Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Neuron. 2013 Apr 24;78(2):256-68. doi: 10.1016/j.neuron.2013.02.026. Epub 2013 Apr 4.
Cerebrospinal fluid (CSF) tau, tau phosphorylated at threonine 181 (ptau), and Aβ₄₂ are established biomarkers for Alzheimer's disease (AD) and have been used as quantitative traits for genetic analyses. We performed the largest genome-wide association study for cerebrospinal fluid (CSF) tau/ptau levels published to date (n = 1,269), identifying three genome-wide significant loci for CSF tau and ptau: rs9877502 (p = 4.89 × 10⁻⁹ for tau) located at 3q28 between GEMC1 and OSTN, rs514716 (p = 1.07 × 10⁻⁸ and p = 3.22 × 10⁻⁹ for tau and ptau, respectively), located at 9p24.2 within GLIS3 and rs6922617 (p = 3.58 × 10⁻⁸ for CSF ptau) at 6p21.1 within the TREM gene cluster, a region recently reported to harbor rare variants that increase AD risk. In independent data sets, rs9877502 showed a strong association with risk for AD, tangle pathology, and global cognitive decline (p = 2.67 × 10⁻⁴, 0.039, 4.86 × 10⁻⁵, respectively) illustrating how this endophenotype-based approach can be used to identify new AD risk loci.
脑脊液(CSF)tau、磷酸化苏氨酸 181 位的 tau(ptau)和 Aβ₄₂ 是阿尔茨海默病(AD)的既定生物标志物,已被用作遗传分析的定量特征。我们进行了迄今为止发表的脑脊液(CSF)tau/ptau 水平的最大全基因组关联研究(n = 1,269),确定了三个与 CSF tau 和 ptau 水平全基因组显著相关的位点:rs9877502(tau 的 p 值为 4.89×10⁻⁹)位于 3q28 之间 GEMC1 和 OSTN 之间,rs514716(tau 和 ptau 的 p 值分别为 1.07×10⁻⁸和 3.22×10⁻⁹)位于 9p24.2 内 GLIS3 内,rs6922617(CSF ptau 的 p 值为 3.58×10⁻⁸)位于 6p21.1 内 TREM 基因簇内,该区域最近报道存在增加 AD 风险的罕见变异。在独立的数据集中,rs9877502 与 AD 风险、缠结病理和整体认知下降均具有很强的相关性(p = 2.67×10⁻⁴,0.039,4.86×10⁻⁵,分别),说明这种基于表型的方法如何用于识别新的 AD 风险位点。