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Association of common genetic variants with brain microbleeds : A genome-wide association study

Association of common genetic variants with brain microbleeds : A genome-wide association study


Title: Association of common genetic variants with brain microbleeds : A genome-wide association study
Author: Alzheimer's Disease Neuroimaging Initiative
Date: 2020-12-15
Language: English
Scope: e3331-e3343
Department: Faculty of Medicine
Series: Neurology; 95(24)
ISSN: 0028-3878
DOI: https://doi.org/10.1212/WNL.0000000000010852
Subject: Heilablóðfall; Erfðafræði; Apolipoprotein E4 / genetics; CerebralHemorrhage / genetics; Cerebral Hemorrhage / pathology; Cerebral Small Vessel Diseases / genetics; Genome-Wide Association Study; White Matter / pathology; Neurology (clinical)
URI: https://hdl.handle.net/20.500.11815/3286

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Citation:

Alzheimer's Disease Neuroimaging Initiative 2020 , ' Association of common genetic variants with brain microbleeds : A genome-wide association study ' , Neurology , vol. 95 , no. 24 , pp. e3331-e3343 . https://doi.org/10.1212/WNL.0000000000010852

Abstract:

OBJECTIVE: To identify common genetic variants associated with the presence of brain microbleeds (BMBs). METHODS: We performed genome-wide association studies in 11 population-based cohort studies and 3 case-control or case-only stroke cohorts. Genotypes were imputed to the Haplotype Reference Consortium or 1000 Genomes reference panel. BMBs were rated on susceptibility-weighted or T2*-weighted gradient echo MRI sequences, and further classified as lobar or mixed (including strictly deep and infratentorial, possibly with lobar BMB). In a subset, we assessed the effects of APOE ε2 and ε4 alleles on BMB counts. We also related previously identified cerebral small vessel disease variants to BMBs. RESULTS: BMBs were detected in 3,556 of the 25,862 participants, of which 2,179 were strictly lobar and 1,293 mixed. One locus in the APOE region reached genome-wide significance for its association with BMB (lead single nucleotide polymorphism rs769449; odds ratio [OR]any BMB [95% confidence interval (CI)] 1.33 [1.21-1.45]; p = 2.5 × 10-10). APOE ε4 alleles were associated with strictly lobar (OR [95% CI] 1.34 [1.19-1.50]; p = 1.0 × 10-6) but not with mixed BMB counts (OR [95% CI] 1.04 [0.86-1.25]; p = 0.68). APOE ε2 alleles did not show associations with BMB counts. Variants previously related to deep intracerebral hemorrhage and lacunar stroke, and a risk score of cerebral white matter hyperintensity variants, were associated with BMB. CONCLUSIONS: Genetic variants in the APOE region are associated with the presence of BMB, most likely due to the APOE ε4 allele count related to a higher number of strictly lobar BMBs. Genetic predisposition to small vessel disease confers risk of BMB, indicating genetic overlap with other cerebral small vessel disease markers.

Description:

This study was not industry sponsored. M.J. Knol, D. Lu, and M. Traylor report no disclosures relevant to the manuscript. H.H.H. Adams is supported by ZonMW grant 916.19.151. J.R.J. Romero, A.V. Smith, M. Fornage, E. Hofer, and J. Liu report no disclosures relevant to the manuscript. I.C. Hostettler received funding from the Alzheimer Research UK and Dunhill Medical Trust Foundation. M. Luciano, S. Trompet, A.-K. Giese, S. Hilal, E.B. van den Akker, D. Vojinovic, S. Li, S. Sigurdsson, S.J. van der Lee, and C.R. Jack, Jr. report no disclosures relevant to the manuscript. D. Wilson received funding from the Stroke Foundation/British Heart Foundation. P. Yilmaz, C.L. Satizabal, D.C.M. Liewald, J. van der Grond, C. Chen, Y. Saba, A. van der Lugt, M.E. Bastin, B.G. Windham, C.Y. Cheng, L. Pirpamer, K. Kantarci, J.J. Himali, Q. Yang, Z. Morris, A.S. Beiser, D.J. Tozer, M.W. Vernooij, N. Amin, M. Beekman, J.Y. Koh, and D.J. Stott report no disclosures relevant to the manuscript. H. Houlden received funding from the Alzheimer Research UK and Dunhill Medical Trust Foundation. R. Schmidt, R.F. Gottesman, and A.D. MacKinnon report no disclosures relevant to the manuscript. C. DeCarli is supported by the Alzheimer's Disease Center (P30 AG 010129) and serves as a consultant of Novartis Pharmaceuticals. V. Gudnason, I.J. Deary, C.M. van Duijn, P.E. Slagboom, T.Y. Wong, and N.S. Rost report no disclosures relevant to the manuscript. J.W. Jukema is an Established Clinical Investigator of the Netherlands Heart Foundation (grant 2001 D 032). T.H. Mosley reports no disclosures relevant to the manuscript. D.J. Werring received funding from the Stroke Foundation/British Heart Foundation. H. Schmidt, J.M. Wardlaw, M.A. Ikram, S. Seshadri, L.J. Launer, and H.S. Markus report no disclosures relevant to the manuscript. Go to Neurology.org/N for full disclosures. Publisher Copyright: Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.

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