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Novel Alzheimer Disease Risk Loci and Pathways in African American Individuals Using the African Genome Resources Panel: A Meta-analysis.


ABSTRACT:

Importance

Compared with non-Hispanic White individuals, African American individuals from the same community are approximately twice as likely to develop Alzheimer disease. Despite this disparity, the largest Alzheimer disease genome-wide association studies to date have been conducted in non-Hispanic White individuals. In the largest association analyses of Alzheimer disease in African American individuals, ABCA7, TREM2, and an intergenic locus at 5q35 were previously implicated.

Objective

To identify additional risk loci in African American individuals by increasing the sample size and using the African Genome Resource panel.

Design, setting, and participants

This genome-wide association meta-analysis used case-control and family-based data sets from the Alzheimer Disease Genetics Consortium. There were multiple recruitment sites throughout the United States that included individuals with Alzheimer disease and controls of African American ancestry. Analysis began October 2018 and ended September 2019.

Main outcomes and measures

Diagnosis of Alzheimer disease.

Results

A total of 2784 individuals with Alzheimer disease (1944 female [69.8%]) and 5222 controls (3743 female [71.7%]) were analyzed (mean [SD] age at last evaluation, 74.2 [13.6] years). Associations with 4 novel common loci centered near the intracellular glycoprotein trafficking gene EDEM1 (3p26; P = 8.9 × 10-7), near the immune response gene ALCAM (3q13; P = 9.3 × 10-7), within GPC6 (13q31; P = 4.1 × 10-7), a gene critical for recruitment of glutamatergic receptors to the neuronal membrane, and within VRK3 (19q13.33; P = 3.5 × 10-7), a gene involved in glutamate neurotoxicity, were identified. In addition, several loci associated with rare variants, including a genome-wide significant intergenic locus near IGF1R at 15q26 (P = 1.7 × 10-9) and 6 additional loci with suggestive significance (P ≤ 5 × 10-7) such as API5 at 11p12 (P = 8.8 × 10-8) and RBFOX1 at 16p13 (P = 5.4 × 10-7) were identified. Gene expression data from brain tissue demonstrate association of ALCAM, ARAP1, GPC6, and RBFOX1 with brain β-amyloid load. Of 25 known loci associated with Alzheimer disease in non-Hispanic White individuals, only APOE, ABCA7, TREM2, BIN1, CD2AP, FERMT2, and WWOX were implicated at a nominal significance level or stronger in African American individuals. Pathway analyses strongly support the notion that immunity, lipid processing, and intracellular trafficking pathways underlying Alzheimer disease in African American individuals overlap with those observed in non-Hispanic White individuals. A new pathway emerging from these analyses is the kidney system, suggesting a novel mechanism for Alzheimer disease that needs further exploration.

Conclusions and relevance

While the major pathways involved in Alzheimer disease etiology in African American individuals are similar to those in non-Hispanic White individuals, the disease-associated loci within these pathways differ.

SUBMITTER: Kunkle BW 

PROVIDER: S-EPMC7573798 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Novel Alzheimer Disease Risk Loci and Pathways in African American Individuals Using the African Genome Resources Panel: A Meta-analysis.

Kunkle Brian W BW   Schmidt Michael M   Klein Hans-Ulrich HU   Naj Adam C AC   Hamilton-Nelson Kara L KL   Larson Eric B EB   Evans Denis A DA   De Jager Phil L PL   Crane Paul K PK   Buxbaum Joe D JD   Ertekin-Taner Nilufer N   Barnes Lisa L LL   Fallin M Daniele MD   Manly Jennifer J JJ   Go Rodney C P RCP   Obisesan Thomas O TO   Kamboh M Ilyas MI   Bennett David A DA   Hall Kathleen S KS   Goate Alison M AM   Foroud Tatiana M TM   Martin Eden R ER   Wang Li-Sao LS   Byrd Goldie S GS   Farrer Lindsay A LA   Haines Jonathan L JL   Schellenberg Gerard D GD   Mayeux Richard R   Pericak-Vance Margaret A MA   Reitz Christiane C   Graff-Radford Neill R NR   Martinez Izri I   Ayodele Temitope T   Logue Mark W MW   Cantwell Laura B LB   Jean-Francois Melissa M   Kuzma Amanda B AB   Adams L D LD   Vance Jeffery M JM   Cuccaro Michael L ML   Chung Jaeyoon J   Mez Jesse J   Lunetta Kathryn L KL   Jun Gyungah R GR   Lopez Oscar L OL   Hendrie Hugh C HC   Reiman Eric M EM   Kowall Neil W NW   Leverenz James B JB   Small Scott A SA   Levey Allan I AI   Golde Todd E TE   Saykin Andrew J AJ   Starks Takiyah D TD   Albert Marilyn S MS   Hyman Bradley T BT   Petersen Ronald C RC   Sano Mary M   Wisniewski Thomas T   Vassar Robert R   Kaye Jeffrey A JA   Henderson Victor W VW   DeCarli Charles C   LaFerla Frank M FM   Brewer James B JB   Miller Bruce L BL   Swerdlow Russell H RH   Van Eldik Linda J LJ   Paulson Henry L HL   Trojanowski John Q JQ   Chui Helena C HC   Rosenberg Roger N RN   Craft Suzanne S   Grabowski Thomas J TJ   Asthana Sanjay S   Morris John C JC   Strittmatter Stephen M SM   Kukull Walter A WA  

JAMA neurology 20210101 1


<h4>Importance</h4>Compared with non-Hispanic White individuals, African American individuals from the same community are approximately twice as likely to develop Alzheimer disease. Despite this disparity, the largest Alzheimer disease genome-wide association studies to date have been conducted in non-Hispanic White individuals. In the largest association analyses of Alzheimer disease in African American individuals, ABCA7, TREM2, and an intergenic locus at 5q35 were previously implicated.<h4>Ob  ...[more]

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