Acta Neuropathologica Communications (Apr 2023)

Large multi-ethnic genetic analyses of amyloid imaging identify new genes for Alzheimer disease

  • Muhammad Ali,
  • Derek B. Archer,
  • Priyanka Gorijala,
  • Daniel Western,
  • Jigyasha Timsina,
  • Maria V. Fernández,
  • Ting-Chen Wang,
  • Claudia L. Satizabal,
  • Qiong Yang,
  • Alexa S. Beiser,
  • Ruiqi Wang,
  • Gengsheng Chen,
  • Brian Gordon,
  • Tammie L. S. Benzinger,
  • Chengjie Xiong,
  • John C. Morris,
  • Randall J. Bateman,
  • Celeste M. Karch,
  • Eric McDade,
  • Alison Goate,
  • Sudha Seshadri,
  • Richard P. Mayeux,
  • Reisa A. Sperling,
  • Rachel F. Buckley,
  • Keith A. Johnson,
  • Hong-Hee Won,
  • Sang-Hyuk Jung,
  • Hang-Rai Kim,
  • Sang Won Seo,
  • Hee Jin Kim,
  • Elizabeth Mormino,
  • Simon M. Laws,
  • Kang-Hsien Fan,
  • M. Ilyas Kamboh,
  • Prashanthi Vemuri,
  • Vijay K. Ramanan,
  • Hyun-Sik Yang,
  • Allen Wenzel,
  • Hema Sekhar Reddy Rajula,
  • Aniket Mishra,
  • Carole Dufouil,
  • Stephanie Debette,
  • Oscar L. Lopez,
  • Steven T. DeKosky,
  • Feifei Tao,
  • Michael W. Nagle,
  • Knight Alzheimer Disease Research Center (Knight ADRC),
  • the Dominantly Inherited Alzheimer Network (DIAN),
  • Alzheimer’s Disease Neuroimaging Initiative (ADNI),
  • ADNI-DOD, A4 Study Team,
  • the Australian Imaging Biomarkers, Lifestyle (AIBL) Study,
  • Timothy J. Hohman,
  • Yun Ju Sung,
  • Logan Dumitrescu,
  • Carlos Cruchaga

DOI
https://doi.org/10.1186/s40478-023-01563-4
Journal volume & issue
Vol. 11, no. 1
pp. 1 – 20

Abstract

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Abstract Amyloid PET imaging has been crucial for detecting the accumulation of amyloid beta (Aβ) deposits in the brain and to study Alzheimer’s disease (AD). We performed a genome-wide association study on the largest collection of amyloid imaging data (N = 13,409) to date, across multiple ethnicities from multicenter cohorts to identify variants associated with brain amyloidosis and AD risk. We found a strong APOE signal on chr19q.13.32 (top SNP: APOE ɛ4; rs429358; β = 0.35, SE = 0.01, P = 6.2 × 10–311, MAF = 0.19), driven by APOE ɛ4, and five additional novel associations (APOE ε2/rs7412; rs73052335/rs5117, rs1081105, rs438811, and rs4420638) independent of APOE ɛ4. APOE ɛ4 and ε2 showed race specific effect with stronger association in Non-Hispanic Whites, with the lowest association in Asians. Besides the APOE, we also identified three other genome-wide loci: ABCA7 (rs12151021/chr19p.13.3; β = 0.07, SE = 0.01, P = 9.2 × 10–09, MAF = 0.32), CR1 (rs6656401/chr1q.32.2; β = 0.1, SE = 0.02, P = 2.4 × 10–10, MAF = 0.18) and FERMT2 locus (rs117834516/chr14q.22.1; β = 0.16, SE = 0.03, P = 1.1 × 10–09, MAF = 0.06) that all colocalized with AD risk. Sex-stratified analyses identified two novel female-specific signals on chr5p.14.1 (rs529007143, β = 0.79, SE = 0.14, P = 1.4 × 10–08, MAF = 0.006, sex-interaction P = 9.8 × 10–07) and chr11p.15.2 (rs192346166, β = 0.94, SE = 0.17, P = 3.7 × 10–08, MAF = 0.004, sex-interaction P = 1.3 × 10–03). We also demonstrated that the overall genetic architecture of brain amyloidosis overlaps with that of AD, Frontotemporal Dementia, stroke, and brain structure-related complex human traits. Overall, our results have important implications when estimating the individual risk to a population level, as race and sex will needed to be taken into account. This may affect participant selection for future clinical trials and therapies.

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