Alzheimer's disease risk variants modulate endophenotypes in mild cognitive impairment

  • Eva Louwersheimer
  • , Steffen Wolfsgruber
  • , Ana Espinosa
  • , André Lacour
  • , Stefanie Heilmann-Heimbach
  • , Montserrat Alegret
  • , Isabel Hernández
  • , Maitée Rosende-Roca
  • , Lluís Tárraga
  • , Mercè Boada
  • , Johannes Kornhuber
  • , Oliver Peters
  • , Lutz Frölich
  • , Michael Hüll
  • , Eckart Rüther
  • , Jens Wiltfang
  • , Martin Scherer
  • , Steffi Riedel-Heller
  • , Frank Jessen
  • , Markus M. Nöthen
  • Wolfgang Maier, Ted Koene, Philip Scheltens, Henne Holstege, Michael Wagner, Agustín Ruiz, Wiesje M. van der Flier, Tim Becker, Alfredo Ramirez

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Introduction We evaluated the effect of Alzheimer's disease (AD) susceptibility loci on endophenotypes closely related with AD pathology in patients with mild cognitive impairment (MCI). Methods We selected 1730 MCI patients from four independent data sets. Weighted polygenic risk scores (PGS) were constructed of 18 non-apolipoprotein E (APOE) AD risk variants. In addition, we determined APOE genotype. AD endophenotypes were cognitive decline over time and cerebrospinal fluid (CSF) biomarkers (aβ, tau, ptau). Results PGS was modestly associated with cognitive decline over time, as measured by mini-mental state examination (MMSE) (β ± SE:−0.24 ± 0.10; P = .012), and with CSF levels of tau and ptau (tau: 1.38 ± 0.36, P = 1.21 × 10−4; ptau: 1.40 ± 0.36, P = 1.02 × 10−4). Discussion In MCI, we observed a joint effect of AD susceptibility loci on nonamyloid endophenotypes, suggesting a link of these genetic loci with neuronal degeneration in general rather than with Alzheimer-related amyloid deposition.

Original languageEnglish (US)
Pages (from-to)872-881
Number of pages10
JournalAlzheimer's and Dementia
Volume12
Issue number8
DOIs
StatePublished - Aug 1 2016
Externally publishedYes

Keywords

  • Alzheimer's disease
  • Endophenotypes
  • Genetic risk variants
  • Mild cognitive impairment
  • Polygenic risk score

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Developmental Neuroscience
  • Clinical Neurology
  • Geriatrics and Gerontology
  • Cellular and Molecular Neuroscience
  • Psychiatry and Mental health

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