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Genome-wide association study identifies APOE locus influencing plasma p-tau181 levels

Abstract

As a promising diagnostic and prognostic biomarker for Alzheimer’s Disease (AD), plasma p-tau181 is robustly differentiated AD dementia from non-AD neurodegenerative diseases. We aimed to discover single nucleotide polymorphisms (SNPs) associated with plasma phosphorylated tau at threonine 181 (p-tau181) levels that affect the risk of developing AD. We carried out a genome-wide association study for plasma p-tau181 levels using participants from the Alzheimer’s Disease Neuroimaging Initiative (ADNI). The thresholds of P < 5 × 10−6 was used for suggestive associations, and thresholds of P < 5 × 10−8 was used for significant associations. Subsequently, we tested whether the associations remained significant in subgroup analysis and examined the impact of SNPs on the longitudinal changes in plasma p-tau181 levels. A total of 714 eligible non-Hispanic white participants with plasma p-tau181 data were included. The most significant SNP (rs769449, P = 6.26 × 10−8) in APOE gene was suggestively associated with plasma p-tau181, which is close to the genome-wide significance threshold. The minor allele (A) of rs769449 in the APOE was associated with higher plasma p-tau181 levels in a dose-dependent fashion. Besides, rs769449- A carriers were more likely to exhibit a greater longitudinal cognitive decline (P = 0.03). Our results suggest that the AD risk variant in the APOE gene participates in the regulation of plasma p-tau181. The plasma p-tau181 concentration could be a useful endophenotype for identifying risk for AD in elderly individuals.

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References

  1. Barthelemy NR, Horie K, Sato C, Bateman RJ Blood plasma phosphorylated-tau isoforms track CNS change in Alzheimer’s disease. J Exp Med 2020; 217 : https://doi.org/10.1084/jem.20200861.

  2. Mattsson N, Zetterberg H, Janelidze S, Insel PS, Andreasson U, Stomrud E, et al. Plasma tau in Alzheimer disease. Neurology. 2016;87:1827–35. https://doi.org/10.1212/wnl.0000000000003246

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Zetterberg H, Wilson D, Andreasson U, Minthon L, Blennow K, Randall J, et al. Plasma tau levels in Alzheimer’s disease. Alzheimers Research & Therapy. 2013;5 https://doi.org/10.1186/alzrt163.

  4. Karikari TK, Benedet AL, Ashton NJ, Lantero Rodriguez J, Snellman A, Suárez-Calvet M, et al. Diagnostic performance and prediction of clinical progression of plasma phospho-tau181 in the Alzheimer’s Disease Neuroimaging Initiative. Mol Psychiatry. 2020; https://doi.org/10.1038/s41380-020-00923-z.

  5. Janelidze S, Mattsson N, Palmqvist S, Smith R, Beach TG, Serrano GE, et al. Plasma P-tau181 in Alzheimer’s disease: relationship to other biomarkers, differential diagnosis, neuropathology and longitudinal progression to Alzheimer’s dementia. Nat Med. 2020;26:379-+ https://doi.org/10.1038/s41591-020-0755-1

    Article  CAS  PubMed  Google Scholar 

  6. Chen J, Yu JT, Wojta K, Wang HF, Zetterberg H, Blennow K, et al. Genome-wide association study identifies MAPT locus influencing human plasma tau levels. Neurology. 2017;88:669–76. https://doi.org/10.1212/wnl.0000000000003615

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Kim S, Swaminathan S, Shen L, Risacher SL, Nho K, Foroud T, et al. Genome-wide association study of CSF biomarkers A beta(1-42), t-tau, and p-tau(181p) in the ADNI cohort. Neurology. 2011;76:69–79. https://doi.org/10.1212/WNL.0b013e318204a397

    Article  CAS  PubMed  Google Scholar 

  8. Karikari TK, Pascoal TA, Ashton NJ, Janelidze S, Benedet AL, Rodriguez JL, et al. Blood phosphorylated tau 181 as a biomarker for Alzheimer’s disease: a diagnostic performance and prediction modelling study using data from four prospective cohorts. Lancet Neurol. 2020;19:422–33. https://doi.org/10.1016/s1474-4422(20)30071-5

    Article  CAS  PubMed  Google Scholar 

  9. Blennow K, Shaw LM, Stomrud E, Mattsson N, Toledo JB, Buck K, et al. Predicting clinical decline and conversion to Alzheimer’s disease or dementia using novel Elecsys Abeta(1-42), pTau and tTau CSF immunoassays. Sci Rep. 2019;9:19024 https://doi.org/10.1038/s41598-019-54204-z

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Jack CR Jr., Bennett DA, Blennow K, Carrillo MC, Dunn B, Haeberlein SB, et al. NIA-AA research framework: toward a biological definition of Alzheimer’s disease. Alzheimers Dement. 2018;14:535–62. https://doi.org/10.1016/j.jalz.2018.02.018

    Article  PubMed  PubMed Central  Google Scholar 

  11. Guo T, Landau SM, Jagust WJ, Alzheimer’s Disease Neuroimaging I. Detecting earlier stages of amyloid deposition using PET in cognitively normal elderly adults. Neurology. 2020;94:e1512–e1524. https://doi.org/10.1212/WNL.0000000000009216

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Dou KX, Zhang C, Tan CC, Xu W, Li JQ, Cao XP, et al. Genome-wide association study identifies CBFA2T3 affecting the rate of CSF Abeta42 decline in non-demented elders. Aging (Albany NY). 2019;11:5433–44. https://doi.org/10.18632/aging.102125

    Article  CAS  Google Scholar 

  13. Zhang C, Pierce BL. Genetic susceptibility to accelerated cognitive decline in the US Health and Retirement Study. Neurobiol Aging. 2014;35:1512.e1511–1518. https://doi.org/10.1016/j.neurobiolaging.2013.12.021

    Article  Google Scholar 

  14. Arpawong TE, Pendleton N, Mekli K, McArdle JJ, Gatz M, Armoskus C, et al. Genetic variants specific to aging-related verbal memory: Insights from GWASs in a population-based cohort. PLoS One. 2017;12:e0182448 https://doi.org/10.1371/journal.pone.0182448

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Cruchaga C, Kauwe JSK, Harari O, Jin SC, Cai Y, Karch CM, et al. GWAS of Cerebrospinal Fluid Tau Levels Identifies Risk Variants for Alzheimer’s Disease. Neuron. 2013;78:256–68. https://doi.org/10.1016/j.neuron.2013.02.026

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Tatebe H, Kasai T, Ohmichi T, Kishi Y, Kakeya T, Waragai M, et al. Quantification of plasma phosphorylated tau to use as a biomarker for brain Alzheimer pathology: pilot case-control studies including patients with Alzheimer’s disease and down syndrome. Molecular Neurodegeneration 2017;12 https://doi.org/10.1186/s13024-017-0206-8.

  17. Lord J, Zettergren A, Ashton NJ, Karikari TK, Benedet AL, Simrén J, et al. A genome-wide association study of plasma phosphorylated tau181. Neurobiology of aging 2021; https://doi.org/10.1016/j.neurobiolaging.2021.04.018.

  18. Barthélemy NR, Li Y, Joseph-Mathurin N, Gordon BA, Hassenstab J, Benzinger TLS, et al. A soluble phosphorylated tau signature links tau, amyloid and the evolution of stages of dominantly inherited Alzheimer’s disease. Nat Med. 2020;26:398–407. https://doi.org/10.1038/s41591-020-0781-z

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Khachaturian AS, Corcoran CD, Mayer LS, Zandi PP, Breitner JCS. Cache County Study I. Apolipoprotein E epsilon 4 count affects age at onset of Alzheimer disease, but not lifetime susceptibility - The cache county study. Arch Gen Psychiatry. 2004;61:518–24. https://doi.org/10.1001/archpsyc.61.5.518

    Article  CAS  PubMed  Google Scholar 

  20. Jansen WJ, Ossenkoppele R, Knol DL, Tijms BM, Scheltens P, Verhey FRJ, et al. Prevalence of cerebral amyloid pathology in persons without dementia a meta-analysis. Jama-J Am Med Assoc. 2015;313:1924–38. https://doi.org/10.1001/jama.2015.4668

    Article  Google Scholar 

  21. Yamazaki Y, Zhao N, Caulfield TR, Liu CC, Bu G. Apolipoprotein E and Alzheimer disease: pathobiology and targeting strategies. Nat Rev Neurol. 2019;15:501–18. https://doi.org/10.1038/s41582-019-0228-7

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Shi Y, Yamada K, Liddelow SA, Smith ST, Zhao L, Luo W, et al. ApoE4 markedly exacerbates tau-mediated neurodegeneration in a mouse model of tauopathy. Nature. 2017;549:523–527. https://doi.org/10.1038/nature24016

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Wang Y, Mandelkow E. Tau in physiology and pathology. Nat Rev Neurosci. 2016;17:5–21. https://doi.org/10.1038/nrn.2015.1

    Article  CAS  PubMed  Google Scholar 

  24. Yu JT, Tan L, Hardy J. Apolipoprotein E in Alzheimer’s disease: an update. Annu Rev Neurosci. 2014;37:79–100. https://doi.org/10.1146/annurev-neuro-071013-014300

    Article  CAS  PubMed  Google Scholar 

  25. Fuior EV, Gafencu AV. Apolipoprotein C1: its pleiotropic effects in lipid metabolism and beyond. Int J Mol Sci 2019; 20 : https://doi.org/10.3390/ijms20235939.

  26. Guo Y, Xu W, Li JQ, Ou YN, Shen XN, Huang YY, et al. Genome-wide association study of hippocampal atrophy rate in non-demented elders. Aging. 2019;11:10468–84. https://doi.org/10.18632/aging.102470

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Beekman M, Blanché H, Perola M, Hervonen A, Bezrukov V, Sikora E, et al. Genome-wide linkage analysis for human longevity: genetics of healthy aging study. Aging Cell. 2013;12:184–93. https://doi.org/10.1111/acel.12039

    Article  CAS  PubMed  Google Scholar 

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Funding

This study was supported by grants from the National Natural Science Foundation of China (82071201, 81971032), the National Key R&D Program of China (2018YFC1314700), the Research Start-up Fund of Huashan Hospital, Fudan University (2022QD002), Research Start-up Fund of Huashan Hospital (2022QD002), Excellence 2025 Talent Cultivation Program (3030277001), Shanghai Municipal Science and Technology Major Project (2018SHZDZX01) and ZHANGJIANG LAB, Tianqiao and Chrissy Chen Institute, and the State Key Laboratory of Neurobiology and Frontiers Center for Brain Science of Ministry of Education, Fudan University. Data collection and sharing for this project was funded by the ADNI (National Institutes of Health Grant U01 AG024904) and DOD ADNI (Department of Defense award number W81XWH-12-2-0012). ADNI is funded by the National Institute on Aging, the National Institute of Biomedical Imaging and Bioengineering, and through generous contributions from the following: AbbVie, Alzheimer’s Association; Alzheimer’s Drug Discovery Foundation; Araclon Biotech; BioClinica, Inc.; Biogen; Bristol-Myers Squibb Company; CereSpir, Inc.; Cogstate; Eisai Inc.; Elan Pharmaceuticals, Inc.; Eli Lilly and Company; EuroImmun; F. Hoffmann-La Roche Ltd and its affiliated company Genentech, Inc.; Fujirebio; GE Healthcare; IXICO Ltd.; Janssen Alzheimer Immunotherapy Research & Development, LLC.; Johnson & Johnson Pharmaceutical Research & Development LLC.; Lumosity; Lundbeck; Merck & Co., Inc.; Meso Scale Diagnostics, LLC.; NeuroRx Research; Neurotrack Technologies; Novartis Pharmaceuticals Corporation; Pfizer Inc.; Piramal Imaging; Servier; Takeda Pharmaceutical Company; and Transition Therapeutics. The Canadian Institutes of Health Research is providing funds to support ADNI clinical sites in Canada. Private sector contributions are facilitated by the Foundation for the National Institutes of Health (www.fnih.org). The grantee organization is the Northern California Institute for Research and Education, and the study is coordinated by the Alzheimer’s Therapeutic Research Institute at the University of Southern California. ADNI data are disseminated by the Laboratory for Neuro Imaging at the University of Southern California.

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JTY designed and organised research for this study. YYH, YXY, and HFW analysed the data. YYH wrote the first draft of the manuscript. LT and JTY interpreted the data. All authors critically revised the article for important intellectual content and approved the final version of the Article.

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Correspondence to Yu-Yuan Huang or Jin-Tai Yu.

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Huang, YY., Yang, YX., Wang, HF. et al. Genome-wide association study identifies APOE locus influencing plasma p-tau181 levels. J Hum Genet 67, 459–463 (2022). https://doi.org/10.1038/s10038-022-01026-z

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