期刊
BRAIN
卷 138, 期 -, 页码 3076-3088出版社
OXFORD UNIV PRESS
DOI: 10.1093/brain/awv231
关键词
Alzheimer's disease; amyloid; genetics; interleukin-1; microglia
资金
- National Institute on Aging
- National Institute of Biomedical Imaging and Bioengineering
- National Institutes of Health (NIH) [U01 AG024904]
- Department of Defense [W81XWH-12-2-0012]
- NIH [U24 AG21886, P30 AG010129, K01 AG030514, R01 AG19771, P30 AG10133, R01 AG15819, AG17917, AG34374, P30 AG10161, P01 AG09466]
- Canadian Institutes of Health Research
- Alzheimer's Association
- Brin Wojcicki Foundation
- National Science Foundation (NSF) [CNS-0521433]
- Indiana CTSI (NIH) [U54 RR025761, RR027710-01, RR020128]
- Rush Alzheimer's Disease Center
Brain amyloid deposition is thought to be a seminal event in Alzheimer's disease. To identify genes influencing Alzheimer's disease pathogenesis, we performed a genome-wide association study of longitudinal change in brain amyloid burden measured by F-18-florbetapir PET. A novel association with higher rates of amyloid accumulation independent from APOE (apolipoprotein E) epsilon(4) status was identified in IL1RAP (interleukin-1 receptor accessory protein; rs12053868-G; P = 1.38 x 10(-9)) and was validated by deep sequencing. IL1RAP rs12053868-G carriers were more likely to progress from mild cognitive impairment to Alzheimer's disease and exhibited greater longitudinal temporal cortex atrophy on MRI. In independent cohorts rs12053868-G was associated with accelerated cognitive decline and lower cortical C-11-PBR28 PET signal, a marker of microglial activation. These results suggest a crucial role of activated microglia in limiting amyloid accumulation and nominate the IL-1/IL1RAP pathway as a potential target for modulating this process.
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