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. 2014 Nov;10(6):609-618.e11.
doi: 10.1016/j.jalz.2014.06.010. Epub 2014 Aug 27.

Two rare AKAP9 variants are associated with Alzheimer's disease in African Americans

Collaborators, Affiliations

Two rare AKAP9 variants are associated with Alzheimer's disease in African Americans

Mark W Logue et al. Alzheimers Dement. 2014 Nov.

Abstract

Background: Less is known about the genetic basis of Alzheimer's disease (AD) in African Americans (AAs) than in non-Hispanic whites.

Methods: Whole exome sequencing (WES) was performed on seven AA AD cases. Disease association with potentially AD-related variants from WES was assessed in an AA discovery cohort of 422 cases and 394 controls. Replication was sought in an AA sample of 1037 cases and 1869 controls from the Alzheimer Disease Genetics Consortium (ADGC).

Results: Forty-four single nucleotide polymorphisms (SNPs) from WES passed filtering criteria and were successfully genotyped. Nominally significant (P < .05) association to AD was observed with two African-descent specific AKAP9 SNPs in tight linkage disequilibrium: rs144662445 (P = .014) and rs149979685 (P = .037). These associations were replicated in the ADGC sample (rs144662445: P = .0022, odds ratio [OR] = 2.75; rs149979685: P = .0022, OR = 3.61).

Conclusions: Because AKAP9 was not previously linked to AD risk, this study indicates a potential new disease mechanism.

Keywords: AKAP9; African American; Genetic association; Late-onset Alzheimer's disease; Rare variant; Whole-exome sequencing.

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Conflict of interest statement

Conflicts of Interest:

The authors of this paper have no conflicts of interest to report.

Figures

Figure 1
Figure 1
The overall study design including a whole-exome sequencing (WES) of 7 AA late-onset AD cases, followed by variant prioritization and filtering, genotyping in a larger AA discovery sample, and replication in a large AA ADGC cohort.
Figure 2
Figure 2
Examination of the 1000 Genomes subjects with the haplotype containing the two identified AKAP9 variants including (A) a phylogenetic dendogram of haplotypes and (B) positions of infrequent SNPs (<5% MAF) shared by haplotypes with 0, 1, and 2 variants. Key: HAP0: The background haplotype which contains the two identified AKAP9 variants. HAP0+ the background variant with one or more of the two putatively AD-associated variants; HAP0− the background haplotype without either AD-associated variants; HAP0+1 the background haplotype with one of the AD-associated AKAP9 variants; HAP0+2 the background haplotype with both AD-associated AKAP9 variants.
Figure 3
Figure 3
Annotated protein domain of AKAP9 canonical transcript Q99996-1 including Yotiao; AKAP450; the PKA binding sites; the PACT domain; Long QT syndrome amino-acid change; and the conservation of the two AD-associated variants rs144662445 (I2558M) and rs149979685 (S3771L).

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