Genetic associations with psychosis and affective disturbance in Alzheimer's disease

被引:0
作者
Antonsdottir, Inga Margret [1 ,2 ]
Creese, Byron [3 ]
Klei, Lambertus [4 ]
DeMichele-Sweet, Mary Ann A. [4 ]
Weamer, Elise A. [5 ]
Garcia-Gonzalez, Pablo [6 ,7 ]
Marquie, Marta [6 ,7 ]
Boada, Merce [6 ,7 ]
Alarcon-Martin, Emilio [6 ]
Valero, Sergi [6 ,7 ]
Liu, Yushi [8 ]
Hooli, Basavaraj [9 ]
Aarsland, Dag [10 ]
Selbaek, Geir [11 ,12 ]
Bergh, Sverre [13 ]
Rongve, Arvid [14 ,15 ]
Saltvedt, Ingvild [16 ]
Skjellegrind, Havard K. [17 ,18 ]
Engdahl, Bo [19 ]
Andreassen, Ole A. [20 ]
Borroni, Barbara [21 ]
Mecocci, Patrizia [22 ,23 ]
Wedatilake, Yehani [13 ]
Mayeux, Richard [24 ,25 ,26 ]
Foroud, Tatiana [27 ]
Ruiz, Agustin [6 ,7 ]
Lopez, Oscar L. [4 ,5 ]
Kamboh, M. Ilyas [4 ]
Ballard, Clive [3 ]
Devlin, Bernie [28 ]
Lyketsos, Constantine [2 ]
Sweet, Robert A. [4 ,5 ]
机构
[1] Johns Hopkins Sch Nursing, Baltimore, MD USA
[2] Richman Family Precis Med Ctr Excellence Alzheime, Dept Psychiat & Behav Sci, Johns Hopkins Bayview, Johns Hopkins Med, Baltimore, MD USA
[3] Univ Exeter, Fac Hlth & Life Sci, Dept Clin & Biomed Sci, Exeter, Devon, England
[4] Univ Pittsburgh, Dept Psychiat, Biomed Sci Tower,Room W-1645,3811 OHara St, Pittsburgh, PA 15213 USA
[5] Univ Pittsburgh, Dept Neurol, Pittsburgh, PA USA
[6] UIC, ACE Alzheimer Ctr Barcelona, Res Ctr & Memory Clin, Barcelona, Spain
[7] Natl Inst Hlth Carlos III, Network Ctr Biomed Res Neurodegenerat Dis, CIBERNED, Madrid, Spain
[8] Eli Lilly & Co, Lilly Res Labs, Global Stat Sci, Indianapolis, IN USA
[9] Eli Lilly & Co, Lilly Res Labs, Neurodegenerat Res, Indianapolis, IN USA
[10] Kings Coll London, Dept Old Age Psychiat, Inst Psychiat Psychol & Neurosci, London, England
[11] Vestfold Hosp Trust, Norwegian Natl Ctr Aging & Hlth, Tonsberg, Norway
[12] Oslo Univ Hosp, Dept Geriatr Med, Oslo, Norway
[13] Innlandet Hosp Trust, Res Ctr Age Related Funct Decline & Dis, Ottestad, Norway
[14] Helse Fonna, Dept Res & Innovat, Haugesund, Norway
[15] Univ Bergen, Dept Clin Med K1, Bergen, Norway
[16] Univ Hosp Trondheim, St Olav Hosp, Dept Geriatr, Trondheim, Norway
[17] Nord Trondelag Hosp Trust, Nord Trondelag, Norway
[18] Norwegian Univ Sci & Technol, Fac Med & Hlth Sci, HUNT Res Ctr, Dept Publ Hlth & Nursing, Levanger, Norway
[19] Norwegian Inst Publ Hlth, Oslo, Norway
[20] Univ Oslo, Inst Clin Med, NORMENT, Oslo, Norway
[21] Univ Brescia, Ctr Neurodegenerat Disorders, Brescia, Italy
[22] Univ Perugia, Inst Gerontol & Geriatr, Perugia, Italy
[23] Karolinska Inst, Geriatr Clin, NVS, Stockholm, Sweden
[24] Columbia Univ, Dept Neurol, New York, NY USA
[25] Columbia Univ, Dept Psychiat, New York, NY USA
[26] Columbia Univ, Dept Epidemiol, New York, NY USA
[27] Indiana Univ Sch Med, Med & Mol Genet, Indianapolis, IN USA
[28] Univ Pittsburgh, Dept Human Genet, Pittsburgh, PA USA
关键词
affective disturbance; Alzheimer's disease; genome-wide association; heritability; psychosis; INCREASED FAMILIAL RISK; BRIEF CLINICAL FORM; NEUROPSYCHIATRIC INVENTORY; BEHAVIORAL DISTURBANCES; CACHE COUNTY; NPI-Q; DEMENTIA; SYMPTOMS; CONSORTIUM; CITALOPRAM;
D O I
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中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
INTRODUCTION: Individuals with Alzheimer's disease (AD) commonly experience neuropsychiatric symptoms of psychosis (AD+P) and/or affective disturbance (depression, anxiety, and/or irritability, AD+A). This study's goal was to identify the genetic architecture of AD+P and AD+A, as well as their genetically correlated phenotypes. METHODS: Genome-wide association meta-analysis of 9988 AD participants from six source studies with participants characterized for AD+P AD+A, and a joint phenotype (AD+A+P). RESULTS: AD+P and AD+A were genetically correlated. However, AD+P and AD+A diverged in their genetic correlations with psychiatric phenotypes in individuals without AD. AD+P was negatively genetically correlated with bipolar disorder and positively with depressive symptoms. AD+A was positively correlated with anxiety disorder and more strongly correlated than AD+P with depressive symptoms. AD+P and AD+A+P had significant estimated heritability, whereas AD+A did not. Examination of the loci most strongly associated with the three phenotypes revealed overlapping and unique associations. DISCUSSION: AD+P, AD+A, and AD+A+P have both shared and divergent genetic associations pointing to the importance of incorporating genetic insights into future treatment development.
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页数:11
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