Yuk Yee Leung, Lindsay A. Farrer, Yi Zhao, Amanda B. Kuzma, Jean-Charles Lambert, Alessandra Chesi, Xia R, Haines Jl, Haut J, Anita L. DeStefano, Chouraki, Julie Williams, William S. Bush, Leonenko G, Achilleas N. Pitsillides, John J. Farrell, Richard Mayeux, Fulton-Howard B, Xueqiu Jian, van Duijn C, Edward B. Lee, Sudha Seshadri, Sandra Barral, Li M, Jennifer E. Below, Rebecca Sims, Kara L. Hamilton-Nelson, J. C. Bis, Céline Bellenguez, Struan F.A. Grant, Otto Valladares, B. Grenier-Boley, Schellenberg Gd, Peter Holmans, Margaret A. Pericak-Vance, Comic H, Maria Carolina Dalmasso, Badri N. Vardarajan, Penelope Benchek, Phillips-Cremins Je, Philippe Amouyel, Brian W. Kunkle, Adam C. Naj, Zhang Y, Alfredo Ramirez, Pavel P. Kuksa, Chen H, Jin Sha, Li-San Wang, Lee C, van der Lee Sj, and Josée Dupuis
Risk for late-onset Alzheimer’s disease (LOAD) is driven by multiple loci primarily identified by genome-wide association studies, many of which are common variants with minor allele frequencies (MAF)> 0.01. To identify additional common and rare LOAD risk variants, we performed a GWAS on 25,170 LOAD subjects and 41,052 cognitively normal controls in 44 datasets from the International Genomics of Alzheimer’s Project (IGAP). Existing genotype data was imputed using the dense, high-resolution Haplotype Reference Consortium (HRC) r1.1 reference panel. Stage 1 associations of P−5 were meta-analyzed with the European Alzheimer’s Disease Biobank (EADB) (n=20,301 cases; 21,839 controls) (stage 2 combined IGAP and EADB). An expanded meta-analysis was performed using a GWAS of parental AD/dementia history in the UK Biobank (UKBB) (n=35,214 cases; 180,791 controls) (stage 3 combined IGAP, EADB, and UKBB). Common variant (MAF≥0.01) associations were identified for 29 loci in stage 2, including novel genome-wide significant associations at TSPAN14 (P=2.33×10−12), SHARPIN (P=1.56×10−9), and ATF5/SIGLEC11 (P=1.03×10−8), and newly significant associations without using AD proxy cases in MTSS1L/IL34 (P=1.80×10−8), APH1B (P=2.10×10−13), and CLNK (P=2.24×10−10). Rare variant (MAFAPOE and TREM2, and a novel association of a rare variant (rs143080277; MAF=0.0054; P=2.69×10−9) in NCK2, further strengthened with the inclusion of UKBB data in stage 3 (P=7.17×10−13). Single-nucleus sequence data shows that NCK2 is highly expressed in amyloid-responsive microglial cells, suggesting a role in LOAD pathology.