Preprint DZNE-2025-01290

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Tandem Repeat Polymorphisms Are Associated with Brain Structure: Results of Two Large Population-based Studies

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2025

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Abstract: Although genome-wide association studies (GWAS) have uncovered many genetic variants linked to brain structure, much of its heritability remains unexplained. Short tandem repeats (STRs), which are rarely considered in GWAS, may contribute to this “missing heritability”. Using targeted deep sequencing, we systematically assessed the relationship between ∼3000 polymorphic STRs and brain imaging-derived phenotypes across 2958 participants of the Rhineland Study. Expansion of an intronic CA repeat in PRR14L was associated with larger thalamic volume (standardized β [95% CI]=0.15 [0.06–0.24]), while AATG repeat polymorphisms in NADK were associated with reduced subcortical gray matter volume (–0.05 [–0.08 to –0.01]). Both associations replicated in the UK Biobank cohort (N=38879). Beyond single loci, higher polygenic burden of moderate STR expansions was associated with increased total brain, gray matter, supratentorial, and thalamic volumes. Our findings indicate that moderate STR expansions are region-specific determinants of brain morphology and suggest that STR variability may have evolved to enhance neuroanatomical plasticity and cognitive function.


Contributing Institute(s):
  1. Population & Clinical Neuroepidemiology (AG Aziz)
  2. Population Health Sciences (AG Breteler)
  3. Immunogenomics and Neurodegeneration (AG Beyer)
  4. Artificial Intelligence in Medicine (AG Reuter)
  5. Clinical Single Cell Omics (CSCO) / Systems Medicine (AG Schultze)
Research Program(s):
  1. 354 - Disease Prevention and Healthy Aging (POF4-354) (POF4-354)
  2. TRANSIT-ND - Tandem Repeats Associated with Neurogenomic Somatic Instability and Neurodegeneration (101041677) (101041677)
  3. 351 - Brain Function (POF4-351) (POF4-351)
Experiment(s):
  1. Platform for Single Cell Genomics and Epigenomics at DZNE University of Bonn

Appears in the scientific report 2025
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The record appears in these collections:
Institute Collections > BN DZNE > BN DZNE-AG Schultze
Institute Collections > BN DZNE > BN DZNE-AG Breteler
Institute Collections > BN DZNE > BN DZNE-AG Reuter
Institute Collections > BN DZNE > BN DZNE-AG Beyer
Institute Collections > BN DZNE > BN DZNE-AG Aziz
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 Record created 2025-11-20, last modified 2025-11-21



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