Department of Neurology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Department of Medicine (Biomedical Genetics), Boston University School of Medicine, Boston, MA, USA.
Int J Stroke. 2023 Aug;18(7):804-811. doi: 10.1177/17474930231155816. Epub 2023 Feb 7.
BACKGROUND AND AIMS: Combining biologically related traits in genome-wide association studies (GWAS) increases the power for genetic discovery. Given the established relationship between lobar intracerebral hemorrhage (ICH) and cerebral amyloid angiopathy (CAA), and between the latter and levels of cerebrospinal fluid amyloid-β 42 (CSF-Aβ42), we leveraged genetic predisposition for lower CSF-Aβ42 levels as a proxy phenotype for CAA to identify new genes associated with lobar ICH. METHODS: We used publicly available GWAS data for CSF-Aβ42 levels (n = 3146) and for lobar ICH (n = 2094). First, we evaluated the association between lobar ICH risk and CSF-Aβ42 in lobar ICH patients using a polygenic risk score (PRS) for CSF-Aβ42. Next, we conducted multi-trait analysis of GWAS (MTAG) for pleiotropy analysis of lobar ICH and CSF-Aβ42. MTAG results were further tested using Expression Quantitative Trait Locus and Differential Gene Expression Analyses. RESULTS: CSF-Aβ42 PRS was associated with lobar ICH risk (p = 0.04). MTAG analysis identified a novel association within (rs1007589; minor allele frequency = 0.09; MTAG p = 5.4 × 10; lobar ICH odds ratio = 1.4 and p = 2.4 × 10; CSF-Aβ42 β = -0.03 and p = 4.5 × 10). rs1007589 was significantly associated with the expression levels of in temporal and occipital cortices, regions known to preferentially accumulate microhemorrhages in CAA. CONCLUSION: Our pleiotropy analysis suggested a variant possibly implicated with lobar ICH driven by amyloid-related mechanisms in and associated with differential expression in brain regions characteristically affected by CAA. CDH9 is one subtype of the cadherin superfamily, which regulates intercellular adhesion, is involved in blood-brain barrier integrity, and is elevated in Alzheimer's disease patients. Further analyses are warranted to understand the effects of the variant on the pathogenesis of ICH and its clinical significance.
背景和目的:将与生物相关的特征组合在全基因组关联研究(GWAS)中可以提高遗传发现的能力。鉴于脑叶脑出血(ICH)和脑淀粉样血管病(CAA)之间已确立的关系,以及后者与脑脊液中淀粉样β 42(CSF-Aβ42)水平之间的关系,我们利用遗传易感性作为 CAA 的替代表型来降低 CSF-Aβ42 水平,以鉴定与脑叶 ICH 相关的新基因。
方法:我们使用了公开的 CSF-Aβ42 水平(n=3146)和脑叶 ICH(n=2094)GWAS 数据。首先,我们使用 CSF-Aβ42 的多基因风险评分(PRS)评估脑叶 ICH 患者的脑叶 ICH 风险与 CSF-Aβ42 之间的关联。接下来,我们对脑叶 ICH 和 CSF-Aβ42 进行多性状分析的 GWAS(MTAG)进行易位分析。使用表达定量性状基因座和差异基因表达分析进一步测试了 MTAG 结果。
结果:CSF-Aβ42 的 PRS 与脑叶 ICH 风险相关(p=0.04)。MTAG 分析在 (rs1007589;次要等位基因频率=0.09;MTAG p=5.4×10;脑叶 ICH 比值比=1.4,p=2.4×10;CSF-Aβ42 β=-0.03,p=4.5×10)内发现了一个新的关联。rs1007589 与颞叶和枕叶皮质中 的表达水平显著相关,这些区域在 CAA 中优先积累微出血。
结论:我们的易位分析表明,一种可能与由淀粉样相关机制驱动的脑叶 ICH 相关的变体存在于 中,并与 CAA 特征性影响的脑区的差异表达相关。CDH9 是钙粘蛋白超家族的一种亚型,可调节细胞间粘附,参与血脑屏障完整性,并在阿尔茨海默病患者中升高。需要进一步分析以了解该变体对 ICH 发病机制及其临床意义的影响。
Acta Neuropathol Commun. 2024-6-24