Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variants

Abstract Introduction The role of TOMM40‐APOE 19q13.3 region variants is well documented in Alzheimer's disease (AD) but remains contentious in dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD). Methods We dissected genetic profiles within the TOMM40‐APOE region in 451...

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Main Authors: Inga Prokopenko, Gentaro Miyakawa, Bang Zheng, Jani Heikkinen, Daniela Petrova Quayle, Chinedu Udeh‐Momoh, Annique Claringbould, Juliane Neumann, Hazal Haytural, Marika A. Kaakinen, Elena Loizidou, Esther Meissner, Lars Bertram, BIOS consortium, Djordje O. Gveric, Steve M. Gentleman, Johannes Attems, Robert Perneczky, Thomas Arzberger, Pierandrea Muglia, Christina M. Lill, Laura Parkkinen, Lefkos T. Middleton
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
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Online Access:https://doi.org/10.1016/j.trci.2019.08.005
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author Inga Prokopenko
Gentaro Miyakawa
Bang Zheng
Jani Heikkinen
Daniela Petrova Quayle
Chinedu Udeh‐Momoh
Annique Claringbould
Juliane Neumann
Hazal Haytural
Marika A. Kaakinen
Elena Loizidou
Esther Meissner
Lars Bertram
BIOS consortium
Djordje O. Gveric
Steve M. Gentleman
Johannes Attems
Robert Perneczky
Thomas Arzberger
Pierandrea Muglia
Christina M. Lill
Laura Parkkinen
Lefkos T. Middleton
author_facet Inga Prokopenko
Gentaro Miyakawa
Bang Zheng
Jani Heikkinen
Daniela Petrova Quayle
Chinedu Udeh‐Momoh
Annique Claringbould
Juliane Neumann
Hazal Haytural
Marika A. Kaakinen
Elena Loizidou
Esther Meissner
Lars Bertram
BIOS consortium
Djordje O. Gveric
Steve M. Gentleman
Johannes Attems
Robert Perneczky
Thomas Arzberger
Pierandrea Muglia
Christina M. Lill
Laura Parkkinen
Lefkos T. Middleton
author_sort Inga Prokopenko
collection DOAJ
description Abstract Introduction The role of TOMM40‐APOE 19q13.3 region variants is well documented in Alzheimer's disease (AD) but remains contentious in dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD). Methods We dissected genetic profiles within the TOMM40‐APOE region in 451 individuals from four European brain banks, including DLB and PDD cases with/without neuropathological evidence of AD‐related pathology and healthy controls. Results TOMM40‐L/APOE‐ε4 alleles were associated with DLB (ORTOMM40‐L = 3.61; P value = 3.23 × 10−9; ORAPOE‐ε4 = 3.75; P value = 4.90 × 10−10) and earlier age at onset of DLB (HRTOMM40‐L = 1.33, P value = .031; HRAPOE‐ε4 = 1.46, P value = .004), but not with PDD. The TOMM40‐L/APOE‐ε4 effect was most pronounced in DLB individuals with concomitant AD pathology (ORTOMM40‐L = 4.40, P value = 1.15 × 10−6; ORAPOE‐ε4 = 5.65, P value = 2.97 × 10−8) but was not significant in DLB without AD. Meta‐analyses combining all APOE‐ε4 data in DLB confirmed our findings (ORDLB = 2.93, P value = 3.78 × 10−99; ORDLB+AD = 5.36, P value = 1.56 × 10−47). Discussion APOE‐ε4/TOMM40‐L alleles increase susceptibility and risk of earlier DLB onset, an effect explained by concomitant AD‐related pathology. These findings have important implications in future drug discovery and development efforts in DLB.
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spelling doaj-art-b22b19304c254efa8a72ee1ffb54cf242025-08-20T03:22:00ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372019-01-015181482410.1016/j.trci.2019.08.005Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variantsInga Prokopenko0Gentaro Miyakawa1Bang Zheng2Jani Heikkinen3Daniela Petrova Quayle4Chinedu Udeh‐Momoh5Annique Claringbould6Juliane Neumann7Hazal Haytural8Marika A. Kaakinen9Elena Loizidou10Esther Meissner11Lars Bertram12BIOS consortiumDjordje O. Gveric13Steve M. Gentleman14Johannes Attems15Robert Perneczky16Thomas Arzberger17Pierandrea Muglia18Christina M. Lill19Laura Parkkinen20Lefkos T. Middleton21Section of Genomics of Common Disease Department of MedicineImperial College LondonLondonUKGenetic and Molecular Epidemiology Group, Lübeck Interdisciplinary Platform for Genome Analytics (LIGA)University of LübeckLübeckGermanyNeuroepidemiology and Ageing Research UnitSchool of Public Health, Imperial College LondonLondonUKSection of Genomics of Common Disease Department of MedicineImperial College LondonLondonUKNeuroepidemiology and Ageing Research UnitSchool of Public Health, Imperial College LondonLondonUKNeuroepidemiology and Ageing Research UnitSchool of Public Health, Imperial College LondonLondonUKDepartment of GeneticsUniversity Medical Centre GroningenGroningenThe NetherlandsNuffield Department of Clinical Neuroscience, Neuropathology and Oxford Parkinson's Disease CentreUniversity of OxfordOxfordUKNuffield Department of Clinical Neuroscience, Neuropathology and Oxford Parkinson's Disease CentreUniversity of OxfordOxfordUKSection of Genomics of Common Disease Department of MedicineImperial College LondonLondonUKSection of Genomics of Common Disease Department of MedicineImperial College LondonLondonUKMax Planck Institute for Molecular GeneticsBerlinGermanyNeuroepidemiology and Ageing Research UnitSchool of Public Health, Imperial College LondonLondonUKMultiple Sclerosis and Parkinson's Tissue BankImperial College LondonLondonUKNeuropathology Unit Department of MedicineImperial College LondonLondonUKInstitute of Neuroscience, Newcastle UniversityNewcastle upon TyneUKNeuroepidemiology and Ageing Research UnitSchool of Public Health, Imperial College LondonLondonUKDepartment of Psychiatry and PsychotherapyLudwig‐Maximilians‐Universität MünchenMunichGermanyNeuroscience Discovery Medicine, UCB Pharma, Brussels AreaBelgiumGenetic and Molecular Epidemiology Group, Lübeck Interdisciplinary Platform for Genome Analytics (LIGA)University of LübeckLübeckGermanyNuffield Department of Clinical Neuroscience, Neuropathology and Oxford Parkinson's Disease CentreUniversity of OxfordOxfordUKNeuroepidemiology and Ageing Research UnitSchool of Public Health, Imperial College LondonLondonUKAbstract Introduction The role of TOMM40‐APOE 19q13.3 region variants is well documented in Alzheimer's disease (AD) but remains contentious in dementia with Lewy bodies (DLB) and Parkinson's disease dementia (PDD). Methods We dissected genetic profiles within the TOMM40‐APOE region in 451 individuals from four European brain banks, including DLB and PDD cases with/without neuropathological evidence of AD‐related pathology and healthy controls. Results TOMM40‐L/APOE‐ε4 alleles were associated with DLB (ORTOMM40‐L = 3.61; P value = 3.23 × 10−9; ORAPOE‐ε4 = 3.75; P value = 4.90 × 10−10) and earlier age at onset of DLB (HRTOMM40‐L = 1.33, P value = .031; HRAPOE‐ε4 = 1.46, P value = .004), but not with PDD. The TOMM40‐L/APOE‐ε4 effect was most pronounced in DLB individuals with concomitant AD pathology (ORTOMM40‐L = 4.40, P value = 1.15 × 10−6; ORAPOE‐ε4 = 5.65, P value = 2.97 × 10−8) but was not significant in DLB without AD. Meta‐analyses combining all APOE‐ε4 data in DLB confirmed our findings (ORDLB = 2.93, P value = 3.78 × 10−99; ORDLB+AD = 5.36, P value = 1.56 × 10−47). Discussion APOE‐ε4/TOMM40‐L alleles increase susceptibility and risk of earlier DLB onset, an effect explained by concomitant AD‐related pathology. These findings have important implications in future drug discovery and development efforts in DLB.https://doi.org/10.1016/j.trci.2019.08.005Parkinson's diseaseAlzheimer's diseaseParkinson's disease dementiaDementia with Lewy bodiesApolipoprotein EAPOE
spellingShingle Inga Prokopenko
Gentaro Miyakawa
Bang Zheng
Jani Heikkinen
Daniela Petrova Quayle
Chinedu Udeh‐Momoh
Annique Claringbould
Juliane Neumann
Hazal Haytural
Marika A. Kaakinen
Elena Loizidou
Esther Meissner
Lars Bertram
BIOS consortium
Djordje O. Gveric
Steve M. Gentleman
Johannes Attems
Robert Perneczky
Thomas Arzberger
Pierandrea Muglia
Christina M. Lill
Laura Parkkinen
Lefkos T. Middleton
Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variants
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Parkinson's disease
Alzheimer's disease
Parkinson's disease dementia
Dementia with Lewy bodies
Apolipoprotein E
APOE
title Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variants
title_full Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variants
title_fullStr Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variants
title_full_unstemmed Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variants
title_short Alzheimer's disease pathology explains association between dementia with Lewy bodies and APOE‐ε4/TOMM40 long poly‐T repeat allele variants
title_sort alzheimer s disease pathology explains association between dementia with lewy bodies and apoe ε4 tomm40 long poly t repeat allele variants
topic Parkinson's disease
Alzheimer's disease
Parkinson's disease dementia
Dementia with Lewy bodies
Apolipoprotein E
APOE
url https://doi.org/10.1016/j.trci.2019.08.005
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