脑形态学介导阿尔茨海默病常见遗传风险变异的影响。

IF 2.8 Q2 NEUROSCIENCES
Journal of Alzheimer's disease reports Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI:10.1177/25424823251328300
Esmee M Breddels, Yelyzaveta Snihirova, Ehsan Pishva, Sinan Gülöksüz, Gabriëlla Am Blokland, Jurjen Luykx, Ole A Andreassen, David Ej Linden, Dennis van der Meer
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引用次数: 0

摘要

背景:迟发性阿尔茨海默病(LOAD)与多个大脑结构的形态学改变有关,不同大脑区域的疾病机制可能不同。将LOAD的遗传决定因素与脑形态学测量相结合可以定位和识别主要的因果神经生物学途径。目的:通过脑形态确定LOAD遗传风险变异与LOAD的因果关系。方法:使用常见遗传变异、T1 MRI和英国生物银行和阿尔茨海默病神经影像学倡议收集的临床数据进行中介和孟德尔随机化(MR)分析。结果:APOE ε4对LOAD的影响与内嗅皮质厚度、海马、杏仁核和下侧脑室的体积有关。MR显示,较薄的内嗅皮质、较小的海马和杏仁核以及较大的下侧脑室体积增加了LOAD的风险,反之亦然。结论:结合神经影像学和遗传学资料,可以深入了解LOAD的因果神经病理通路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brain morphology mediating the effects of common genetic risk variants on Alzheimer's disease.

Background: Late-onset Alzheimer's disease (LOAD) has been associated with alterations in the morphology of multiple brain structures, and it is likely that disease mechanisms differ between brain regions. Coupling genetic determinants of LOAD with measures of brain morphology could localize and identify primary causal neurobiological pathways.

Objective: To determine causal pathways from genetic risk variants of LOAD via brain morphology to LOAD.

Methods: Mediation and Mendelian randomization (MR) analysis were performed using common genetic variation, T1 MRI and clinical data collected by UK Biobank and Alzheimer's Disease Neuroimaging Initiative.

Results: Thickness of the entorhinal cortex and the volumes of the hippocampus, amygdala and inferior lateral ventricle mediated the effect of APOE ε4 on LOAD. MR showed that a thinner entorhinal cortex, a smaller hippocampus and amygdala, and a larger volume of the inferior lateral ventricles, increased the risk of LOAD as well as vice versa.

Conclusions: Combining neuroimaging and genetic data can give insight into the causal neuropathological pathways of LOAD.

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