Publication Type

Journal Article

Version

acceptedVersion

Publication Date

9-2017

Abstract

Identifying asymptomatic older individuals at elevated risk for developing Alzheimer's disease (AD) is of clinical importance. Among 1,081 asymptomatic older adults, a recently validated polygenic hazard score (PHS) significantly predicted time to AD dementia and steeper longitudinal cognitive decline, even after controlling for APOE e4 carrier status. Older individuals in the highest PHS percentiles showed the highest AD incidence rates. PHS predicted longitudinal clinical decline among older individuals with moderate to high CERAD (amyloid) and Braak (tau) scores at autopsy, even among APOE e4 non-carriers. Beyond APOE, PHS may help identify asymptomatic individuals at highest risk for developing Alzheimer's neurodegeneration.

Keywords

Polygenic risk, Preclinical AD

Discipline

Diseases | Psychology

Research Areas

Psychology

Publication

Annals of Neurology

Volume

82

Issue

3

First Page

484

Last Page

488

ISSN

0364-5134

Identifier

10.1002/ana.25029

Publisher

Wiley: 12 months

Copyright Owner and License

Authors

Additional URL

https://doi.org/10.1002/ana.25029

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