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Genome-wide meta-analysis identifies new loci and functional pathways influencing Alzheimer's disease risk.


ABSTRACT: Alzheimer's disease (AD) is highly heritable and recent studies have identified over 20 disease-associated genomic loci. Yet these only explain a small proportion of the genetic variance, indicating that undiscovered loci remain. Here, we performed a large genome-wide association study of clinically diagnosed AD and AD-by-proxy (71,880 cases, 383,378 controls). AD-by-proxy, based on parental diagnoses, showed strong genetic correlation with AD (rg?=?0.81). Meta-analysis identified 29 risk loci, implicating 215 potential causative genes. Associated genes are strongly expressed in immune-related tissues and cell types (spleen, liver, and microglia). Gene-set analyses indicate biological mechanisms involved in lipid-related processes and degradation of amyloid precursor proteins. We show strong genetic correlations with multiple health-related outcomes, and Mendelian randomization results suggest a protective effect of cognitive ability on AD risk. These results are a step forward in identifying the genetic factors that contribute to AD risk and add novel insights into the neurobiology of AD.

SUBMITTER: Jansen IE 

PROVIDER: S-EPMC6836675 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Genome-wide meta-analysis identifies new loci and functional pathways influencing Alzheimer's disease risk.

Jansen Iris E IE   Savage Jeanne E JE   Watanabe Kyoko K   Bryois Julien J   Williams Dylan M DM   Steinberg Stacy S   Sealock Julia J   Karlsson Ida K IK   Hägg Sara S   Athanasiu Lavinia L   Voyle Nicola N   Proitsi Petroula P   Witoelar Aree A   Stringer Sven S   Aarsland Dag D   Almdahl Ina S IS   Andersen Fred F   Bergh Sverre S   Bettella Francesco F   Bjornsson Sigurbjorn S   Brækhus Anne A   Bråthen Geir G   de Leeuw Christiaan C   Desikan Rahul S RS   Djurovic Srdjan S   Dumitrescu Logan L   Fladby Tormod T   Hohman Timothy J TJ   Jonsson Palmi V PV   Kiddle Steven J SJ   Rongve Arvid A   Saltvedt Ingvild I   Sando Sigrid B SB   Selbæk Geir G   Shoai Maryam M   Skene Nathan G NG   Snaedal Jon J   Stordal Eystein E   Ulstein Ingun D ID   Wang Yunpeng Y   White Linda R LR   Hardy John J   Hjerling-Leffler Jens J   Sullivan Patrick F PF   van der Flier Wiesje M WM   Dobson Richard R   Davis Lea K LK   Stefansson Hreinn H   Stefansson Kari K   Pedersen Nancy L NL   Ripke Stephan S   Andreassen Ole A OA   Posthuma Danielle D  

Nature genetics 20190107 3


Alzheimer's disease (AD) is highly heritable and recent studies have identified over 20 disease-associated genomic loci. Yet these only explain a small proportion of the genetic variance, indicating that undiscovered loci remain. Here, we performed a large genome-wide association study of clinically diagnosed AD and AD-by-proxy (71,880 cases, 383,378 controls). AD-by-proxy, based on parental diagnoses, showed strong genetic correlation with AD (r<sub>g</sub> = 0.81). Meta-analysis identified 29  ...[more]

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