Belloy, Michael E., Eger, Sarah J., Le Guen, Yann, Damotte, Vincent, Ahmad, Shahzad, Ikram, M. Arfan, Ramirez, Alfredo ORCID: 0000-0003-4991-763X, Tsolaki, Anthoula C., Rossi, Giacomina, Jansen, Iris E., de Rojas, Itziar, Parveen, Kayenat, Sleegers, Kristel, Ingelsson, Martin, Hiltunen, Mikko, Amin, Najaf, Andreassen, Ole, Sanchez-Juan, Pascual, Kehoe, Patrick ORCID: 0000-0002-7542-1139, Amouyel, Philippe, Sims, Rebecca, Frikke-Schmidt, Ruth, van der Flier, Wiesje M., Lambert, Jean-Charles, He, Zihuai ORCID: 0000-0002-8220-4183, Han, Summer S., Napolioni, Valerio and Greicius, Michael D. (2022). Challenges at the APOE locus: a robust quality control approach for accurate APOE genotyping. Alzheimers Res. Ther., 14 (1). LONDON: BMC. ISSN 1758-9193

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Abstract

Background Genetic variants within the APOE locus may modulate Alzheimer's disease (AD) risk independently or in conjunction with APOE*2/3/4 genotypes. Identifying such variants and mechanisms would importantly advance our understanding of APOE pathophysiology and provide critical guidance for AD therapies aimed at APOE. The APOE locus however remains relatively poorly understood in AD, owing to multiple challenges that include its complex linkage structure and uncertainty in APOE*2/3/4 genotype quality. Here, we present a novel APOE*2/3/4 filtering approach and showcase its relevance on AD risk association analyses for the rs439401 variant, which is located 1801 base pairs downstream of APOE and has been associated with a potential regulatory effect on APOE. Methods We used thirty-two AD-related cohorts, with genetic data from various high-density single-nucleotide polymorphism microarrays, whole-genome sequencing, and whole-exome sequencing. Study participants were filtered to be ages 60 and older, non-Hispanic, of European ancestry, and diagnosed as cognitively normal or AD (n = 65,701). Primary analyses investigated AD risk in APOE*4/4 carriers. Additional supporting analyses were performed in APOE*3/4 and 3/3 strata. Outcomes were compared under two different APOE*2/3/4 filtering approaches. Results Using more conventional APOE*2/3/4 filtering criteria (approach 1), we showed that, when in-phase with APOE*4, rs439401 was variably associated with protective effects on AD case-control status. However, when applying a novel filter that increases the certainty of the APOE*2/3/4 genotypes by applying more stringent criteria for concordance between the provided APOE genotype and imputed APOE genotype (approach 2), we observed that all significant effects were lost. Conclusions We showed that careful consideration of APOE genotype and appropriate sample filtering were crucial to robustly interrogate the role of the APOE locus on AD risk. Our study presents a novel APOE filtering approach and provides important guidelines for research into the APOE locus, as well as for elucidating genetic interaction effects with APOE*2/3/4.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Belloy, Michael E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eger, Sarah J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Le Guen, YannUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Damotte, VincentUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ahmad, ShahzadUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ikram, M. ArfanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ramirez, AlfredoUNSPECIFIEDorcid.org/0000-0003-4991-763XUNSPECIFIED
Tsolaki, Anthoula C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rossi, GiacominaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jansen, Iris E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Rojas, ItziarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Parveen, KayenatUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sleegers, KristelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ingelsson, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hiltunen, MikkoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Amin, NajafUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andreassen, OleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sanchez-Juan, PascualUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kehoe, PatrickUNSPECIFIEDorcid.org/0000-0002-7542-1139UNSPECIFIED
Amouyel, PhilippeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sims, RebeccaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Frikke-Schmidt, RuthUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van der Flier, Wiesje M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lambert, Jean-CharlesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
He, ZihuaiUNSPECIFIEDorcid.org/0000-0002-8220-4183UNSPECIFIED
Han, Summer S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Napolioni, ValerioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Greicius, Michael D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-698366
DOI: 10.1186/s13195-022-00962-4
Journal or Publication Title: Alzheimers Res. Ther.
Volume: 14
Number: 1
Date: 2022
Publisher: BMC
Place of Publication: LONDON
ISSN: 1758-9193
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ALZHEIMERS-DISEASE; APOLIPOPROTEIN-E; ASSOCIATION; DEMENTIA; RISK; GENE; POLYMORPHISMS; REPLICATION; DISCOVERY; INFERENCEMultiple languages
Clinical Neurology; NeurosciencesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69836

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