- Desikan, RS
- Schork, AJ
- Wang, Y
- Thompson, WK
- Dehghan, A
- Ridker, PM
- Chasman, DI
- Mcevoy, LK
- Holland, D
- Chen, CH
- Karow, DS
- Brewer, JB
- Hess, CP
- Williams, J
- Sims, R
- O'donovan, MC
- Choi, SH
- Bis, JC
- Ikram, MA
- Gudnason, V
- Destefano, AL
- Van Der Lee, SJ
- Psaty, BM
- Van Duijn, CM
- Launer, L
- Seshadri, S
- Pericak-Vance, MA
- Mayeux, R
- Haines, JL
- Farrer, LA
- Hardy, J
- Ulstein, ID
- Aarsland, D
- Fladby, T
- White, LR
- Sando, SB
- Rongve, A
- Witoelar, A
- Djurovic, S
- Hyman, BT
- Snaedal, J
- Steinberg, S
- Stefansson, H
- Stefansson, K
- Schellenberg, GD
- Andreassen, OA
- Dale, AM
- et al.
© 2015 American Heart Association, Inc. Background - Epidemiological findings suggest a relationship between Alzheimer disease (AD), inflammation, and dyslipidemia, although the nature of this relationship is not well understood. We investigated whether this phenotypic association arises from a shared genetic basis. Methods and Results - Using summary statistics (P values and odds ratios) from genome-wide association studies of >200 000 individuals, we investigated overlap in single-nucleotide polymorphisms associated with clinically diagnosed AD and C-reactive protein (CRP), triglycerides, and high- and low-density lipoprotein levels. We found up to 50-fold enrichment of AD single-nucleotide polymorphisms for different levels of association with C-reactive protein, low-density lipoprotein, high-density lipoprotein, and triglyceride single-nucleotide polymorphisms using a false discovery rate threshold <0.05. By conditioning on polymorphisms associated with the 4 phenotypes, we identified 55 loci associated with increased AD risk. We then conducted a meta-analysis of these 55 variants across 4 independent AD cohorts (total: n=29 054 AD cases and 114 824 healthy controls) and discovered 2 genome-wide significant variants on chromosome 4 (rs13113697; closest gene, HS3ST1; odds ratio=1.07; 95% confidence interval=1.05-1.11; P=2.86×10-8) and chromosome 10 (rs7920721; closest gene, ECHDC3; odds ratio=1.07; 95% confidence interval=1.04-1.11; P=3.38×10-8). We also found that gene expression of HS3ST1 and ECHDC3 was altered in AD brains compared with control brains. Conclusions - We demonstrate genetic overlap between AD, C-reactive protein, and plasma lipids. By conditioning on the genetic association with the cardiovascular phenotypes, we identify novel AD susceptibility loci, including 2 genome-wide significant variants conferring increased risk for AD.