Key result
Sex-stratified elastic net models with a balanced penalty (50% LASSO and 50% ridge) optimally predicted X chromosome gene expression levels, achieving an average R2 of 0.11 across tissues.
Why the study?
The X chromosome is often omitted in disease association studies despite containing thousands of genes that may provide insight into sex differences in Alzheimer disease risk.
Does sex-stratified modeling of X chromosome gene expression identify novel genetic risk factors for Alzheimer's disease?
Does sex-stratified modeling of X chromosome gene expression identify novel genetic risk factors for Alzheimer's disease?
Sex-stratified modeling of X chromosome gene expression identified ARMCX6 as a putative female-specific risk gene for Alzheimer's disease.
May highlight ARMCX6 as female-specific AD risk factor; hypothesis-generating and requires validation before clinical use.
Background The X chromosome is often omitted in disease association studies despite containing thousands of genes which may provide insight into well-known sex differences in the risk of Alzheimer’s Disease. Objective To model the expression of X chromosome genes and evaluate their impact on Alzheimer’s Disease risk in a sex-stratified manner. Methods Using elastic net, we evaluated multiple modeling strategies in a set of 175 whole blood samples and 126 brain cortex samples, with whole genome sequencing and RNA-seq data. SNPs (MAF>0.05) within the cis -regulatory window were used to train tissue-specific models of each gene. We apply the best models in both tissues to sex-stratified summary statistics from a meta-analysis of Alzheimer’s disease Genetics Consortium (ADGC) studies to identify AD-related genes on the X chromosome. Results Across different model parameters, sample sex, and tissue types, we modeled the expression of 217 genes (95 genes in blood and 135 genes in brain cortex). The average model R 2 was 0.12 (range from 0.03 to 0.34). We also compared sex-stratified and sex-combined models on the X chromosome. We further investigated genes that escaped X chromosome inactivation (XCI) to determine if their genetic regulation patterns were distinct. We found ten genes associated with AD at p < 0.05, with only ARMCX6 in female brain cortex (p = 0.008) nearing the significance threshold after adjusting for multiple testing (α = 0.002). Conclusions We optimized the expression prediction of X chromosome genes, applied these models to sex-stratified AD GWAS summary statistics, and identified one putative AD risk gene, ARMCX6 .
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Zhang et al. (2023) studied Alzheimer's Disease (n=1,473). Sex-stratified elastic net models (alpha=0.5) vs. Sex-combined models and other mixing parameters was evaluated on Coefficient of determination (R2) of gene expression prediction models. Sex-stratified elastic net models with a balanced penalty (50% LASSO and 50% ridge) optimally predicted X chromosome gene expression levels, achieving an average R2 of 0.11 across tissues.
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