Plasma amyloid β levels are driven by genetic variants nearAPOE, BACE1, APP, PSEN2:A genome-wide association study in over 12,000 non-demented participants
Damotte V., van der Lee S., Chouraki V., Grenier-Boley B., Simino J., Adams H., Tosto G., White C., Terzikhan N., Cruchaga C., Knol M., Li S., Schraen S., Grove M., Satizabal C., Amin N., Berr C., Younkin S., Gottesman R., Buée L., Beiser A., Knopman D., Uitterlinden A., DeCarli C., Bressler J., DeStefano A., Dartigues J-F., Yang Q., Boerwinkle E., Tzourio C., Fornage M., Ikram A., Amouyel P., de Jager P., Reitz C., Mosley T., Lambert J-C., Seshadri S., van Duijn C., Alzheimer’s Disease Neuroimaging Initiative None.
INTRODUCTION There is increasing interest in plasma Aβ as an endophenotype and biomarker of Alzheimer’s disease (AD). Identifying the genetic determinants of plasma Aβ levels may elucidate important processes that determine plasma Aβ measures. METHODS We included 12,369 non-demented participants derived from eight population-based studies. Imputed genetic data and plasma Aβ1-40, Aβ1-42 levels and Aβ1-42/Aβ1-40 ratio were used to perform genome-wide association studies, gene-based and pathway analyses. Significant variants and genes were followed-up for the association with PET Aβ deposition and AD risk. RESULTS Single-variant analysis identified associations across APOE for Aβ1-42 and Aβ1-42/Aβ1-40 ratio, and BACE1 for Aβ1-40. Gene-based analysis of Aβ1-40 additionally identified associations for APP , PSEN2 , CCK and ZNF397 . There was suggestive interaction between a BACE1 variant and APOE ε4 on brain Aβ deposition. DISCUSSION Identification of variants near/in known major Aβ-processing genes strengthens the relevance of plasma-Aβ levels both as an endophenotype and a biomarker of AD.