Alzheimer's disease
The Lancet,
Journal Year:
2021,
Volume and Issue:
397(10284), P. 1577 - 1590
Published: March 2, 2021
Language: Английский
The Amyloid-β Pathway in Alzheimer’s Disease
Molecular Psychiatry,
Journal Year:
2021,
Volume and Issue:
26(10), P. 5481 - 5503
Published: Aug. 30, 2021
Abstract
Breakthroughs
in
molecular
medicine
have
positioned
the
amyloid-β
(Aβ)
pathway
at
center
of
Alzheimer’s
disease
(AD)
pathophysiology.
While
detailed
mechanisms
and
spatial-temporal
dynamics
leading
to
synaptic
failure,
neurodegeneration,
clinical
onset
are
still
under
intense
investigation,
established
biochemical
alterations
Aβ
cycle
remain
core
biological
hallmark
AD
promising
targets
for
development
disease-modifying
therapies.
Here,
we
systematically
review
update
vast
state-of-the-art
literature
science
with
evidence
from
basic
research
studies
human
genetic
multi-modal
biomarker
investigations,
which
supports
a
crucial
role
dyshomeostasis
pathophysiological
dynamics.
We
discuss
highlighting
differentiated
interaction
distinct
species
other
AD-related
mechanisms,
such
as
tau-mediated,
neuroimmune
inflammatory
changes,
well
neurochemical
imbalance.
Through
lens
latest
multimodal
vivo
biomarkers
AD,
this
cross-disciplinary
examines
compelling
hypothesis-
data-driven
rationale
Aβ-targeting
therapeutic
strategies
early
treatment
AD.
Language: Английский
Synergy between amyloid-β and tau in Alzheimer’s disease
Nature Neuroscience,
Journal Year:
2020,
Volume and Issue:
23(10), P. 1183 - 1193
Published: Aug. 10, 2020
Language: Английский
Spatial Transcriptomics and In Situ Sequencing to Study Alzheimer’s Disease
Cell,
Journal Year:
2020,
Volume and Issue:
182(4), P. 976 - 991.e19
Published: July 22, 2020
Language: Английский
Distinct amyloid-β and tau-associated microglia profiles in Alzheimer’s disease
Acta Neuropathologica,
Journal Year:
2021,
Volume and Issue:
141(5), P. 681 - 696
Published: Feb. 20, 2021
Abstract
Alzheimer’s
disease
(AD)
is
the
most
prevalent
form
of
dementia
and
characterized
by
abnormal
extracellular
aggregates
amyloid-β
intraneuronal
hyperphosphorylated
tau
tangles
neuropil
threads.
Microglia,
tissue-resident
macrophages
central
nervous
system
(CNS),
are
important
for
CNS
homeostasis
implicated
in
AD
pathology.
In
amyloid
mouse
models,
a
phagocytic/activated
microglia
phenotype
has
been
identified.
How
increasing
levels
pathology
affect
human
transcriptional
profiles
unknown.
Here,
we
performed
snRNAseq
on
482,472
nuclei
from
non-demented
control
brains
containing
only
plaques
or
both
Within
population,
distinct
expression
were
identified
which
two
pathology-associated.
The
AD1-microglia
population
abundance
strongly
correlated
with
tissue
load
localized
to
plaques.
AD2-microglia
phospho-tau
these
more
abundant
samples
overt
This
full
characterization
disease-associated
phenotypes
provides
new
insights
pathophysiological
role
offers
targets
microglia-state-specific
therapeutic
strategies.
Language: Английский
Novel Alzheimer risk genes determine the microglia response to amyloid‐β but not to TAU pathology
EMBO Molecular Medicine,
Journal Year:
2020,
Volume and Issue:
12(3)
Published: Jan. 17, 2020
Article17
January
2020Open
Access
Transparent
process
Novel
Alzheimer
risk
genes
determine
the
microglia
response
to
amyloid-β
but
not
TAU
pathology
Annerieke
Sierksma
orcid.org/0000-0001-9233-972X
VIB
Center
for
Brain
&
Disease
Research,
Leuven,
Belgium
Laboratory
Research
of
Neurodegenerative
Diseases,
Department
Neurosciences,
Leuven
Institute
(LBI),
KU
(University
Leuven),
Search
more
papers
by
this
author
Ashley
Lu
Renzo
Mancuso
orcid.org/0000-0002-7046-3348
Nicola
Fattorelli
orcid.org/0000-0001-5564-8179
Thrupp
Evgenia
Salta
Jesus
Zoco
orcid.org/0000-0003-1164-4306
David
Blum
orcid.org/0000-0001-5691-431X
INSERM,
CHU
Lille,
LabEx
DISTALZ,
UMR-S
1172,
Tauopathies,
Université
France
Luc
Buée
Bart
De
Strooper
Corresponding
Author
[email
protected]
orcid.org/0000-0001-5455-5819
UK
Dementia
Institute,
University
College
London,
Mark
Fiers
orcid.org/0000-0001-5694-2409
Information
Sierksma1,2,‡,
Lu1,2,‡,
Mancuso1,2,
Fattorelli1,2,
Thrupp1,2,
Salta1,2,
Zoco1,2,
Blum3,
Buée3,
*,1,2,4,‡
and
*,1,2,‡
1VIB
2Laboratory
3INSERM,
4UK
‡These
authors
contributed
equally
work
as
first
senior
*Corresponding
author.
Tel:
+32
4957
71044;
E-mail:
4944
95150;
EMBO
Mol
Med
(2020)12:e10606https://doi.org/10.15252/emmm.201910606
PDFDownload
PDF
article
text
main
figures.
Peer
ReviewDownload
a
summary
editorial
decision
including
letters,
reviewer
comments
responses
feedback.
ToolsAdd
favoritesDownload
CitationsTrack
CitationsPermissions
ShareFacebookTwitterLinked
InMendeleyWechatReddit
Figures
Info
Abstract
Polygenic
scores
have
identified
that
genetic
variants
without
genome-wide
significance
still
add
developing
Alzheimer's
disease
(AD).
Whether
how
subthreshold
loci
translate
into
relevant
pathways
is
unknown.
We
investigate
here
involvement
AD
in
transcriptional
two
mouse
models:
APPswe/PS1L166P
Thy-TAU22.
A
unique
gene
expression
module,
highly
enriched
genes,
specifically
responsive
Aβ
pathology.
identify
module
7
established
(APOE,
CLU,
INPP5D,
CD33,
PLCG2,
SPI1,
FCER1G)
11
GWAS
below
threshold
(GPC2,
TREML2,
SYK,
GRN,
SLC2A5,
SAMSN1,
PYDC1,
HEXB,
RRBP1,
LYN,
BLNK),
become
significantly
upregulated
when
exposed
Aβ.
Single
sequencing
confirms
Aβ,
TAU,
induces
marked
changes
microglia,
increased
proportions
activated
microglia.
conclude
functionally
translates
different
pathway
pathology,
placing
downstream
amyloid
upstream
Synopsis
It
unknown
(AD)
manifests
itself
at
molecular
cellular
level
brain.
Analysis
TAUtg
an
APPtg
models
show
mainly
reflected
are
among
transcriptomic
APPtg/Amyloid
plaques
forming
mice
massive
deregulation
with
aging,
increasing
neuroinflammatory
while
TAUtg/tangle
display
downregulation
neuronal
genes.
Many
above
genome
wide
co-regulated
large
involved
neuroinflammation.
18
prioritized,
which
all
expressed
may
regulate
their
function
(in
red
synopsis
figure).
15
many
adopt
phenotype
facing
than
Introduction
Genetic
background
strongly
determines
sporadic
(Gatz
et
al,
2006).
Unlike
APOE4
polymorphism
42
other
loci,
thousands
SNPs
associated
do
reach
(Efthymiou
Goate,
2017;
Marioni
2018;
Verheijen
Sleegers,
2018).
(PRSs)
incorporate
contributions
these
variations
relate
(Purcell
2009).
PRSs
currently
prediction
accuracy
84%,
albeit
major
proportion
can
be
attributed
APOE
status
alone
(Escott-Price
2017).
Two
crucial
questions
arise
from
myriad
studies:
(i)
Are
linked
(Aβ)
or
(ii)
they
converge
within
single
pathway,
define
parallel
lead
AD?
Although
it
remains
challenging
causally
link
affected
we
expect
least
part
implicated
association
studies
(GWAS)
affect
brain
(De
Karran,
2016;
Efthymiou
Such
model
integrates
parts
hypothesis
complex
genetics
AD,
will
coherent
view
on
pathogenesis
AD.
Profiling
postmortem
tissue
only
provides
insights
advanced
stages
cannot
delineate
cause–consequence
relationships,
required
develop
mechanistic
(Zhang
2013).
Transgenic
hand
partially
recapitulate
frontotemporal
dementia
(FTD)
phenotypes,
provide
detailed
functional
initial
steps
disease,
high
relevance
preventative
therapeutic
interventions
(Zahs
Ashe,
2010).
What
lacking
until
now,
however,
integration
information
data
obtained
human.
Doing
so
help
whether
sub-significant
This
would
increase
confidence
truly
indicate
play
role.
Here,
perform
profiling
hippocampus
after
exposure
early
(4
months
age;
4M)
mature
(10-11M).
use
(APPtg)
Thy-TAU22
(TAUtg)
mice,
both
expressing
transgene
Thy1.2
promotor
(Radde
2006;
Schindowski
The
biochemical
insults
mimicked
animals
reflect
morphological
hallmarks
(SAD)
familial
cases
(FAD).
Therefore,
FAD
useful
assess
demonstrate
despite
similar
robust
cognitive
severe
age-dependent
deregulation,
milder
over
time
stable
phenotype.
uniquely
coordinated
deregulated
multicellular
network
functions
Tau
observe
alterations
biology.
strong
neuroinflammation
demonstrating
(ARM;
57%)
homeostatic
(20%)
APPtg-11M
whereas
phenotypic
shifts
were
much
less
pronounced
TAUtg-11M
mice.
Our
evidence
microglial
promotes
candidate
future
research.
Results
At
4M
age,
cognitively
intact
mild
levels
10M
overlapping
profiles
hippocampus-dependent
mnemonic
deficits
substantial
(see
Fig
1A;
Radde
Lo
RNA-seq
was
performed
(TG)
respective
wild-type
(WT)
littermates,
n
=
12
per
group
96
total,
yielding
average
7.7
million
reads
sample
1B).
Bulk
good
alteration
upon
onset
progression
allows
us
uncover
co-regulation
beyond
individual
cell
types.
Figure
1.
Enrichment
A.
Visualization
load
TAUwt,
TAUtg,
9M
age.
Immunofluorescent
staining
X34
(a
fluorescent
derivative
Congo
Red;
magenta),
Iba1
(microglia;
green),
TO-PRO-3
(nuclei;
blue)
has
been
pseudocolored.
Scale
bar
100
μm.
B.
Experimental
design
mRNA
using
experimental
group.
C.
Explanation
2
×
linear
model,
where
those
cells
labeled
1
compared
0.
In
age
comparison,
10-month-old
(10M)
4-month-old
(4M)
genotype
transgenic
age*genotype
transcripts
differentially
TG
groups.
D.
Based
al
(2018),
various
sets
created
cut-off
P-values
indicated
x-axis
(number
each
set
written
gray).
assessed
statistical
comparisons
(A*G:
age*genotype,
Gen:
genotype),
enrichment
analysis
(GSEA,
Subramanian
2005).
Colors
represent
Benjamini–Yekutieli-adjusted
P-value
enrichment;
blank
means
no
significant
enrichment.
Download
figure
PowerPoint
found
(Fig
1C)
employed
effects
genotype,
interaction.
comparison
identifies
change
between
strain
(i.e.,
WT
10M,
analyzing
strains
separately;
see
2A).
shows
differences
2B).
interaction,
finally,
assesses
aging
2C).
study
thus
reflects
manifesting
critical
points:
initially
signs
occur,
later
on,
manifest
accompanying
deficits.
2.
Changes
exacerbate
miceLog2
fold
(LFC)
(x-axis)
(y-axis)
differential
analysis.
Upregulated
right
(TAUtg
mice)
upper
(APPtg
graph;
downregulated
left
lower
graph.
Colored
dots
(Benjamini–Yekutieli-adjusted
(Padj)
<
0.05)
(green
dots),
(yellow
(red
dots).
Spearman
correlation
ranking
either
most
up-
combined
score
LFC
Padj
signed
log10(P-value),
sign
determined
LFC).
Genes
i.e.,
versus
independently
genotype.
Thus,
positive
due
TG,
interaction
comparing
TG-10M
groups
1C).
Depicts
314
Marioni-based
P
0.001
onto
LFC/LFC
plot
(panel
C).
Green
changed.
wondered
GWAS-based
included
variants,
5
10e-8
studies,
well
contribute
predictions
through
polygenic
inheritance
2015,
examined
multiple
such
taken
combines
Biobank
AD-by-proxy
IGAP
database
confers
based
proximity
(thus
referred
noticing
assumptions).
Using
arbitrary
Bonferroni-adjusted
(Pmar)
cut-offs
decreasing
association,
size
1D
Appendix
Table
S1).
PRS
demonstrated
up
0.5
improve
predictive
power
decided
limit
our
Pmar
0.05,
already
1,799
(GSEA;
1D)
size,
ranging
92
(Pmar
5e-6)
5e-2),
consistently,
(Padj
1e-250)
changing
("APPtg
A*G"
1D),
smallest
(n
5e-06)
contains
microglia-expressed
e.g.,
Treml2,
Inpp5d,
Gal3st4,
2D
Dataset
EV1).
enhance
clustering
To
effect
detail
2A–C
caused
independent
transgene)
practically
identical
(Spearman
R
+0.95,
1.3e-29,
95%
interval
(CI)
+0.91
+0.97;
When
only,
similarity
becomes
rather
moderate
(R
+0.50,
1.1e-19,
CI
+0.41
+0.58;
2B)
slightly
enhanced
+0.67,
1e-106,
+0.63
+0.71;
ways,
very
pathologies
causing
divergent
reactions.
APP/PSEN1
causes
prominent
(287
total)
dots,
219,
76%)
[log2
(LFC):
+0.07
+5.00,
0.05].
component
added
age*genotype),
even
[623
mRNAs
78%),
LFC:
+0.12
+2.98,
0.05],
175
downregulate
(LFC:
−0.67
−0.08,
0.05;
often
responses,
Tyrobp
(LFC
(G):
+1.19,
(A*G):
+1.53),
Cst7
G:
A*G:
+2.62),
Itgax
+3.22,
+2.24).
These
strong,
32-fold.
Indeed,
specific
types
(Zeisel
2015),
verify
80%
microglia-specific
predominantly
2D).
appears
likely
source,
persistent
2C)
follow
response.
As
discuss
below,
origin
being
explained
microgliosis
2006),
also
consequence
states
(Keren-Shaul
Krasemann
Sala
Frigerio
2019).
Click
expand
figure.
EV1.
glial
loadZ-score
distribution
type-specific
defined
Zeisel
(2015)
SynaptomeDB
(Pirooznia
2012).
Boxplots:
center
line,
median;
box
limits,
25th–75th
quartiles;
whiskers,
1.5×
interquartile
range.
Empirical
(Pbonf)
shift
z-score
Materials
Methods).
***Pbonf
0.001,
**Pbonf
0.01,
*Pbonf
0.05.
markedly
fewer
little
aggravation
time.
(TAUwt
TAUtg),
47
+0.06
+1.52;
77
−1.30
−0.05,
2B,
yellow
Only
9
+0.25
+0.60,
2C,
dots)
model.
majority
(62%)
TAUwt
decreased
overlap
(C1qa,
C1qc,
Tyrobp,
Ctss,
Irf8,
Mpeg1,
Cst7,
Rab3il1)
astroglial
(Gfap)
origin.
(much
milder)
TAUtg.
With
exception
2.08),
upregulation
indeed
modest
(average
8
others:
0.38)
(max
2.98;
0.70).
Similarly,
demonstrates
astrocytic
older
ages,
loss
synaptic
Overall,
molecular,
pathobiological,
fundamentally
exhibiting
phenotypes
drives
exacerbating
inflammatory
response,
related
functions.
Most
importantly,
transcriptionally
active
accumulating
Next,
unbiased
weighted
co-expression
(WGCNA;
Zhang
Horvath,
2005;
Langfelder
2008)
separately
cluster
modules.
total
63
modules
(Appendix
Figs
S2
S3).
GSEA
generated
3A
S1),
largest
(e.g.,
enrich
4
APPtg-
TAUtg-based
(Turquoise,
Blue,
However,
taking
smaller),
persistently
APPtg-Blue
3A).
4,236)
62%
[age*genotype,
expected
chance
(log2
odds
ratio
(LOR):
2.90,
1.54e-158)].
assume
integrated
important
stress
large,
APPTg-Blue
(1e-250
0.01).
generally
module.
3.
represents
present
Gene
Fisher's
exact
test
(2018)
WGCNA-derived
−log10
P-value)
Numbers
x-axis:
black
cut-off;
gray
set.
Log2
analysis,
assessing
Color
code
dots/numbers:
15,824);
4,236);
green
493);
9);
9).
Z-score
(***Pbonf
0.001)
Ontology
(GO)
depicts
−log10(FDR-adjusted
multiplied
(ES),
line
−log10(0.049)*(ES
1).
E.
"top
18"
prioritized
finding
intersection
4,236),
314),
798),
SuperExactTest
(Wang
2015).
italics
Language: Английский
The Impact of Systemic Inflammation on Alzheimer’s Disease Pathology
Frontiers in Immunology,
Journal Year:
2022,
Volume and Issue:
12
Published: Jan. 6, 2022
Alzheimer’s
disease
(AD)
is
a
devastating
age-related
neurodegenerative
disorder
with
an
alarming
increasing
prevalence.
Except
for
the
recently
FDA-approved
Aducanumab
of
which
therapeutic
effect
not
yet
conclusively
proven,
only
symptomatic
medication
that
effective
some
AD
patients
available.
In
order
to
be
able
design
more
rational
and
treatments,
our
understanding
mechanisms
behind
pathogenesis
progression
urgently
needs
improved.
Over
last
years,
it
became
increasingly
clear
peripheral
inflammation
one
detrimental
factors
can
contribute
disease.
Here,
we
discuss
current
how
systemic
intestinal
(referred
as
gut-brain
axis)
inflammatory
processes
may
affect
brain
pathology,
specific
focus
on
AD.
Moreover,
give
comprehensive
overview
different
preclinical
well
clinical
studies
link
Inflammation
initiation
progression.
Altogether,
this
review
broadens
pathology
help
in
further
research
aiming
identify
novel
targets.
Language: Английский
Cellular senescence and Alzheimer disease: the egg and the chicken scenario
Nature reviews. Neuroscience,
Journal Year:
2020,
Volume and Issue:
21(8), P. 433 - 444
Published: June 29, 2020
Language: Английский
Microglia facilitate loss of perineuronal nets in the Alzheimer's disease brain
Joshua Crapser,
No information about this author
Elizabeth E. Spangenberg,
No information about this author
Rocio A. Barahona
No information about this author
et al.
EBioMedicine,
Journal Year:
2020,
Volume and Issue:
58, P. 102919 - 102919
Published: July 31, 2020
BackgroundMicroglia,
the
brain's
principal
immune
cell,
are
increasingly
implicated
in
Alzheimer's
disease
(AD),
but
molecular
interfaces
through
which
these
cells
contribute
to
amyloid
beta
(Aβ)-related
neurodegeneration
unclear.
We
recently
identified
microglial
contributions
homeostatic
and
disease-associated
modulation
of
perineuronal
nets
(PNNs),
extracellular
matrix
structures
that
enwrap
stabilize
neuronal
synapses,
whether
PNNs
altered
AD
remains
controversial.MethodsExtensive
histological
analysis
was
performed
on
male
female
5xFAD
mice
at
4,
8,
12,
18
months
age
assess
plaque
burden,
microgliosis,
PNNs.
Findings
were
validated
postmortem
tissue.
The
role
neuroinflammation
PNN
loss
investigated
via
LPS
treatment,
ability
prevent
or
rescue
disease-related
reductions
assessed
by
treating
3xTg-AD
model
with
colony-stimulating
factor
1
receptor
(CSF1R)
inhibitor
PLX5622
deplete
microglia.FindingsUtilizing
mouse
human
cortical
tissue,
we
report
extensively
lost
proportion
burden.
Activated
microglia
closely
associate
engulf
damaged
brain,
inclusions
material
evident
microglia,
while
aggrecan,
a
critical
component,
deposits
within
dense-core
plaques.
Disease-associated
parvalbumin
(PV)+
interneurons,
frequently
coated
PNNs,
preceded
coverage
integrity
impairments,
similar
phenotypes
elicited
wild-type
following
activation
LPS.
Chronic
pharmacological
depletion
prevents
loss,
results
observed
aged
mice,
this
occurs
despite
persistence.InterpretationWe
conclude
phenotypically
facilitate
plaque-dependent
brain.FundingThe
NIH
(NIA,
NINDS)
Association.
Language: Английский
Understanding Alzheimer Disease at the Interface between Genetics and Transcriptomics
Trends in Genetics,
Journal Year:
2018,
Volume and Issue:
34(6), P. 434 - 447
Published: March 21, 2018
Due
to
risk
gene
pleiotropy,
difficulty
in
finding
functional
variants,
and
poor
reflection
of
physiological
complexity
genetic
analysis,
translation
new
findings
for
Alzheimer
disease
(AD)
into
mechanisms
has
been
difficult.
Transcriptomic
analysis
provided
additional
support
previously
identified
genes
while
also
identifying
novel
associated
genes,
helping
elucidate
disease.
Refinement
transcriptomics
through
2nd
3rd
generation
sequencing,
single-cell
sequencing
bioinformatics
is
revealing
involved
AD
unattainable
detail,
including
brain
region-
cell-type-specific
expression
changes
molecular
processes
such
as
transcript
rescue
events,
challenging
the
direct
interpretation
an
association
between
variant
phenotype.
Transcriptome
postmortem
uncovered
central
biological
pathways
regulator
'hub'
disease,
example,
SPI.1
TYROBP
immune
response.
Over
25
are
known
affect
developing
(AD),
most
common
neurodegenerative
dementia.
However,
mechanistic
insights
improved
management
remains
limited,
due
difficulties
determining
consequences
associations.
Transcriptomics
increasingly
being
used
corroborate
or
enhance
discoveries.
These
approaches,
which
include
second
third
bioinformatics,
reveal
allele-specific
events
connecting
profiles,
provide
converging
evidence
pathophysiological
underlying
AD.
Simultaneously,
they
highlight
patterns,
alternative
splicing
that
straightforward
relation
a
AD,
re-emphasizing
need
integrated
approach
genetics
understanding
Alzheimer's
genetically
complex,
multifactorial
leads
There
no
cure
yet,
high
prevalence
continuously
increasing
incidence
it
poses
major
threat
personal
health
well
care
system.
Patients
display
progressive
decline
cognitive
capabilities,
with
characteristic
early
loss
episodic
memory,
eventually
resulting
complete
dependency
death.
The
preceded
by
long
prodromal
phase
[1Jack
Jr,
C.R.
et
al.Introduction
recommendations
from
National
Institute
on
Aging-Alzheimer's
Association
workgroups
diagnostic
guidelines
disease.Alzheimers
Dement.
2011;
7:
257-262Abstract
Full
Text
PDF
PubMed
Scopus
(1259)
Google
Scholar,
2McKhann
G.M.
al.The
diagnosis
dementia
disease:
263-269Abstract
(9313)
Scholar].
Neuropathological
hippocampal
cortical
atrophy,
visible
upon
neuroimaging
macroscopic
examination.
Characteristic
microscopic
features
intracellular
neurofibrillary
tangles
(NFTs)
hyperphosphorylated
tau
protein
extracellular
depositions
Amyloid-β
(Aβ)1–42
peptide,
accompanied
neuronal
synapse
reactive
gliosis
[3Braak
H.
Braak
E.
stageing
Alzheimer-related
changes.Acta
Neuropathol.
1991;
82:
239-259Crossref
(11595)
Initial
etiology
was
presented
observation
families
multiple
generations
affected
rare
onset
form
(EOAD,
<65
years).
Molecular
investigation
these
pedigrees
resulted
identification
amyloid
precursor
(APP),
presenilin
1
(PSEN1)
2
(PSEN2)
Pathogenic
mutations
converge
general
mechanism
increased
Aβ1-42
accumulation
Aβ1–42/Aβ1–40
ratio.
Hundreds
dominantly
inherited
pathogenic
have
since
described
mostly
EOAD
patients,
although
only
explaining
up
10%
(reviewed
[4Cacace
R.
al.Molecular
early-onset
revisited.Alzheimers
2016;
12:
733-748Abstract
(301)
Scholar]).
Most
patients
late-onset
(LOAD).
While
mutation
APP,
PSEN1
PSEN2
infrequently
LOAD
typically
considered
multifactorial,
strong
polygenic
component
estimated
heritability
80%.
well-known
factor
APOE
ε4
allele
(see
Glossary),
approximately
25%
liability
[5Cuyvers
al.Genetic
variations
genome-wide
studies
beyond.Lancet
Neurol.
15:
857-868Abstract
(171)
past
decade,
complex
research
successful
factors
both
low-penetrant
(e.g.,
[6Lambert
J.C.
al.Meta-analysis
74,046
individuals
identifies
11
susceptibility
loci
disease.Nat.
Genet.
2013;
45:
1452-1458Crossref
(2713)
Scholar])
alleles
intermediate
penetrance
[7Guerreiro
al.TREM2
variants
disease.N.
Engl.
J.
Med.
368:
117-127Crossref
(1896)
8Steinberg
S.
al.Loss-of-function
ABCA7
confer
2015;
47:
445-447Crossref
(221)
9Sims
al.Rare
coding
PLCG2,
ABI3,
TREM2
implicate
microglial-mediated
innate
immunity
2017;
49:
1373-1384Crossref
(519)
cascade
hypothesis
dominated
efforts
towards
development
diagnostics
therapeutics
discovery
pathway-based
shed
light
range
contributing
proposing
targets
therapy
development.
Translational
impact
still
limited
however,
owing
–
amongst
others
pleiotropy
actually
how,
tissues
insufficiently
represented
analysis.
field
active
pursuit
(GWAS)
next
large
cohorts,
trend
emerging
simultaneous
interrogation
data
study
effect
newly
at
level
transcriptome
[10Jones
L.
al.Convergent
11:
658-671Abstract
(42)
In
parallel,
refinement
methodology,
allows
investigating
detail.
Here,
we
review
state-of-the-art
investigations
emphasis
their
interface.
search
initially
querying
variation,
successfully
GWAS.
At
least
42
genes/loci
significance
one
GWAS
11Lambert
al.Genome-wide
CLU
CR1
2009;
41:
1094-1099Crossref
(1156)
12Harold
D.
PICALM
1088-1093Crossref
(2166)
13Seshadri
disease.J.
Am.
Assoc.
2010;
303:
1832-1840Crossref
(973)
14Naj
A.C.
al.Common
MS4A4/MS4A6E,
CD2AP,
CD33
EPHA1
43:
436-441Crossref
(1450)
15Hollingworth
P.
ABCA7,
MS4A6A/MS4A4E,
EPHA1,
CD2AP
429-435Crossref
(1465)
16Lee
J.H.
al.Identification
replication
CLU,
PICALM,
BIN1
Caribbean
Hispanic
individuals.Arch.
68:
320-328Crossref
(151)
17Miyashita
A.
al.SORL1
Japanese,
Koreans
Caucasians.PLoS
One.
8e58618Crossref
(112)
18Bertram
reveals
putative
addition
APOE.Am.
Hum.
2008;
83:
623-632Abstract
(381)
19Jun
G.
al.PLXNA4
modulates
phosphorylation.Ann.
2014;
76:
379-392Crossref
(46)
20Wijsman
E.M.
familial
replicates
nominates
CUGBP2
interaction
APOE.PLoS
7e1001308Crossref
(191)
Scholar],
BIN1,
CASS4,
CD33,
CELF1,
CR1,
FERMT2,
HLA-cluster,
INPP5D,
MEF2C,
MS4A6A,
NME8,
PTK2B,
SLC24A4/RIN3,
SORL1,
DGS2,
ZCWPW1
confirmed
meta-analysis,
regarded
established
LOAD.
DSG2
did
not
show
largest
meta-analysis
published
date
Family-based
approaches
reported
significant
overlapping
those
case-control
GWAS,
APOE,
CD33.
addition,
PLXNA4,
CUGBP2,
TRPC4AP,
ATXN1,
APOC1
uncharacterized
chromosome
14
locus
14q31.2
were
[18Bertram
Scholar]
but
replicated
approaches.
Alternative
analytical
detected
FRMD4A
sliding
window
haplotype-based
[21Lambert
haplotype
disease.Mol.
Psychiatry.
18:
461-470Crossref
(75)
TP53INP1
IGHV1-67
gene-wide
[22Escott-Price
V.
al.Gene-wide
detects
two
disease.PLoS
9e94661Crossref
(88)
Expanding
beyond
single-variant
single-gene
revealed
despite
differences
pathway
definition
studies.
Common
response,
lipid
metabolism,
endocytosis,
cell
adhesion
molecule
(CAM)
23Jones
implicates
system
cholesterol
metabolism
aetiology
5e13950Crossref
(299)
24Lambert
al.Implication
analysis.J.
Alzheimers
Dis.
20:
1107-1118Crossref
25Hong
M.G.
transmembrane
transport
55:
707-709Crossref
26Liu
al.Cell
molecules
contribute
analyses
studies.J.
Neurochem.
2012;
120:
190-198Crossref
(69)
27Ramanan
V.K.
memory
impairment
Disease
Neuroimaging
Initiative
(ADNI)
cohort
candidates,
canonical
pathways,
networks.Brain.
Imaging
Behav.
6:
634-648Crossref
(58)
28Perez-Palma
al.Overrepresentation
glutamate
signaling
network-based
enrichment
using
studies.PLoS
9e95413Crossref
(45)
29Xiang
Z.
al.Integrating
highlights
purine
Neurobiol.
52:
514-521Crossref
(23)
(Table
1).
A
methodologically
distinct
partitioning
adaptive
response
[30Gagliano
S.A.
al.Genomics
Parkinson's
diseases.Ann.
Clin.
Transl.
3:
924-933Crossref
(51)
Scholar].Table
1Significantly
Enriched
Pathways
Meta-analysis
Studies
ADaP
values
indicate
multiple-testing
corrected
according
respective
terms
showing
strongest
within
each
pathway.
Abbreviations:
ADGC,
Genetics
Consortium;
CHARGE,
Cohorts
Heart
Aging
Genomic
Epidemiology;
EADI,
European
Initiative;
GERAD,
Genetic
Environmental
Risk
Disease;
IGAP,
International
Genomics
Project.GWAS
sets
analyzedConsulted
databaseLipid
metabolismImmune
responseEndocytosisSynaptic
transmissionCell
moleculesMiscellaneousGERAD/EADI
ScholarALIGATOR/GSA:KEGG,
GO
databasesSterol
transport(P
=
0.0079),
0.0079)Immunoglobulin
mediated
response(P
4
×
10−3),
3
10−3)Synaptic
transmission,
cholinergic(P
5.0
10−3)EADI
ScholarKEGG,
databasesRIG-I-like
receptor
signaling(P
10−2)
Antigen
processing
presentation(P
2.0
10−2)Regulation
autophagy(P
0.007)EADI
ScholarGencodis/DAVID:
databaseIntracellular
7.2
10−6)Discovery
ADNI
ScholarIGSEA:
KEGG
database.
WebGestalt/DAVID:
databaseRIG-I-like
7.00
10−4),
Natural
killer
cytotoxicity(P
8.56
10−5),
3.50
10−7)Cell
KEGG(P
1.84
10−6)Regulation
6.22
10−5)ADNI,
composite
measure
phenotype
ScholarGSA-SNP:
BioCarta,
KEGG,
GO,
Reactome
databasesAllograft
rejection(P
3.9
10−2)Transmission
across
chemical
synapses(P
1.77
10−4)Focal
adhesion(P
0.006),
Cell
(CAMs)(P
2.9
10−2)Calcium
pathway(P
1.17
Viral
myocarditis
(P
0.039),
Long-term
depression/potentiation(P
8.0
10−3)/(P
1.9
10−2)Combined
TGen1,
NIA-LOAD/NCRAD,
databasesLipid
8.12
10−9)Endocytosis(P
2.24
10−6)Glutamate
pathway(P=1.86
10−11),
axon
guidance(P
1.20
10−9)Focal
2.63
10−10)Protein
autophosphorylation(P
2.30
10−12),
kinase
activity(P
1.18
10−12),Calcium
1.27
10−11)IGAP
10Jones
ScholarALIGATOR/GSEA:
databasesCholesterol
2.96
10−9),
sterol
3.91
10−9)Humoral
circulating
immunoglobulin(P
3.27
regulation
10−12)Regulation
endocytosis(P
1.31
10−11)Clathrin
adaptor
complex(P
folding(P
1.60
10−3)GERAD
profiling
temporal
cortex
Scholar.KEGGAxon
3.03
10−3)Cell
1.04
10−5)Calcium
2.08
4.00
Purine
metabolism(P
10−4)a
P
Project.
Open
table
tab
gained
momentum
after
combined
whole
genome
(WGS)
exome
(WES)
non-synonymous
mutation,
p.R47H,
increases
31Jonsson
T.
al.Variant
107-116Crossref
(1649)
widely
replicated.
Numerous
independent
further
among
SORL1
already
be
implicated
factors.
heterozygous
missense
premature
termination
codon
(PTC)
found,
notably
and/or
[32Pottier
C.
al.High
frequency
potentially
autosomal
dominant
17:
875-879Crossref
(195)
For
found
PTC
mutations,
varying
age
carriers
proportion
positive
family
history
[8Steinberg
33Cuyvers
al.Mutations
Belgian
patients:
targeted
resequencing
study.Lancet
14:
814-822Abstract
(105)
Large-scale
efforts,
Sequencing
Project
(ADSP)
includes
∼11
000
participants,
providing
[34Beecham,
(2017)
Whole-genome
variation
candidate
Conference
|
July
16-20,
2017,
&
Dementia:
Journal
Association.
London,
EnglandGoogle
likely
insight
near
future.
An
exome-wide
low-frequency
chip
genotyping
proposed
is,
ABI3
PLGC2,
latter
protective
[9Sims
Both
classical
pathology.
challenging,
complexity.
putatively
interact
networks
different
time
points
levels
subcellular,
cellular,
tissue,
organic
level.
Increasingly,
address
this
combining
This
studying
topology,
cell-type-dependent
manner,
identify
similarities
networks,
uncover
interactors
relate
hub
nodes
pathways.
commonly
performed
either
microarray
hybridization
next-generation
RNA
sequencing.
Although
methods
enable
large-scale
expression,
principles
differ
fundamentally
(Box
1).Box
1Common
Methods
ProfilingMicroarray
provides
cost-efficient
quantification
thousands
transcripts
parallel.
Complementary
DNA
(cDNA)
libraries
reverse
transcribed
samples
introduced
array
prior
differential
expression.
necessity
correcting
nonbiological
effects
signal
output
represents
drawback.
Microarray
confounded
probe
sensitivity
platforms.
Additionally,
very
low
highly
expressed
proves
problematic
[77Shendure
beginning
end
microarrays?.Nat.
Methods.
5:
585-587Crossref
(247)
As
probes
cannot
designed
unknown
sequences,
unable
transcripts.
Probe
design
restricted
knowledge
design.
Human
reference
builds
updated
times
over
last
ten
years
[78Tyner
UCSC
Genome
Browser
database:
2017
update.Nucleic
Acids
Res.
D626-D634PubMed
should
kept
mind
when
interpreting
meta-analyses
several
datasets.By
contrast,
(RNA-Seq)
hybridization-free
method
allowing
massive
parallel
cDNA
Selection
subset
RNAs
total
sample
transcription
obtain
library
enriched
RNAs,
miRNA
(poly-adenylated)
mRNA.
procedures
involve
removal
abundant
ribosomal
depletion
pull-down
poly-adenylated
(poly-A)
oligo-dT
beads.
Of
note,
lacking
poly-A
tail
small
mRNAs
non-coding
(ncRNAs)
retained
pulldown,
shown
relevant
ncRNA
51A
maps
intron
antisense
direction.
upregulated
frontal
regulates
[79Ciarlo
al.An
intronic
ncRNA-dependent
affecting
Aβ
formation
post-mortem
samples.Dis.
Model
Mech.
424-433Crossref
(134)
Known
degradation
sequences
tissue
presents
limitation
use
selected
RNA-Seq
context
can
overcome
3′
mRNA-sequencing,
where
annealing
UTR,
circumventing
non-polyadenylated
disadvantage
inability
discriminate
isoforms.
Quantification
generated
involves
read
alignment
quality
control
filtering,
number
reads
aligned
abundance.
enables
directional
cDNA,
generating
spanning
exons
maintaining
information
reads.
splice
specific
interest
diseases
[80Sutherland
G.T.
al.Understanding
pathogenesis
will
realize
promise
transcriptomics?.J.
116:
937-946Crossref
(52)
datasets.
By
sequ
Language: Английский