Presenter of 1 Presentation
CONTRIBUTION OF RARE COPY NUMBER VARIANTS TO THE RISK OF COMPLEX FORMS OF ALZHEIMER DISEASE
Abstract
Aims
Rare missense and truncating nucleotide variants in SORL1, TREM2 and ABCA7 are moderate-to-high Alzheimer disease (AD) risk factors, to which ATP8B4 and ABCA1 were recently added thanks to the aggregation of exome sequencing data from the ADES and ADSP consortia.
Methods
To assess the role of copy number variants (CNVs, deletions and duplications), we applied a highly-sensitive bioinformatics pipeline based on the CNV caller CANOES to 20,661 exomes (8941 controls, 3770 early-onset AD [EOAD], 7950 late-onset AD [LOAD]) from ADES-ADSP. We focused on rare CNVs (frequency<1%) and aggregated CNV counts at the gene level.
Results
We detected 49,460 rare CNVs. Among previously mentioned genes, we identified 6 deletions of ABCA7 in cases and 3 in controls and 3 ABCA1 deletions in three cases (all EOAD, none in controls). To assess the effect of ABCA1 loss of function on EOAD and LOAD risk simultaneously, we gathered data from high-confidence truncating nucleotide variants with CNVs in an ordinal regression model. While the previously reported aggregation of truncating and missense variants (OR=1.9 [1.5-2.5]) hid a heterogeneous effect of missense and truncating variants considered separately (OR=1.7 [1.3-2.2] and OR = 4.7 [2.2-10.3] respectively), the joint analysis of the full spectrum of rare high-confidence loss-of-function ABCA1 variants (p=3.1x10-5) confirmed their strong association with EOAD risk (OR=8.1 [2.9-29.4]).
Conclusions
Our data suggest that extremely rare CNVs may contribute to AD risk, some of them could be associated with a large effect, as the loss of ABCA1 function. Additional genes are currently being analyzed and will be presented.