · 2022: 6 · 2021: 9 · 2020: 11 · 2019: 13 · 2018: 5
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Funders
- National Institute on Aging (R01AG017917, P30AG010129, R01AG030146, RF1AG057532, R01AG051635, RC2AG036495, R01AG015819, P30AG010161, RC4AG039029, RF1AG015819, U01AG009740)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK065055)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- DIO2, Alzheimer's disease, dementia, African Americans, European Americans, racial disparities, cognitive impairment, brain transcriptome, gene expression
- MeSH terms
- Iodothyronine Deiodinase Type II, Aged, Aged, 80 and over, Alanine, Alzheimer Disease, Black or African American, Dementia, Female, Gene Frequency, Humans, Iodide Peroxidase, Male, Middle Aged, Threonine, United States, Case-Control Studies, Amino Acid Substitution, Polymorphism, Single Nucleotide, White People
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