4.7 Article

Whole-exome rare-variant analysis of Alzheimer's disease and related biomarker traits

Journal

ALZHEIMERS & DEMENTIA
Volume -, Issue -, Pages -

Publisher

WILEY
DOI: 10.1002/alz.12842

Keywords

Alzheimer's disease; biomarkers; endophenotypes; rare coding variants; whole-exome sequencing

Funding

  1. EMIF
  2. European Medical Information Framework for Alzheimer's Disease (EMIF-AD)
  3. Innovative Medicines Initiative Joint Undertaking under the European Medical Information Framework (EMIF) [115372]
  4. European Prevention of Alzheimer's Dementia (EPAD) [115736]
  5. European Union [860197]
  6. European Federation of Pharmaceutical Industries and Association (EFPIA) - European Commission within the fifth framework program [QLRT-2001-2455]
  7. European Commission within the fifth framework program [37670]
  8. Department of Health of the Basque Government (allocation) [17.0.1.08.12.0000.2.454.01.41142.001]
  9. Stichting voor Alzheimer Onderzoek [11020, 13007, 15005]
  10. Swiss National Research Foundation [SNF 320030_141179]
  11. Synapsis Foundation - Alzheimer Research Switzerland [2017-PI01]
  12. University of Antwerp Research Fund
  13. Swedish Research Council [2018-02532]
  14. European Research Council [681712]
  15. Swedish State Support for Clinical Research [ALFGBG-720931]
  16. Alzheimer Drug Discovery Foundation (ADDF), USA [201809-2016862]
  17. AD Strategic Fund
  18. Alzheimer's Association
  19. Olav Thon Foundation
  20. Erling-Persson Family Foundation
  21. Stiftelsen for Gamla Tjanarinnor
  22. Hjarnfonden, Sweden [FO2019-0228]
  23. UK Dementia Research Institute at University College London
  24. National Institute for Health and Care Research (NIHR) biomedical research centre at University College London Hospitals (UCLH)
  25. Petrus and Augusta Hedlunds Foundation
  26. Gun och Bertil Stohnes Foundation
  27. Loo and Hans Osterman Foundation
  28. Demensforbundet, Brain Foundation Hjarnfonden [FO2018-0315]
  29. Region Orebro lan
  30. Demensfonden, Stockholm and Nyckelfonden Region Orebro Lan
  31. ADNI - Alzheimer's DiseaseNeuroimaging Initiative (ADNI) (National Institutes of Health) [U01 AG024904]
  32. DOD ADNI (Department of Defense) [W81XWH-12-2-0012]
  33. National Institute on Aging
  34. National Institute of Biomedical Imaging and Bioengineering
  35. Alzheimer's Drug Discovery Foundation
  36. Araclon Biotech
  37. Biogen
  38. Bristol-Myers Squibb Company
  39. CereSpir, Inc.
  40. Cogstate
  41. Elan Pharmaceuticals, Inc.
  42. Eli Lilly and Company
  43. EuroImmun
  44. F. Hoffmann-La Roche Ltd
  45. Fujirebio
  46. Johnson & Johnson Pharmaceutical Research & Development LLC.
  47. Merck Co., Inc.
  48. Meso Scale Diagnostics
  49. NeuroRx Research
  50. Novartis Pharmaceuticals Corporation
  51. Pfizer Inc.
  52. Piramal Imaging
  53. Takeda Pharmaceutical Company
  54. Canadian Institutes of Health Research
  55. ADNI clinical sites in Canada
  56. Foundation for the National Institutes of Health
  57. Northern California Institute for Research and Education
  58. Laboratory for Neuro Imaging at the University of Southern California
  59. Alzheimer's DiseaseNeuroimaging Initiative (ADNI) (National Institutes of Health) [U01 AG024904]
  60. National Institute on Aging, the National Institute of Biomedical Imaging and Bioengineering
  61. AbbVie
  62. Cogstate
  63. Eisai Inc.
  64. EuroImmun
  65. F. Hoffmann-La Roche Ltd
  66. Genentech, Inc.
  67. GE Healthcare
  68. IXICO Ltd.
  69. Lumosity
  70. Lundbeck
  71. NeuroRx Research
  72. Neurotrack Technologies
  73. Pfizer Inc.Piramal Imaging
  74. Servier
  75. Transition Therapeutics
  76. DNI clinical sites in Canada

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In this study, the association between rare genetic variation and AD-related biomarker traits was investigated. Several novel gene-trait associations were identified, shedding light on the role of rare coding variation in the pathophysiological processes of AD.
IntroductionDespite increasing evidence of a role of rare genetic variation in the risk of Alzheimer's disease (AD), limited attention has been paid to its contribution to AD-related biomarker traits indicative of AD-relevant pathophysiological processes. MethodsWe performed whole-exome gene-based rare-variant association studies (RVASs) of 17 AD-related traits on whole-exome sequencing (WES) data generated in the European Medical Information Framework for Alzheimer's Disease Multimodal Biomarker Discovery (EMIF-AD MBD) study (n = 450) and whole-genome sequencing (WGS) data from ADNI (n = 808). ResultsMutation screening revealed a novel probably pathogenic mutation (PSEN1 p.Leu232Phe). Gene-based RVAS revealed the exome-wide significant contribution of rare coding variation in RBKS and OR7A10 to cognitive performance and protection against left hippocampal atrophy, respectively. DiscussionThe identification of these novel gene-trait associations offers new perspectives into the role of rare coding variation in the distinct pathophysiological processes culminating in AD, which may lead to identification of novel therapeutic and diagnostic targets.

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