Goldstein Orly, Gana-Weisz Mali, Shiner Tamara, Attar Reut, Mordechai Yael, Waldman Yedael Y, Bar-Shira Anat, Thaler Avner, Gurevich Tanya, Mirelman Anat, Giladi Nir, Orr-Urtreger Avi
The Genomic Research Laboratory for Neurodegeneration, Neurological Institute Tel Aviv Sourasky Medical Center Tel Aviv Israel.
Cognitive Neurology Unit, Neurological Institute Tel Aviv Sourasky Medical Center Tel Aviv Israel.
Alzheimers Dement (Amst). 2021 Jun 4;13(1):e12143. doi: 10.1002/dad2.12143. eCollection 2021.
-N370S mutation is one of the most frequent risk factors for dementia with Lewy bodies (DLB) and Parkinson's disease (PD). We looked for genetic variations that contribute to the outcome in N370S-carriers, whether PD or DLB.
Whole-genome sequencing of 95 Ashkenazi-N370S-carriers affected with either DLB (n = 19) or PD (n = 76) was performed, and 564 genes related to dementia and PD analyzed.
We identified enrichment of linked alleles in locus in DLB patients (false discovery rate = .0412). Haplotype analysis delineated 1.8 Mb interval encompassing 29 genes and 87 unique variants, of them, -R869C received the highest functional prediction score (Combined Annotation Dependent Depletion = 34). Its frequency was significantly higher in 26 DLB-N370S-carriers compared to 140 PD-N370S-carriers (odds ratio [OR] = 33.4 = .001, and OR = 70.2 when only heterozygotes were included).
Because was shown to be important for learning and memory in mice, our data further suggest, for the first time, its involvement in DLB, and possibly in human dementia.
N370S突变是路易体痴呆(DLB)和帕金森病(PD)最常见的风险因素之一。我们寻找了影响携带N370S基因者(无论患PD还是DLB)病情发展的基因变异。
对95名携带N370S基因的德系犹太人进行全基因组测序,这些人患有DLB(n = 19)或PD(n = 76),并对564个与痴呆和PD相关的基因进行了分析。
我们在DLB患者的一个基因座中发现了连锁等位基因的富集(错误发现率 = 0.0412)。单倍型分析确定了一个1.8兆碱基的区间,包含29个基因和87个独特变异,其中-R869C获得了最高的功能预测分数(综合注释依赖损耗 = 34)。与140名携带N370S基因的PD患者相比,其在26名携带N370S基因的DLB患者中的频率显著更高(优势比[OR] = 33.4,P = 0.001,仅纳入杂合子时OR = 70.2)。
由于已证明该基因对小鼠的学习和记忆很重要,我们的数据首次进一步表明其与DLB有关,可能也与人类痴呆有关。