001     283094
005     20251230135418.0
024 7 _ |a 10.1002/alz70862_110860
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024 7 _ |a 1552-5260
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024 7 _ |a 1552-5279
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037 _ _ |a DZNE-2025-01501
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Valentim, Carolina
|b 0
111 2 _ |a Alzheimer’s Association International Conference
|g AAIC 25
|c Toronto
|d 2025-07-27 - 2025-07-31
|w Canada
245 _ _ |a Polygenic risk scores modify the association between amyloid and tau PET accumulation in patients with Alzheimer’s disease
260 _ _ |c 2025
336 7 _ |a Abstract
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336 7 _ |a Conference Paper
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336 7 _ |a INPROCEEDINGS
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520 _ _ |a Genome-wide association studies (GWAS) have identified a larger number of genetic variants that are associated with increased risk of AD dementia. The biological pathways that underlie the link between SNPs and the development of core AD pathologies remain however unclear. Here, we generated pathway-specific polygenic risk scores to test their modulating effect on the association between amyloid-beta (Aβ) chronicity and tau deposition in patients with AD.We analysed 295 amyloid-PET-positive participants from ADNI (mean age 76.5 ± 7.6; 165 CU, 85 MCI, 45 Dementia) with cross-sectional genetic, cognitive, and tau-PET (AV1451) and Aβ-PET (Florbetapir and Florbetaben) data. We identified in a meta-analysis of recent genome-wide association studies (GWAS) 388 independent SNPs associated with AD. We computed six pathway-specific PRS based on gene set enrichment analysis identifying the pathways implicating amyloid beta, immune activation, endocytosis/transport, clearance and signal transduction (Figure 1). Aβ-chronicity was estimated using the Sampled Iterative Local Approximation (SILA) technique (Betthauser et al., 2022), which infers the temporal trajectory and extent of amyloid accumulation by aligning PET-derived amyloid burden across longitudinal data points. Robust linear regression (Huber method) models assessed interactions between SILA-derived Aβ-chronicity and tau-PET uptake in Braak-stage ROIs (I, III-IV, and V-VI), controlling APOE-ε4 status, age, sex and education. Outliers were defined as three standard deviations from the mean.Significant interactions between Aβ-chronicity and pathway-PRS for amyloid beta and endocytosis/transport were observed, with higher genetic risk amplifying the association between longer amyloid exposure and tau accumulation in Braak-stage ROIs III-IV & V-VI (p < 0.03). Effects remained significant after the removal of predefined outliers (p < 0.02).Our findings indicate that genetic variations, particularly within the amyloid-beta and endocytosis/transport pathways, strengthen the association between longer amyloid exposure and increased tau pathology. The significance of the amyloid-beta pathway suggests a direct genetic contribution to amyloid-driven tau accumulation, whereas the endocytosis/transport pathway findings support the hypothesis that amyloid-tau interactions at the synaptic level drive AD progression. These results align with prior evidence on mechanistic links between amyloid and tau pathology in AD.
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650 _ 7 |a Amyloid beta-Peptides
|2 NLM Chemicals
650 _ 7 |a tau Proteins
|2 NLM Chemicals
650 _ 7 |a Aniline Compounds
|2 NLM Chemicals
650 _ 7 |a florbetapir
|0 6867Q6IKOD
|2 NLM Chemicals
650 _ 7 |a Ethylene Glycols
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Alzheimer Disease: genetics
|2 MeSH
650 _ 2 |a Alzheimer Disease: diagnostic imaging
|2 MeSH
650 _ 2 |a Alzheimer Disease: metabolism
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Genome-Wide Association Study
|2 MeSH
650 _ 2 |a Positron-Emission Tomography
|2 MeSH
650 _ 2 |a Amyloid beta-Peptides: metabolism
|2 MeSH
650 _ 2 |a tau Proteins: metabolism
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Cross-Sectional Studies
|2 MeSH
650 _ 2 |a Polymorphism, Single Nucleotide
|2 MeSH
650 _ 2 |a Brain: diagnostic imaging
|2 MeSH
650 _ 2 |a Brain: metabolism
|2 MeSH
650 _ 2 |a Aniline Compounds
|2 MeSH
650 _ 2 |a Ethylene Glycols
|2 MeSH
700 1 _ |a Denecke, Jannis
|b 1
700 1 _ |a Frerich, Simon
|b 2
700 1 _ |a Malik, Rainer
|b 3
700 1 _ |a Franzmeier, Nicolai
|b 4
700 1 _ |a Ewers, Michael
|0 P:(DE-2719)9000543
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|e Last author
773 _ _ |a 10.1002/alz70862_110860
|g Vol. 21 Suppl 8, no. Suppl 8, p. e110860
|0 PERI:(DE-600)2201940-6
|n Suppl 8
|p e110860
|t Alzheimer's and dementia
|v 21
|y 2025
|x 1552-5260
856 4 _ |y OpenAccess
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910 1 _ |a Deutsches Zentrum für Neurodegenerative Erkrankungen
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