Assessing Genetic Overlap and Causality Between Blood Plasma Proteins and Alzheimer's Disease.

Alzheimer’s disease C-reactive protein apolipoprotein B-100 apolipoprotein E blood proteins insulin-like growth factor binding protein 2 mendelian randomization analysis polygenic trait vitamin D-binding protein

Journal

Journal of Alzheimer's disease : JAD
ISSN: 1875-8908
Titre abrégé: J Alzheimers Dis
Pays: Netherlands
ID NLM: 9814863

Informations de publication

Date de publication:
2021
Historique:
pubmed: 31 8 2021
medline: 17 12 2021
entrez: 30 8 2021
Statut: ppublish

Résumé

Blood plasma proteins have been associated with Alzheimer's disease (AD), but understanding which proteins are on the causal pathway remains challenging. Investigate the genetic overlap between candidate proteins and AD using polygenic risk scores (PRS) and interrogate their causal relationship using bi-directional Mendelian randomization (MR). Following a literature review, 31 proteins were selected for PRS analysis. PRS were constructed for prioritized proteins with and without the apolipoprotein E region (APOE+/-PRS) and tested for association with AD status across three cohorts (n = 6,244). An AD PRS was also tested for association with protein levels in one cohort (n = 410). Proteins showing association with AD were taken forward for MR. For APOE ɛ3, apolipoprotein B-100, and C-reactive protein (CRP), protein APOE+ PRS were associated with AD below Bonferroni significance (pBonf, p < 0.00017). No protein APOE- PRS or AD PRS (APOE+/-) passed pBonf. However, vitamin D-binding protein (protein PRS APOE-, p = 0.009) and insulin-like growth factor-binding protein 2 (AD APOE- PRS p = 0.025, protein APOE- PRS p = 0.045) displayed suggestive signals and were selected for MR. In bi-directional MR, none of the five proteins demonstrated a causal association (p < 0.05) in either direction. Apolipoproteins and CRP PRS are associated with AD and provide a genetic signal linked to a specific, accessible risk factor. While evidence of causality was limited, this study was conducted in a moderate sample size and provides a framework for larger samples with greater statistical power.

Sections du résumé

BACKGROUND
Blood plasma proteins have been associated with Alzheimer's disease (AD), but understanding which proteins are on the causal pathway remains challenging.
OBJECTIVE
Investigate the genetic overlap between candidate proteins and AD using polygenic risk scores (PRS) and interrogate their causal relationship using bi-directional Mendelian randomization (MR).
METHODS
Following a literature review, 31 proteins were selected for PRS analysis. PRS were constructed for prioritized proteins with and without the apolipoprotein E region (APOE+/-PRS) and tested for association with AD status across three cohorts (n = 6,244). An AD PRS was also tested for association with protein levels in one cohort (n = 410). Proteins showing association with AD were taken forward for MR.
RESULTS
For APOE ɛ3, apolipoprotein B-100, and C-reactive protein (CRP), protein APOE+ PRS were associated with AD below Bonferroni significance (pBonf, p < 0.00017). No protein APOE- PRS or AD PRS (APOE+/-) passed pBonf. However, vitamin D-binding protein (protein PRS APOE-, p = 0.009) and insulin-like growth factor-binding protein 2 (AD APOE- PRS p = 0.025, protein APOE- PRS p = 0.045) displayed suggestive signals and were selected for MR. In bi-directional MR, none of the five proteins demonstrated a causal association (p < 0.05) in either direction.
CONCLUSION
Apolipoproteins and CRP PRS are associated with AD and provide a genetic signal linked to a specific, accessible risk factor. While evidence of causality was limited, this study was conducted in a moderate sample size and provides a framework for larger samples with greater statistical power.

Identifiants

pubmed: 34459398
pii: JAD210462
doi: 10.3233/JAD-210462
pmc: PMC8609677
doi:

Substances chimiques

ApoE protein, human 0
Apolipoproteins E 0
Blood Proteins 0
Somatomedins 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1825-1839

Subventions

Organisme : British Heart Foundation
Pays : United Kingdom
Organisme : NIA NIH HHS
ID : U01 AG024904
Pays : United States
Organisme : Department of Health
Pays : United Kingdom
Organisme : CIHR
Pays : Canada
Organisme : Medical Research Council
ID : MC_PC_17214
Pays : United Kingdom
Organisme : Alzheimer's Society
ID : 171
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Chief Scientist Office
Pays : United Kingdom

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Auteurs

Alex Handy (A)

University College London, Institute of Health Informatics, London, UK.
King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

Jodie Lord (J)

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

Rebecca Green (R)

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Trust, London, UK.

Jin Xu (J)

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Institute of Pharmaceutical Science, King's College London, UK.

Dag Aarsland (D)

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Center for Age-Related Medicine, Stavanger University Hospital, Norway.

Latha Velayudhan (L)

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

Abdul Hye (A)

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

Richard Dobson (R)

University College London, Institute of Health Informatics, London, UK.
King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Trust, London, UK.
Health Data Research UK London, University College London, London, UK.
NIHR Biomedical Research Centre at University College London Hospitals NHS Foundation Trust, London, UK.

Petroula Proitsi (P)

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

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