Cognitive decline is a feared aspect of growing old. It is a major contributor to lower quality of life and loss of independence in old age. We investigated the genetic contribution to individual differences in nonpathological cognitive ageing in five cohorts of older adults. We undertook a genome-wide association analysis using 549 692 single-nucleotide polymorphisms (SNPs) in 3511 unrelated adults in the Cognitive Ageing Genetics in England and Scotland (CAGES) project. These individuals have detailed longitudinal cognitive data from which phenotypes measuring each individual's cognitive changes were constructed. One SNP--rs2075650, located in TOMM40 (translocase of the outer mitochondrial membrane 40 homolog)--had a genome-wide significant association with cognitive ageing (P=2.5 × 10(-8)). This result was replicated in a meta-analysis of three independent Swedish cohorts (P=2.41 × 10(-6)). An Apolipoprotein E (APOE) haplotype (adjacent to TOMM40), previously associated with cognitive ageing, had a significant effect on cognitive ageing in the CAGES sample (P=2.18 × 10(-8); females, P=1.66 × 10(-11); males, P=0.01). Fine SNP mapping of the TOMM40/APOE region identified both APOE (rs429358; P=3.66 × 10(-11)) and TOMM40 (rs11556505; P=2.45 × 10(-8)) as loci that were associated with cognitive ageing. Imputation and conditional analyses in the discovery and replication cohorts strongly suggest that this effect is due to APOE (rs429358). Functional genomic analysis indicated that SNPs in the TOMM40/APOE region have a functional, regulatory non-protein-coding effect. The APOE region is significantly associated with nonpathological cognitive ageing. The identity and mechanism of one or multiple causal variants remain unclear.

译文

:认知能力下降是老龄化的一个令人恐惧的方面。它是导致生活质量下降和老年失去独立感的主要因素。我们调查了遗传因素对五组老年人非病理性认知衰老个体差异的影响。在英国和苏格兰的认知衰老遗传学(CAGES)项目中,我们对3511名无关亲戚的成年人使用549 692单核苷酸多态性(SNP)进行了全基因组关联分析。这些个体具有详细的纵向认知数据,根据这些数据构建了测量每个个体认知变化的表型。位于TOMM40(线粒体外膜40同源物的转位酶)中的一个SNP-rs2075650具有与认知衰老相关的全基因组显着关联(P = 2.5×10(-8))。该结果在三个独立的瑞典队列的荟萃分析中得到了重复(P = 2.41×10(-6))。先前与认知老化相关的载脂蛋白E(APOE)单倍型(与TOMM40相邻)对CAGES样本的认知老化具有显着影响(P = 2.18×10(-8);女性,P = 1.66×10(- 11);男性,P = 0.01)。对TOMM40 / APOE区域进行的精细SNP定位将APOE(rs429358; P = 3.66×10(-11))和TOMM40(rs11556505; P = 2.45×10(-8))都与认知老化相关。发现和复制队列中的归因和条件分析强烈表明,这种影响归因于APOE(rs429358)。功能基因组分析表明,TOMM40 / APOE区的SNP具有功能性,调节性非蛋白质编码作用。 APOE地区与非病理性认知老化显着相关。一种或多种因果变体的身份和机制尚不清楚。

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