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Journal article

New insights into the genetic etiology of Alzheimer’s disease and related dementias

Abstract:
Characterization of the genetic landscape of Alzheimer’s disease (AD) and related dementias (ADD) provides a unique opportunity for a better understanding of the associated pathophysiological processes. We performed a two-stage genome-wide association study totaling 111,326 clinically diagnosed/‘proxy’ AD cases and 677,663 controls. We found 75 risk loci, of which 42 were new at the time of analysis. Pathway enrichment analyses confirmed the involvement of amyloid/tau pathways and highlighted microglia implication. Gene prioritization in the new loci identified 31 genes that were suggestive of new genetically associated processes, including the tumor necrosis factor alpha pathway through the linear ubiquitin chain assembly complex. We also built a new genetic risk score associated with the risk of future AD/dementia or progression from mild cognitive impairment to AD/dementia. The improvement in prediction led to a 1.6- to 1.9-fold increase in AD risk from the lowest to the highest decile, in addition to effects of age and the APOE ε4 allele.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41588-022-01024-z

Authors


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Role:
Author
ORCID:
0000-0002-1240-7874
More by this author
Role:
Author
ORCID:
0000-0002-3835-9639
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Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
Clinical Trial Service Unit
Role:
Author
ORCID:
0000-0002-8944-1771
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Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Human Genetics Wt Centre
Role:
Author
ORCID:
0000-0002-8658-3790


More from this funder
Grant:
MR/L023784/2
MR/K013041/1
MR/L501517/1
MR/L023784/1
MR/L501529/1
G0902227


Publisher:
Springer Nature
Journal:
Nature Genetics More from this journal
Volume:
54
Issue:
4
Pages:
412-436
Place of publication:
United States
Publication date:
2022-04-04
Acceptance date:
2022-01-27
DOI:
EISSN:
1546-1718
ISSN:
1061-4036
Pmid:
35379992


Language:
English
Pubs id:
1249786
Local pid:
pubs:1249786
Deposit date:
2024-07-04

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