'Alzheimer's, like breast cancer, is not one disease,' says lead author Shubhabrata Mukherjee at UW School of Medicine.
Researchers studying Alzheimer's disease have created an approach to classify patients with Alzheimer's disease, a finding that may open the door for personalized treatments.
"Alzheimer's, like breast cancer, is not one disease," said lead author Shubhabrata Mukherjee, research assistant professor in general internal medicine at the University of Washington School of Medicine.
"I think a good drug might fail in a clinical trial because not all the subjects have the same kind of Alzheimer's.
This study, published in the recent issue of Molecular Psychiatry, involves 19 researchers from several institutions, including Boston University School of Medicine, the VA Puget Sound Health Care System and Indiana University School of Medicine.
The researchers put 4,050 people with late-onset Alzheimer's disease into six groups based on their cognitive functioning at the time of diagnosis and then used genetic data to find biological differences across these groups.
"The implications are exciting," said corresponding author Paul Crane, professor of general internal medicine at the University of Washington School of Medicine. "We have found substantial biological differences among cognitively defined subgroups of Alzheimer's patients."
Identification of cognitive subgroups related to genetic differences is an important step toward developing a precision medicine approach for Alzheimer's disease.
The participants received cognitive scores in four domains: memory, executive functioning, language, and visuospatial functioning.
The largest group (39%) had scores in all four domains that were fairly close to each other. The next largest group (27%) had memory scores substantially lower than their other scores. Smaller groups had language scores substantially lower than their other scores (13%), visuospatial functioning scores substantially lower than their other scores (12%), and executive functioning scores substantially lower than their other scores (3%). There were 6% who had two domains that were substantially lower than their other scores.
The participants came from five studies, and it took more than two years to standardize the neuropsychological test scores across all the studies in order to detect meaningful patterns. The mean age was 80, 92 percent self-reported white race, and 61 percent were female.
The investigators used genome-wide genetic data to find out if the subgroups are biologically distinct.
Investigators found 33 single nucleotide polymorphisms (SNPs) - specific locations throughout the genome - where the genetic association was very strong for one of the subgroups. These genetic relationships were stronger than the strongest effects found by an earlier and much larger international consortium study where Alzheimer's disease was treated as a single homogeneous condition.
Several years ago, the International Genomics of Alzheimer's Project Consortium published the largest genome-wide association study of Alzheimer's disease and found about 20 SNPs associated with Alzheimer's disease risk.
This study found 33 additional SNPs with even stronger relationships with a single subgroup.
The study also found a particularly strong relationship between a particular variant of the APOE gene and risk for the memory subgroup. The APOE e4 allele is a very strong risk factor for developing Alzheimer's disease for people with European ancestry, and it also appears to influence which cognitive subtype of Alzheimer's a person is likely to develop.
People can currently find out if they have an APOE e4 allele with direct-to-consumer testing; however, the researchers note that many people with an APOE e4 allele never develop Alzheimer's disease, and many who don't carry any known genetic risk factor nevertheless end up with the condition.
While world leaders want to find a cure for Alzheimer's by 2025, so far no one has been able to develop an effective treatment let alone a cure. But this study suggests that thinking of Alzheimer's disease as six distinct conditions may provide a way forward.
"This study is not the end, it's a start," said Mukherjee.
Currently, 5.7 million people in the United States are living with the disease and that is expected to grow to 14 million by 2050, according to the Alzheimer's Association.
The research team also included investigators from the Department of Biostatistics at University of Kentucky, Department of Epidemiology at John Hopkins Bloomberg School of Public Health, departments of neurology, human genetics and psychiatry at the University of Pittsburgh, Center for Translational & Computational Neuroimmunology at Columbia University Medical Center, Rush Alzheimer's Disease Center at Rush University Medical Center in Chicago, and Kaiser Permanente Washington Health Research Institute in Seattle.
Bobbi Nodell | EurekAlert!
Infants later diagnosed with autism follow adults’ gaze, but seldom initiate joint attention
24.05.2019 | Schwedischer Forschungsrat - The Swedish Research Council
When wheels and heads are spinning - DFG research project on motion sickness in automated driving
22.05.2019 | Technische Universität Berlin
A new assessment of NASA's record of global temperatures revealed that the agency's estimate of Earth's long-term temperature rise in recent decades is accurate to within less than a tenth of a degree Fahrenheit, providing confidence that past and future research is correctly capturing rising surface temperatures.
The most complete assessment ever of statistical uncertainty within the GISS Surface Temperature Analysis (GISTEMP) data product shows that the annual values...
Physicists at the University of Basel are able to show for the first time how a single electron looks in an artificial atom. A newly developed method enables them to show the probability of an electron being present in a space. This allows improved control of electron spins, which could serve as the smallest information unit in a future quantum computer. The experiments were published in Physical Review Letters and the related theory in Physical Review B.
The spin of an electron is a promising candidate for use as the smallest information unit (qubit) of a quantum computer. Controlling and switching this spin or...
Engineers at the University of Tokyo continually pioneer new ways to improve battery technology. Professor Atsuo Yamada and his team recently developed a...
With a quantum coprocessor in the cloud, physicists from Innsbruck, Austria, open the door to the simulation of previously unsolvable problems in chemistry, materials research or high-energy physics. The research groups led by Rainer Blatt and Peter Zoller report in the journal Nature how they simulated particle physics phenomena on 20 quantum bits and how the quantum simulator self-verified the result for the first time.
Many scientists are currently working on investigating how quantum advantage can be exploited on hardware already available today. Three years ago, physicists...
'Quantum technologies' utilise the unique phenomena of quantum superposition and entanglement to encode and process information, with potentially profound benefits to a wide range of information technologies from communications to sensing and computing.
However a major challenge in developing these technologies is that the quantum phenomena are very fragile, and only a handful of physical systems have been...
29.04.2019 | Event News
17.04.2019 | Event News
15.04.2019 | Event News
24.05.2019 | Physics and Astronomy
24.05.2019 | Medical Engineering
24.05.2019 | Life Sciences