title: Genome-wide interaction study of brain beta-amyloid burden and cognitive impairment in Alzheimer's disease.
abstract: The lack of strong association between brain beta-amyloid deposition and cognitive impairment has been a challenge for the Alzheimer's disease (AD) field. Although beta-amyloid is necessary for the pathologic diagnosis of AD, it is not sufficient to make the pathologic diagnosis or cause dementia. We sought to identify the genetic modifiers of the relation between cortical beta-amyloid burden (measured using [18F]Florbetapir-PET) and cognitive dysfunction (measured using ADAS-cog) by conducting a genome-wide interaction study on baseline data from participants in the Alzheimer's Disease Neuroimaging Initiative (ADNI) phases GO/2 (n=678). Near genome-wide significant interaction effect was observed for rs73069071 within the IAPP (amylin) and SLCO1A2 genes (P=6.2 × 10-8). Congruent results were found using data from participants followed up from ADNI-1 (Pone-tailed=0.028, n=165). Meta-analysis across ADNI-GO/2 and ADNI-1 revealed a genome-wide significant interaction effect (P=1.1 × 10-8). Our results were further supported by similar interaction effects on temporal lobe cortical thickness (whole-brain voxelwise analysis: familywise error corrected P=0.013) and longitudinal changes in ADAS-cog score and left middle temporal thickness and amygdalar volume (Pone-tailed=0.026, 0.019 and 0.003, respectively). Using postmortem beta-amyloid immunohistochemistry data from 243 AD participants in the Religious Orders Study and Memory and Aging Project, we also observed similar rs73069071-by-beta-amyloid deposition interaction effect on global cognitive function (Pone-tailed=0.005). Our findings provide insight into the complexity of the relationship between beta-amyloid burden and AD-related cognitive impairment. Although functional studies are required to elucidate the role of rs73069071 in AD pathophysiology, our results support the recently growing evidence on the role of amylin in AD.
authors.affiliation: Kimel Family Translational Imaging-Genetics Laboratory, Research Imaging Centre, Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.|Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
authors.forename: T
authors.initials: T
authors.lastname: Roostaei
authors.affiliation: Kimel Family Translational Imaging-Genetics Laboratory, Research Imaging Centre, Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.|Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
authors.forename: A
authors.identifier: 0000-0001-6983-0641
authors.initials: A
authors.lastname: Nazeri
authors.affiliation: Kimel Family Translational Imaging-Genetics Laboratory, Research Imaging Centre, Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.|Institute of Medical Science, University of Toronto, Toronto, ON, Canada.
authors.forename: D
authors.initials: D
authors.lastname: Felsky
authors.affiliation: Program in Translational NeuroPsychiatric Genomics, Institute for the Neurosciences, Departments of Neurology and Psychiatry, Brigham and Women's Hospital, Boston, MA, USA.|Department of Neurology, Harvard Medical School, Boston, MA, USA.|Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
authors.forename: P L
authors.initials: PL
authors.lastname: De Jager
authors.affiliation: Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA.|Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.|Department of Pathology, Rush University Medical Center, Chicago, IL, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Schneider
authors.affiliation: Department of Psychiatry, University of Toronto, Toronto, ON, Canada.|Geriatric Psychiatry Division, Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
authors.forename: B G
authors.initials: BG
authors.lastname: Pollock
authors.affiliation: Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA.|Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
authors.forename: D A
authors.initials: DA
authors.lastname: Bennett
authors.affiliation: Kimel Family Translational Imaging-Genetics Laboratory, Research Imaging Centre, Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.|Department of Psychiatry, University of Toronto, Toronto, ON, Canada.|Institute of Medical Science, University of Toronto, Toronto, ON, Canada.|Underserved Populations Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
authors.forename: A N
authors.initials: AN
authors.lastname: Voineskos
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000235:genetics*; D016229:Amyloid beta-Peptides / Q000378:metabolism / Q000502:physiology*; D001921:Brain / Q000033:anatomy & histology / Q000378:metabolism; D003072:Cognition Disorders / Q000473:pathology*; D060825:Cognitive Dysfunction; D003704:Dementia / Q000378:metabolism; D005260:Female; D056726:Genetic Association Studies / Q000379:methods; D055106:Genome-Wide Association Study; D006801:Humans; D058228:Islet Amyloid Polypeptide / Q000235:genetics / Q000378:metabolism; D008297:Male; D059906:Neuroimaging; D009483:Neuropsychological Tests; D027361:Organic Anion Transporters / Q000235:genetics / Q000378:metabolism; D049268:Positron-Emission Tomography / Q000379:methods; D013702:Temporal Lobe
chemical_list: D016229:Amyloid beta-Peptides; D058228:Islet Amyloid Polypeptide; D027361:Organic Anion Transporters; C512988:SLCO1A2 protein, human