1. Largest GWAS (N=1,126,563) of Alzheimer’s Disease Implicates Microglia and Immune Cells
- Author
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Tore Wergeland Meisingset, Kari Stefansson, Shahram Bahrami, Sigurdur H. Magnusson, Tormod Fladby, Ingunn Bosnes, Lavinia Athanasiu, Danielle Posthuma, Sigrid Botne Sando, Stephan Ripke, Linda M. Pedersen, Amy E Martinsen, Dag Aarsland, Ole Kristian Drange, Henrik Zetterberg, Alexey A. Shadrin, Margda Waern, Steinunn Thordardottir, Sigrid Børte, Wei Zhou, Kristian Hveem, Marianne Bakke Johnsen, Julia M. Sealock, Eystein Stordal, Geir Selbæk, Silke Kern, John-Anker Zwart, Iris E. Jansen, Palmi V. Jonsson, Ole A. Andreassen, Ingvild Saltvedt, Ingmar Skoog, Maiken Elvestad Gabrielsen, Cristen J. Willer, Chandra A. Reynolds, Ingun Ulstein, Arvid Rongve, Anne Heidi Skogholt, Douglas P Wightman, Richard Dobson, Anna Zettergren, Lea K. Davis, Nancy L. Pedersen, Ida K. Karlsson, Srdjan Djurovic, Kaj Blennow, Laurent F. Thomas, Latha Velayudhan, Angela Hodges, Bendik S. Winsvold, Jon Snaedal, Lars G. Fritsche, Hreinn Stefansson, Petra Proitsi, Jeanne E. Savage, Jonas B. Nielsen, and Geir Bråthen
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Genetics ,medicine.anatomical_structure ,Immune system ,Drug development ,Amyloid ,Microglia ,medicine ,Dementia ,Genome-wide association study ,Disease ,Biology ,medicine.disease ,Gene - Abstract
SummaryLate-onset Alzheimer’s disease is a prevalent age-related polygenic disease that accounts for 50-70% of dementia cases1. Late-onset Alzheimer’s disease is caused by a combination of many genetic variants with small effect sizes and environmental influences. Currently, only a fraction of the genetic variants underlying Alzheimer’s disease have been identified2,3. Here we show that increased sample sizes allowed for identification of seven novel genetic loci contributing to Alzheimer’s disease. We highlighted eight potentially causal genes where gene expression changes are likely to explain the association. Human microglia were found as the only cell type where the gene expression pattern was significantly associated with the Alzheimer’s disease association signal. Gene set analysis identified four independent pathways for associated variants to influence disease pathology. Our results support the importance of microglia, amyloid and tau aggregation, and immune response in Alzheimer’s disease. We anticipate that through collaboration the results from this study can be included in larger meta-analyses of Alzheimer’s disease to identify further genetic variants which contribute to Alzheimer’s pathology. Furthermore, the increased understanding of the mechanisms that mediate the effect of genetic variants on disease progression will help identify potential pathways and gene-sets as targets for drug development.
- Published
- 2020
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