2020
DOI: 10.1038/s41467-020-18534-1
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Risk prediction of late-onset Alzheimer’s disease implies an oligogenic architecture

Abstract: Genetic association studies have identified 44 common genome-wide significant risk loci for late-onset Alzheimer’s disease (LOAD). However, LOAD genetic architecture and prediction are unclear. Here we estimate the optimal P-threshold (Poptimal) of a genetic risk score (GRS) for prediction of LOAD in three independent datasets comprising 676 cases and 35,675 family history proxy cases. We show that the discriminative ability of GRS in LOAD prediction is maximised when selecting a small number of SNPs. Both sim… Show more

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Cited by 144 publications
(170 citation statements)
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References 66 publications
(139 reference statements)
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“…These models are important for the cross sectional understanding of the aging-related changes that lead to the development of AD, which is not easily achieved using human brain samples that represent the end stage (and/or one time point) of the disease, and in order to develop and test therapeutics 16 with high translational value. The identification of risk-associated polymorphisms to late-onset AD over the past several decades is aiding our understanding of the disease, and directing new therapeutic avenues, for example against microglia 13, [17][18][19][20] . Given the pronounced differences between humans and mice, modeling this complex disease of aging has proven challenging, with salient differences in lifespan, and in the sequences and processing of the key proteins that define the prominent pathologies of the AD brain (such as plaques (APP) and tangles (tau)).…”
Section: Usage Notesmentioning
confidence: 99%
“…These models are important for the cross sectional understanding of the aging-related changes that lead to the development of AD, which is not easily achieved using human brain samples that represent the end stage (and/or one time point) of the disease, and in order to develop and test therapeutics 16 with high translational value. The identification of risk-associated polymorphisms to late-onset AD over the past several decades is aiding our understanding of the disease, and directing new therapeutic avenues, for example against microglia 13, [17][18][19][20] . Given the pronounced differences between humans and mice, modeling this complex disease of aging has proven challenging, with salient differences in lifespan, and in the sequences and processing of the key proteins that define the prominent pathologies of the AD brain (such as plaques (APP) and tangles (tau)).…”
Section: Usage Notesmentioning
confidence: 99%
“…Currently, is the upper limit of predictive power (on the liability scale) of PRS for most complex diseases (Khera et al, 2018; Lambert et al, 2019), with the exception of a few disorders with large-effect common variants (such as Alzheimer’s disease or type 1 diabetes) (Sharp et al, 2019; Q. Zhang et al, 2020).…”
Section: Resultsmentioning
confidence: 99%
“…The heritability of LOAD is spread across many genetic variants; however, Zhang et al . (2020) 2 suggested that LOAD is more of an oligogenic than polygenic disorder due to the large effects of APOE variants. According to Zhang et al .…”
Section: Main Textmentioning
confidence: 99%
“…Late-onset Alzheimer’s disease is caused by a combination of many genetic variants with small effect sizes and environmental influences. Currently, only a fraction of the genetic variants underlying Alzheimer’s disease have been identified 2,3 . Here we show that increased sample sizes allowed for identification of seven novel genetic loci contributing to Alzheimer’s disease.…”
mentioning
confidence: 99%