Pijnenburg, Y. A. L. | Search bioRxiv

bioRxiv2020

Differential brain atrophy and neurogenetic profiles in cognitively-defined Alzheimer's disease subgroups

Elucidating mechanisms underlying the clinical heterogeneity observed among individuals with Alzheimers disease (AD) is key to facilitate personalized treatments. We categorized 679 individuals with AD into subgroups based on a relative impairment in one cognitive domain (i.e. AD-Memory, AD-Executive-Functioning, AD-Language and AD-Visuospatial-Functioning). We compared atrophy patterns derived from MRI and identified patterns that closely matched the respective cognitive profiles, i.e. medial temporal lobe atrophy in AD-Memory, fronto-parietal in AD-Executive-Functioning, asymmetric left-temporal in AD-Language, and posterior in AD-Visuospatial-Functioning. We then determined spatial correlations between subgroup-specific atrophy and a transcriptomic atlas of gene expression, which revealed both shared (e.g. mitochondrial respiration and synaptic function/plasticity) and subgroup-specific (e.g. cell-cycle for AD-Memory, protein metabolism in AD-Language, and modification of gene expression in AD-Visuospatial-Functioning) biological pathways associated with each subgroups atrophy patterns. We conclude that cognitive heterogeneity in AD is related to neuroanatomical differences, and specific biological pathways may be involved in their emergence.

neuroscience↗

bioRxiv2020

Gene expression imputation provides insight into the genetic architecture of frontotemporal dementia

The etiology of genetically sporadic frontotemporal dementia is poorly understood. Although genome-wide association studies for frontotemporal dementia have identified a small number of candidate risk regions, most of the risk genes remain largely unknown. To identify candidate genes with predicted expression levels associated with frontotemporal dementia, we integrated genome-wide summary statistics with external reference gene expression data, using a transcriptome-wide association studies approach. FUSION software was used to leverage summary statistics on frontotemporal dementia (n=2,340 cases, n=7,252 controls) and clinical subtypes (behavioral variant frontotemporal dementia n=1,337 cases/2,754 controls; semantic dementia n=308 cases/616 controls; progressive non-fluent aphasia n=269 cases/538 controls, frontotemporal dementia with motor neuron disease n=200 cases/400 controls) from the International Frontotemporal Dementia Genomics Consortium with 53 expression quantitative loci tissue type panels (n=12,205 from five consortia). Significance was assessed using a 5% false discovery rate threshold. We identified 73 significant gene-tissue associations for frontotemporal dementia, representing 44 unique genes in 34 tissue types. Most significant findings were derived from dorsolateral prefrontal cortex splicing data (n=19 genes, 26%). Furthermore, the 17q21.31 inversion locus contained 23 significant associations, representing six unique genes whose predicted expression associated with frontotemporal dementia. Other top hits included SEC22B on chromosome 1, a gene involved in vesicle trafficking, TRGV5 on chromosome 17 and ZNF302 on chromosome 19. A single gene finding was observed for behavioral variant frontotemporal dementia (i.e., RAB38 on chromosome 11) with evidence from multiple tissue types. For the other clinical subtypes no significant associations were observed. We used transcriptome-wide association studies to prioritize candidate genes for frontotemporal dementia and identified a number of specific genes, including potential novel candidate genes (such as SEC22B) and previously reported risk regions (e.g., 17q.21.31). Most significant associations were observed in the dorsolateral prefrontal cortex, despite the modest sample size of the gene expression reference panel of this tissue type. This suggests that our findings are specific to frontotemporal dementia and are likely to be biologically relevant highlights of genes at different frontotemporal dementia risk loci that are contributing to the disease pathology.

genetics↗