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Investigating the genetic architecture of dementia with Lewy bodies: a two-stage genome-wide association study

Title: Investigating the genetic architecture of dementia with Lewy bodies: a two-stage genome-wide association study
Authors: Guerreiro, R; Ross, OA; Kun-Rodrigues, C; Hernandez, DG; Orme, T; Eicher, JD; Shepherd, CE; Parkkinen, L; Darwent, L; Heckman, MG; Scholz, SW; Troncoso, JC; Pletnikova, O; Ansorge, O; Clarimon, J; Lleo, A; Morenas-Rodriguez, E; Clark, L; Honig, LS; Marder, K; Lemstra, A; Rogaeva, E; St George-Hyslop, P; Londos, E; Zetterberg, H; Barber, I; Braae, A; Brown, K; Morgan, K; Troakes, C; Al-Sarraj, S; Lashley, T; Holton, J; Compta, Y; Van Deerlin, V; Serrano, GE; Beach, TG; Lesage, S; Galasko, D; Masliah, E; Santana, I; Pastor, P; Diez-Fairen, M; Aguilar, M; Tienari, PJ; Myllykangas, L; Oinas, M; Revesz, T; Lees, A; Boeve, BF; Petersen, RC; Ferman, TJ; Escott-Price, V; Graff-Radford, N; Cairns, NJ; Morris, JC; Pickering-Brown, S; Mann, D; Halliday, GM; Hardy, J; Trojanowski, JQ; Dickson, DW; Singleton, A; Stone, DJ; Bras, J
Publisher Information: Elsevier
Publication Year: 2018
Collection: Oxford University Research Archive (ORA)
Description: Background Dementia with Lewy Bodies (DLB) is the second most common form of dementia in the elderly but has been overshadowed in the research field, in part due to similarities between DLB, Parkinson's (PD) and Alzheimer’s diseases (AD). So far, no large-scale genetic study of DLB has been performed. To better understand the genetic basis of DLB, we have performed a genome-wide association study, with the aim of identifying genetic risk factors for this disorder Methods Here we have performed the first genome-wide association study of DLB in a combined cohort of 1,743 DLB patients and 4,454 controls. To reduce genetic heterogeneity, all samples were of European ancestry. All cases were diagnosed according to established criteria for clinical or pathological DLB. In the discovery stage (comprising 1,216 cases and 3,791 controls, the latter were part of two publicly available dbGaP studies (phs000404.v1.p1 and phs000982.v1.p1)) we performed genotyping and exploited the recently established Haplotype Reference Consortium panel as the basis for imputation. Association analysis was performed in all cases as well as in only those with pathological diagnosis (974 cases). In the replication stage (comprising 527 DLB cases and 663 controls) we performed genotyping of significant and suggestive results. Lastly, we conducted a meta-analysis of both stages. Genotyping was undertaken at three locations: UCL, NIH and the Mayo Clinic. Findings Results confirm previously reported associations: APOE (rs429358; OR=2.4 [95%CI 2.14-2.70]; p=1.05x10-48), SNCA (rs7681440; OR=0.73 [0.66- 0.81]; p=6.39x10-10) and GBA (rs35749011; OR=2.55 [1.88-3.46]; p=1.78x10-09). They also provide novel candidate loci, namely CNTN1 (rs7314908; OR=1.53 [1.29-1.81]; p=1.02x10-06); further replication of findings at these two loci will be important. Additionally, we estimate the heritable component of DLB to be approximately 36%. Interpretation Despite the relatively modest sample size for a GWAS, and acknowledging the potential biases from ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1016/s1474-4422(17)30400-3
Availability: https://doi.org/10.1016/s1474-4422(17)30400-3; https://ora.ox.ac.uk/objects/uuid:64125b0e-cad4-4418-892a-fef17f4af038
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.6A9073CC
Database: BASE