Polygenic analysis of inflammatory disease variants and effects on microglia in the aging brain.
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ABSTRACT: BACKGROUND:The role of the innate immune system in Alzheimer's disease (AD) and neurodegenerative disease susceptibility has recently been highlighted in genetic studies. However, we do not know whether risk for inflammatory disease predisposes unaffected individuals to late-life cognitive deficits or AD-related neuropathology. We investigated whether genetic risk scores for seven immune diseases and central nervous system traits were related to cognitive decline (nmax?=?1601), classical AD neuropathology (nmax?=?985), or microglial density (nmax?=?184). METHODS:Longitudinal cognitive decline, postmortem amyloid and tau neuropathology, microglial density, and gene module expression from bulk brain tissue were all measured in participants from two large cohorts (the Rush Religious Orders Study and Memory and Aging Project; ROS/MAP) of elderly subjects (mean age at entry 78 +/-?8.7 years). We analyzed data primarily using robust regression methods. Neuropathologists were blind to clinical data. RESULTS:The AD genetic risk scores, including and excluding APOE effects, were strongly associated with cognitive decline in all domains (min Puncor?=?3.2?×?10-?29). Multiple sclerosis (MS), Parkinson's disease, and schizophrenia risk did not influence cognitive decline in older age, but the rheumatoid arthritis (RA) risk score alone was significantly associated with microglial density after correction (t146?=?-?3.88, Puncor?=?1.6?×?10-?4). Post-hoc tests found significant effects of the RA genetic risk score in multiple regions and stages of microglial activation (min Puncor?=?1.5?×?10-?6). However, these associations were driven by only one or two variants, rather than cumulative polygenicity. Further, individual MS (Pone-sided?
SUBMITTER: Felsky D
PROVIDER: S-EPMC6057096 | biostudies-literature | 2018 Jul
REPOSITORIES: biostudies-literature
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