Causal Associations Between Modifiable Risk Factors and the Alzheimer's Phenome.

Causal Associations Between Modifiable Risk Factors and the Alzheimer's Phenome.
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DOI:
10.1002/ana.25918
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发表时间:
2021-01
影响因子:
11.2
通讯作者:
collaborators of the Alzheimer's Disease Genetics Consortium
collaborators of the Alzheimer's Disease Genetics Consortium
中科院分区:
医学1区
文献类型:
--
作者:
Andrews SJ;Fulton-Howard B;O'Reilly P;Marcora E;Goate AM;collaborators of the Alzheimer's Disease Genetics Consortium

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这项研究的目的是推断22个先前报道的阿尔茨海默病(AD)危险因素与AD现象组之间的因果关系:AD、AD发病年龄、海马体积、皮质表面积和厚度、脑脊液中淀粉样蛋白β(Aβ42)、tau和ptau181水平,以及神经炎斑块、神经原纤维缠结(NFT)和血管脑损伤(VBI)的神经病理负担。在26,431例AD患者/对照中计算了22个危险因素的多基因风险分数(PR),并用Logistic回归分析了其与AD的相关性。采用两样本孟德尔随机化(MR)方法推断危险因素对AD表型的因果效应。增加教育程度和舒张压的PR与AD风险降低相关。MR指出,只有教育与AD风险降低、AAOS延迟、皮质表面积和厚度增加存在因果关系。总胆固醇和低密度脂蛋白-胆固醇水平与神经炎斑块负荷增加有因果关系,尽管这种影响是由APOE基因座内的单核苷酸多态(SNPs)驱动的。舒张压和脉压与VBI风险增加有因果关系。此外,总胆固醇与海马体体积减少、开始吸烟与皮质厚度减少、2型糖尿病早期AAOS以及睡眠时间与皮质厚度增加有关。我们使用PRS和MR对先前报道的AD风险因素之间的因果关系的遗传证据进行了全面的研究,支持教育、血压、胆固醇水平、吸烟和糖尿病与AD现象之间的因果关系。
The purpose of this study was to infer causal relationships between 22 previously reported risk factors for Alzheimer’s disease (AD) and the “AD phenome”: AD, AD age of onset (AAOS), hippocampal volume, cortical surface area and thickness, cerebrospinal fluid (CSF) levels of amyloid-β (Aβ42), tau, and ptau181, and the neuropathological burden of neuritic plaques, neurofibrillary tangles (NFTs), and vascular brain injury (VBI). Polygenic risk scores (PRS) for the 22 risk factors were computed in 26,431 AD cases/controls and the association with AD was evaluated using logistic regression. Two-sample Mendelian randomization (MR) was used to infer the causal effect of risk factors on the AD phenome. PRS for increased education and diastolic blood pressure were associated with reduced risk for AD. MR indicated that only education was causally associated with reduced risk of AD, delayed AAOS, and increased cortical surface area and thickness. Total- and LDL-cholesterol levels were causally associated with increased neuritic plaque burden, although the effects were driven by single nucleotide polymorphisms (SNPs) within the APOE locus. Diastolic blood pressure and pulse pressure are causally associated with increased risk of VBI. Furthermore, total cholesterol was associated with decreased hippocampal volume; smoking initiation with decreased cortical thickness; type 2 diabetes with an earlier AAOS; and sleep duration with increased cortical thickness. Our comprehensive examination of the genetic evidence for the causal relationships between previously reported risk factors in AD using PRS and MR supports a causal role for education, blood pressure, cholesterol levels, smoking, and diabetes with the AD phenome.
与海马体积相关的新型遗传基因座。
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