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GWAS of longitudinal amyloid accumulation on18F-florbetapir PET in Alzheimer’s disease implicates microglial activation geneIL1RAP
Author(s) -
Vijay K. Ramanan,
Shan L. Risacher,
Kwangsik Nho,
Sungeun Kim,
Li Shen,
Brenna C. McDonald,
Karmen K. Yoder,
Gary D. Hutchins,
John D. West,
Eileen F. Tallman,
Sujuan Gao,
Tatiana Foroud,
Martin R. Farlow,
Philip L. De Jager,
David A. Bennett,
Paul Aisen,
Ronald C. Petersen,
Clifford R. Jack,
Arthur W. Toga,
Robert C. Green,
William J. Jagust,
Michael W. Weiner,
Andrew J. Saykin
Publication year - 2015
Publication title -
brain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.142
H-Index - 336
eISSN - 1460-2156
pISSN - 0006-8950
DOI - 10.1093/brain/awv231
Subject(s) - disease , genome wide association study , microglia , neuroscience , alzheimer's disease , medicine , gerontology , psychology , biology , gene , genetics , inflammation , genotype , single nucleotide polymorphism
Brain amyloid deposition is thought to be a seminal event in Alzheimer's disease. To identify genes influencing Alzheimer's disease pathogenesis, we performed a genome-wide association study of longitudinal change in brain amyloid burden measured by (18)F-florbetapir PET. A novel association with higher rates of amyloid accumulation independent from APOE (apolipoprotein E) ε4 status was identified in IL1RAP (interleukin-1 receptor accessory protein; rs12053868-G; P = 1.38 × 10(-9)) and was validated by deep sequencing. IL1RAP rs12053868-G carriers were more likely to progress from mild cognitive impairment to Alzheimer's disease and exhibited greater longitudinal temporal cortex atrophy on MRI. In independent cohorts rs12053868-G was associated with accelerated cognitive decline and lower cortical (11)C-PBR28 PET signal, a marker of microglial activation. These results suggest a crucial role of activated microglia in limiting amyloid accumulation and nominate the IL-1/IL1RAP pathway as a potential target for modulating this process.

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