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Published in: Acta Neuropathologica 2/2016

Open Access 01-08-2016 | Original Paper

A comprehensive study of the genetic impact of rare variants in SORL1 in European early-onset Alzheimer’s disease

Authors: Jan Verheijen, Tobi Van den Bossche, Julie van der Zee, Sebastiaan Engelborghs, Raquel Sanchez-Valle, Albert Lladó, Caroline Graff, Håkan Thonberg, Pau Pastor, Sara Ortega-Cubero, Maria A. Pastor, Luisa Benussi, Roberta Ghidoni, Giuliano Binetti, Jordi Clarimon, Alberto Lleó, Juan Fortea, Alexandre de Mendonça, Madalena Martins, Oriol Grau-Rivera, Ellen Gelpi, Karolien Bettens, Ligia Mateiu, Lubina Dillen, Patrick Cras, Peter P. De Deyn, Christine Van Broeckhoven, Kristel Sleegers

Published in: Acta Neuropathologica | Issue 2/2016

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Abstract

The sortilin-related receptor 1 (SORL1) gene has been associated with increased risk for Alzheimer’s disease (AD). Rare genetic variants in the SORL1 gene have also been implicated in autosomal dominant early-onset AD (EOAD). Here we report a large-scale investigation of the contribution of genetic variability in SORL1 to EOAD in a European EOAD cohort. We performed massive parallel amplicon-based re-sequencing of the full coding region of SORL1 in 1255 EOAD patients and 1938 age- and origin-matched control individuals in the context of the European Early-Onset Dementia (EOD) consortium, originating from Belgium, Spain, Portugal, Italy, Sweden, Germany, and Czech Republic. We identified six frameshift variants and two nonsense variants that were exclusively present in patients. These mutations are predicted to result in haploinsufficiency through nonsense-mediated mRNA decay, which could be confirmed experimentally for SORL1 p.Gly447Argfs*22 observed in a Belgian EOAD patient. We observed a 1.5-fold enrichment of rare non-synonymous variants in patients (carrier frequency 8.8 %; SkatOMeta p value 0.0001). Of the 84 non-synonymous rare variants detected in the full patient/control cohort, 36 were only detected in patients. Our findings underscore a role of rare SORL1 variants in EOAD, but also show a non-negligible frequency of these variants in healthy individuals, necessitating the need for pathogenicity assays. Premature stop codons due to frameshift and nonsense variants, have so far exclusively been found in patients, and their predicted mode of action corresponds with evidence from in vitro functional studies of SORL1 in AD.
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Metadata
Title
A comprehensive study of the genetic impact of rare variants in SORL1 in European early-onset Alzheimer’s disease
Authors
Jan Verheijen
Tobi Van den Bossche
Julie van der Zee
Sebastiaan Engelborghs
Raquel Sanchez-Valle
Albert Lladó
Caroline Graff
Håkan Thonberg
Pau Pastor
Sara Ortega-Cubero
Maria A. Pastor
Luisa Benussi
Roberta Ghidoni
Giuliano Binetti
Jordi Clarimon
Alberto Lleó
Juan Fortea
Alexandre de Mendonça
Madalena Martins
Oriol Grau-Rivera
Ellen Gelpi
Karolien Bettens
Ligia Mateiu
Lubina Dillen
Patrick Cras
Peter P. De Deyn
Christine Van Broeckhoven
Kristel Sleegers
Publication date
01-08-2016
Publisher
Springer Berlin Heidelberg
Published in
Acta Neuropathologica / Issue 2/2016
Print ISSN: 0001-6322
Electronic ISSN: 1432-0533
DOI
https://doi.org/10.1007/s00401-016-1566-9

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