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Prediction of Alzheimer's disease using multi-variants from a Chinese genome-wide association study

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单位: [1]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Innovat Ctr Neurol Disorders, Changchun St 45, Beijing 100053, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Dept Neurol, Changchun St 45, Beijing 100053, Peoples R China [3]Xi An Jiao Tong Univ, Dept Neurol, Affiliated Hosp 1, Xian, Shaanxi, Peoples R China [4]Third Mil Med Univ, Daping Hosp, Dept Neurol, Chongqing, Peoples R China [5]Third Mil Med Univ, Daping Hosp, Ctr Clin Neurosci, Chongqing, Peoples R China [6]Cent South Univ, Xiangya Hosp, Dept Neurol, Changsha, Peoples R China [7]Zhejiang Univ, Lab Med Neurobiol Zhejiang Prov, Sch Med, Hangzhou, Zhejiang, Peoples R China [8]China Japan Friendship Hosp, Dept Neurol, Beijing, Peoples R China [9]Qingdao Univ, Qingdao Municipal Hosp, Sch Med, Dept Neurol, Qingdao, Shandong, Peoples R China [10]Zhejiang Univ, Affiliated Hosp 1, Dept Neurol, Hangzhou, Zhejiang, Peoples R China [11]Shanghai Jiao Tong Univ, Dept Gerontol, Affiliated Peoples Hosp 6, Shanghai, Peoples R China [12]Guangzhou Med Univ, Affiliated Hosp, Dept Geriatr, Guangzhou Huiai Hosp, Guangzhou, Peoples R China [13]Shandong Univ, Dept Neurol, Shandong Prov Hosp, Jinan, Shandong, Peoples R China [14]Zhengzhou Univ Peoples Hosp, Henan Prov Peoples Hosp, Dept Neurol, Zhengzhou, Henan, Peoples R China [15]Wuhan Univ, Zhongnan Hosp, Dept Neurol, Wuhan, Hubei, Peoples R China [16]Beijing Geriatr Hosp, Ctr Cognit Disorders, Beijing, Peoples R China [17]Chongqing Med Univ, Dept Geriatr, Affiliated Hosp 1, Chongqing, Peoples R China [18]Capital Med Univ, Fuxing Hosp, Dept Geriatr, Beijing, Peoples R China [19]Tianjin Huanhu Hosp, Dept Neurol, Tianjin, Peoples R China [20]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China [21]Capital Med Univ, Beijing Tiantan Hosp, Ctr Cognit Neurol, Beijing, Peoples R China [22]Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Psychiat, Hangzhou, Zhejiang, Peoples R China [23]Capital Med Univ, Xuanwu Hosp, Dept Radiol, Beijing, Peoples R China [24]Capital Med Univ, Xuanwu Hosp, Dept Nucl Med, Beijing, Peoples R China [25]Beijing Key Lab Geriatr Cognit Disorders, Beijing, Peoples R China [26]Capital Med Univ, Clin Ctr Neurodegenerat Dis & Memory Impairment, Beijing, Peoples R China [27]Beijing Inst Brain Disorders, Ctr Alzheimers Dis, Beijing, Peoples R China
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关键词: Alzheimer's disease genome-wide association study Chinese predictive model longitudinal cohort

摘要:
Previous genome-wide association studies have identified dozens of susceptibility loci for sporadic Alzheimer's disease, but few of these loci have been validated in longitudinal cohorts. Establishing predictive models of Alzheimer's disease based on these novel variants is clinically important for verifying whether they have pathological functions and provide a useful tool for screening of disease risk. In the current study, we performed a two-stage genome-wide association study of 3913 patients with Alzheimer's disease and 7593 controls and identified four novel variants (rs3777215, rs6859823, rs234434, and rs2255835; P-combined = 3.07x10(-19), 2.49x10(-23), 1.35x10(-67), and 4.81x10(-9), respectively) as well as nine variants in the apolipoprotein E region with genome-wide significance (P<5.0x10(-8)). Literature mining suggested that these novel single nucleotide polymorphisms are related to amyloid precursor protein transport and metabolism, antioxidation, and neurogenesis. Based on their possible roles in the development of Alzheimer's disease, we used different combinations of these variants and the apolipoprotein E status and successively built 11 predictive models. The predictive models include relatively few single nucleotide polymorphisms useful for clinical practice, in which the maximum number was 13 and the minimum was only four. These predictive models were all significant and their peak of area under the curve reached 0.73 both in the first and second stages. Finally, these models were validated using a separate longitudinal cohort of 5474 individuals. The results showed that individuals carrying risk variants included in the models had a shorter latency and higher incidence of Alzheimer's disease, suggesting that our models can predict Alzheimer's disease onset in a population with genetic susceptibility. The effectiveness of the models for predicting Alzheimer's disease onset confirmed the contributions of these identified variants to disease pathogenesis. In conclusion, this is the first study to validate genome-wide association study-based predictive models for evaluating the risk of Alzheimer's disease onset in a large Chinese population. The clinical application of these models will be beneficial for individuals harbouring these risk variants, and particularly for young individuals seeking genetic consultation.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 神经科学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 神经科学
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出版当年[2019]版:
Q1 NEUROSCIENCES Q1 CLINICAL NEUROLOGY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者单位: [1]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Innovat Ctr Neurol Disorders, Changchun St 45, Beijing 100053, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Dept Neurol, Changchun St 45, Beijing 100053, Peoples R China
通讯作者:
通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Innovat Ctr Neurol Disorders, Changchun St 45, Beijing 100053, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Dept Neurol, Changchun St 45, Beijing 100053, Peoples R China [23]Capital Med Univ, Xuanwu Hosp, Dept Radiol, Beijing, Peoples R China [24]Capital Med Univ, Xuanwu Hosp, Dept Nucl Med, Beijing, Peoples R China [25]Beijing Key Lab Geriatr Cognit Disorders, Beijing, Peoples R China [26]Capital Med Univ, Clin Ctr Neurodegenerat Dis & Memory Impairment, Beijing, Peoples R China [27]Beijing Inst Brain Disorders, Ctr Alzheimers Dis, Beijing, Peoples R China [*1]Capital Med Univ, Xuanwu Hosp, Dept Nucl Med, Dept Radiol, Changchun St 45, Beijing 100053, Peoples R China
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