Key result
A genome-wide association meta-analysis of 800,597 individuals identified novel genetic loci for all-cause dementia (46,902 cases) and vascular dementia (8,702 cases).
Why the study?
Dementia has multifactorial pathology with major contributions from Alzheimer's disease and vascular dementia, yet most genome-wide association studies focus on Alzheimer's disease.
Meta-Analysis (n=800,597)
This large-scale GWAS identified novel genetic loci for all-cause and vascular dementia, highlighting shared genetic risks with neurodegeneration, vascular risk factors, and cerebral small vessel disease.
Should not yet change dementia management; extends genetic architecture of ACD and VaD with novel loci overlapping neurodegeneration and vascular pathways.
INTRODUCTION: Dementia is a multifactorial disease with Alzheimer's disease (AD) and vascular dementia (VaD) pathologies making the largest contributions. Yet, most genome-wide association studies (GWAS) focus on AD. METHODS: We conducted a GWAS of all-cause dementia (ACD) and examined the genetic overlap with VaD. Our dataset includes 800,597 individuals, with 46,902 and 8702 cases of ACD and VaD, respectively. Known AD loci for ACD and VaD were replicated. Bioinformatic analyses prioritized genes that are likely functionally relevant and shared with closely related traits and risk factors. RESULTS: For ACD, novel loci identified were associated with energy transport (SEMA4D), neuronal excitability (ANO3), amyloid deposition in the brain (RBFOX1), and magnetic resonance imaging markers of small vessel disease (SVD; HBEGF). Novel VaD loci were associated with hypertension, diabetes, and neuron maintenance (SPRY2, FOXA2, AJAP1, and PSMA3). DISCUSSION: Our study identified genetic risks underlying ACD, demonstrating overlap with neurodegenerative processes, vascular risk factors, and cerebral SVD. HIGHLIGHTS: We conducted the largest genome-wide association study of all-cause dementia (ACD) and vascular dementia (VaD). Known genetic variants associated with AD were replicated for ACD and VaD. Functional analyses identified novel loci for ACD and VaD. Genetic risks of ACD overlapped with neurodegeneration, vascular risk factors, and cerebral small vessel disease.
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The Mega Vascular Cognitive Impairment and Dementia (MEGAVCID) consortium (2024) conducted a meta-analysis in All-cause dementia and vascular dementia (n=800,597). Genetic variants was evaluated on Novel genetic loci associated with all-cause and vascular dementia. A genome-wide association meta-analysis of 800,597 individuals identified novel genetic loci for all-cause dementia (46,902 cases) and vascular dementia (8,702 cases).
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