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血浆阿尔茨海默病生物标志物的遗传结构。

Genetic architecture of plasma Alzheimer disease biomarkers.

机构信息

Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.

NeuroGenomics and Informatics Center, Washington University School of Medicine, St. Louis, MO 63110, USA.

出版信息

Hum Mol Genet. 2023 Jul 20;32(15):2532-2543. doi: 10.1093/hmg/ddad087.

Abstract

Genome-wide association studies (GWAS) of cerebrospinal fluid (CSF) Alzheimer's Disease (AD) biomarker levels have identified novel genes implicated in disease risk, onset and progression. However, lumbar punctures have limited availability and may be perceived as invasive. Blood collection is readily available and well accepted, but it is not clear whether plasma biomarkers will be informative for genetic studies. Here we perform genetic analyses on concentrations of plasma amyloid-β peptides Aβ40 (n = 1,467) and Aβ42 (n = 1,484), Aβ42/40 (n = 1467) total tau (n = 504), tau phosphorylated (p-tau181; n = 1079) and neurofilament light (NfL; n = 2,058). GWAS and gene-based analysis was used to identify single variant and genes associated with plasma levels. Finally, polygenic risk score and summary statistics were used to investigate overlapping genetic architecture between plasma biomarkers, CSF biomarkers and AD risk. We found a total of six genome-wide significant signals. APOE was associated with plasma Aβ42, Aβ42/40, tau, p-tau181 and NfL. We proposed 10 candidate functional genes on the basis of 12 single nucleotide polymorphism-biomarker pairs and brain differential gene expression analysis. We found a significant genetic overlap between CSF and plasma biomarkers. We also demonstrate that it is possible to improve the specificity and sensitivity of these biomarkers, when genetic variants regulating protein levels are included in the model. This current study using plasma biomarker levels as quantitative traits can be critical to identification of novel genes that impact AD and more accurate interpretation of plasma biomarker levels.

摘要

全基因组关联研究(GWAS)对脑脊液(CSF)阿尔茨海默病(AD)生物标志物水平进行了研究,发现了新的基因与疾病风险、发病和进展有关。然而,腰椎穿刺的可用性有限,可能被认为具有侵入性。血液采集很容易获得并且被广泛接受,但尚不清楚血浆生物标志物是否对遗传研究有信息价值。在这里,我们对血浆淀粉样蛋白-β肽 Aβ40(n = 1,467)和 Aβ42(n = 1,484)、Aβ42/40(n = 1467)、总 tau(n = 504)、tau 磷酸化(p-tau181;n = 1079)和神经丝轻链(NfL;n = 2,058)的浓度进行了遗传分析。使用 GWAS 和基于基因的分析来确定与血浆水平相关的单一变异和基因。最后,使用多基因风险评分和汇总统计数据来研究血浆生物标志物、CSF 生物标志物和 AD 风险之间重叠的遗传结构。我们发现了总共六个全基因组显著信号。APOE 与血浆 Aβ42、Aβ42/40、tau、p-tau181 和 NfL 有关。我们基于 12 个单核苷酸多态性-生物标志物对和大脑差异基因表达分析提出了 10 个候选功能基因。我们发现 CSF 和血浆生物标志物之间存在显著的遗传重叠。我们还证明,当调节蛋白质水平的遗传变异被纳入模型时,这些生物标志物的特异性和灵敏度可以得到提高。本研究使用血浆生物标志物水平作为定量特征,对于确定影响 AD 的新基因和更准确地解释血浆生物标志物水平至关重要。

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