Exploratory data from complete genomes of familial alzheimer disease age-at-onset outliers

Date

2012

Authors

Lalli, Matthew A.
Garcia, Gloria
Madrigal, Lucia
Arcos-Burgos, Mauricio
Arcila, Mary Luz
Kosik, Kenneth S.
Lopera, Francisco

Journal Title

Journal ISSN

Volume Title

Publisher

Wiley-Liss Inc

Abstract

Identifying genes that modify the age at onset (AAO) of Alzheimer disease and targeting them pharmacologically represent a potential treatment strategy. In this exploratory study, we sequenced the complete genomes of six individuals with familial Alzheimer disease due to the autosomal dominant mutation p.Glu280Ala in PSEN1 (MIM# 104311; NM_000021.3:c.839A>C). The disease and its AAO are highly heritable, motivating our search for genetic variants that modulate AAO. The median AAO of dementia in carriers of the mutant allele is 49 years. Extreme phenotypic outliers for AAO in this genetically isolated population with limited environmental variance are likely to harbor onset modifying genetic variants. A narrow distribution of AAO in this kindred suggests large effect sizes of genetic determinants of AAO in these outliers. Identity by descent (IBD) analysis and a combination of bioinformatics filters have suggested several candidate variants for AAO modifiers. Future work and replication studies on these variants may provide mechanistic insights into the etiopathology of Alzheimer disease.

Description

Keywords

Keywords: alanine; cysteine; glutamic acid; presenilin 1; adult; allele; Alzheimer disease; amino acid substitution; article; autosomal dominant disorder; bioinformatics; clinical article; controlled study; dementia; diagnostic test accuracy study; environmental fa Age at onset; Alzheimer disease; Identity by descent; Whole-genome sequencing

Citation

Source

Human Mutation

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

Restricted until

2037-12-31