title: Meta-analysis confirms CR1, CLU, and PICALM as alzheimer disease risk loci and reveals interactions with APOE genotypes.
abstract: OBJECTIVE
  To determine whether genotypes at CLU, PICALM, and CR1 confer risk for Alzheimer disease (AD) and whether risk for AD associated with these genes is influenced by apolipoprotein E (APOE) genotypes.
  
  
  METHODS
  Association study of AD and CLU, PICALM, CR1, and APOE genotypes.
  
  
  METHODS
  Academic research institutions in the United States, Canada, and Israel.
  
  
  METHODS
  Seven thousand seventy cases with AD, 3055 with autopsies, and 8169 elderly cognitively normal controls, 1092 with autopsies, from 12 different studies, including white, African American, Israeli-Arab, and Caribbean Hispanic individuals.
  
  
  RESULTS
  Unadjusted, CLU (odds ratio [OR], 0.91; 95% confidence interval [CI], 0.85-0.96 for single-nucleotide polymorphism [SNP] rs11136000), CR1 (OR, 1.14; 95% CI, 1.07-1.22; SNP rs3818361), and PICALM (OR, 0.89; 95% CI, 0.84-0.94, SNP rs3851179) were associated with AD in white individuals. None were significantly associated with AD in the other ethnic groups. APOE ε4 was significantly associated with AD (ORs, 1.80-9.05) in all but 1 small white cohort and in the Arab cohort. Adjusting for age, sex, and the presence of at least 1 APOE ε4 allele greatly reduced evidence for association with PICALM but not CR1 or CLU. Models with the main SNP effect, presence or absence of APOE ε4, and an interaction term showed significant interaction between presence or absence of APOE ε4 and PICALM.
  
  
  CONCLUSIONS
  We confirm in a completely independent data set that CR1, CLU, and PICALM are AD susceptibility loci in European ancestry populations. Genotypes at PICALM confer risk predominantly in APOE ε4-positive subjects. Thus, APOE and PICALM synergistically interact.
authors.affiliation: Department of Medicine, Boston University, USA.
authors.forename: Gyungah
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authors.lastname: Jun
authors.forename: Adam C
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authors.forename: Gary W
authors.initials: GW
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authors.forename: Jacqueline
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authors.lastname: Ertekin-Taner
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authors.lastname: Fallin
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authors.lastname: Friedland
authors.forename: Rivka
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authors.lastname: Inzelberg
authors.forename: Patricia
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authors.lastname: Kramer
authors.forename: Ekaterina
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authors.lastname: Rogaeva
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authors.forename: Laura B
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authors.lastname: Cantwell
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authors.forename: Eric M
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authors.lastname: Reiman
authors.forename: David A
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authors.lastname: Bennett
authors.forename: John C
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authors.lastname: Morris
authors.forename: Kathryn L
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authors.lastname: Lunetta
authors.forename: Eden R
authors.initials: ER
authors.lastname: Martin
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Montine
authors.forename: Alison M
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authors.lastname: Goate
authors.forename: Deborah
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authors.lastname: Blacker
authors.forename: Debby W
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authors.lastname: Tsuang
authors.forename: Duane
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authors.lastname: Beekly
authors.forename: L Adrienne
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authors.lastname: Cupples
authors.forename: Hakon
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authors.lastname: Hakonarson
authors.forename: Walter
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authors.lastname: Kukull
authors.forename: Tatiana M
authors.initials: TM
authors.lastname: Foroud
authors.forename: Jonathan
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authors.lastname: Haines
authors.forename: Richard
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authors.lastname: Mayeux
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Farrer
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Pericak-Vance
authors.forename: Gerard D
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authors.lastname: Schellenberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000235:genetics*; D001057:Apolipoproteins E / Q000235:genetics*; D051152:Clusterin / Q000235:genetics*; D015331:Cohort Studies; D016001:Confidence Intervals; D005260:Female; D005787:Gene Frequency; D055106:Genome-Wide Association Study; D005838:Genotype; D006801:Humans; D008297:Male; D015201:Meta-Analysis as Topic; D034041:Monomeric Clathrin Assembly Proteins / Q000235:genetics*; D016017:Odds Ratio; D020641:Polymorphism, Single Nucleotide / Q000235:genetics; D017463:Receptors, Complement 3b / Q000235:genetics*; D012307:Risk Factors; D044465:White People
chemical_list: D001057:Apolipoproteins E; C495242:CLU protein, human; C509991:CR1 protein, human; D051152:Clusterin; D034041:Monomeric Clathrin Assembly Proteins; C439003:PICALM protein, human; D017463:Receptors, Complement 3b