Genetic Risk Score Predicts Late-Life Cognitive Impairment

Introduction. A family history of Alzheimer’s disease is a significant risk factor for its onset, but the genetic risk associated with possessing multiple risk alleles is still poorly understood. Methods. In a sample of 95 older adults (Mean age = 75.1, 64.2% female), we constructed a genetic risk s...

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Main Authors: Mariegold E. Wollam, Andrea M. Weinstein, Judith A. Saxton, Lisa Morrow, Beth Snitz, Nicole R. Fowler, Barbara L. Suever Erickson, Kathryn A. Roecklein, Kirk I. Erickson
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2015/267062
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author Mariegold E. Wollam
Andrea M. Weinstein
Judith A. Saxton
Lisa Morrow
Beth Snitz
Nicole R. Fowler
Barbara L. Suever Erickson
Kathryn A. Roecklein
Kirk I. Erickson
author_facet Mariegold E. Wollam
Andrea M. Weinstein
Judith A. Saxton
Lisa Morrow
Beth Snitz
Nicole R. Fowler
Barbara L. Suever Erickson
Kathryn A. Roecklein
Kirk I. Erickson
author_sort Mariegold E. Wollam
collection DOAJ
description Introduction. A family history of Alzheimer’s disease is a significant risk factor for its onset, but the genetic risk associated with possessing multiple risk alleles is still poorly understood. Methods. In a sample of 95 older adults (Mean age = 75.1, 64.2% female), we constructed a genetic risk score based on the accumulation of risk alleles in BDNF, COMT, and APOE. A neuropsychological evaluation and consensus determined cognitive status (44 nonimpaired, 51 impaired). Logistic regression was performed to determine whether the genetic risk score predicted cognitive impairment above and beyond that associated with each gene. Results. An increased genetic risk score was associated with a nearly 4-fold increased risk of cognitive impairment (OR = 3.824, P = .013) when including the individual gene polymorphisms as covariates in the model. Discussion. A risk score combining multiple genetic influences may be more useful in predicting late-life cognitive impairment than individual polymorphisms.
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series Journal of Aging Research
spelling doaj-art-701ef8566ac440f99a11e6708dc141ba2025-02-03T01:11:00ZengWileyJournal of Aging Research2090-22042090-22122015-01-01201510.1155/2015/267062267062Genetic Risk Score Predicts Late-Life Cognitive ImpairmentMariegold E. Wollam0Andrea M. Weinstein1Judith A. Saxton2Lisa Morrow3Beth Snitz4Nicole R. Fowler5Barbara L. Suever Erickson6Kathryn A. Roecklein7Kirk I. Erickson8Department of Psychology, University of Pittsburgh, Sennott Square, 3rd Floor, 210 South Bouquet Street, Pittsburgh, PA 15260, USADepartment of Psychology, University of Pittsburgh, Sennott Square, 3rd Floor, 210 South Bouquet Street, Pittsburgh, PA 15260, USADepartment of Neurology, University of Pittsburgh, 811 Kaufmann Medical Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USADepartment of Psychiatry, University of Pittsburgh, Thomas Detre Hall, 3811 O’Hara Street, Pittsburgh, PA 15213, USADepartment of Neurology, University of Pittsburgh, 811 Kaufmann Medical Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USADivision of General Internal Medicine and Geriatrics, Indiana University, Fifth Third Faculty Building, 720 Eskenazi Avenue, Indianapolis, IN 46202, USADepartment of Psychology, University of Pittsburgh, Sennott Square, 3rd Floor, 210 South Bouquet Street, Pittsburgh, PA 15260, USADepartment of Psychology, University of Pittsburgh, Sennott Square, 3rd Floor, 210 South Bouquet Street, Pittsburgh, PA 15260, USADepartment of Psychology, University of Pittsburgh, Sennott Square, 3rd Floor, 210 South Bouquet Street, Pittsburgh, PA 15260, USAIntroduction. A family history of Alzheimer’s disease is a significant risk factor for its onset, but the genetic risk associated with possessing multiple risk alleles is still poorly understood. Methods. In a sample of 95 older adults (Mean age = 75.1, 64.2% female), we constructed a genetic risk score based on the accumulation of risk alleles in BDNF, COMT, and APOE. A neuropsychological evaluation and consensus determined cognitive status (44 nonimpaired, 51 impaired). Logistic regression was performed to determine whether the genetic risk score predicted cognitive impairment above and beyond that associated with each gene. Results. An increased genetic risk score was associated with a nearly 4-fold increased risk of cognitive impairment (OR = 3.824, P = .013) when including the individual gene polymorphisms as covariates in the model. Discussion. A risk score combining multiple genetic influences may be more useful in predicting late-life cognitive impairment than individual polymorphisms.http://dx.doi.org/10.1155/2015/267062
spellingShingle Mariegold E. Wollam
Andrea M. Weinstein
Judith A. Saxton
Lisa Morrow
Beth Snitz
Nicole R. Fowler
Barbara L. Suever Erickson
Kathryn A. Roecklein
Kirk I. Erickson
Genetic Risk Score Predicts Late-Life Cognitive Impairment
Journal of Aging Research
title Genetic Risk Score Predicts Late-Life Cognitive Impairment
title_full Genetic Risk Score Predicts Late-Life Cognitive Impairment
title_fullStr Genetic Risk Score Predicts Late-Life Cognitive Impairment
title_full_unstemmed Genetic Risk Score Predicts Late-Life Cognitive Impairment
title_short Genetic Risk Score Predicts Late-Life Cognitive Impairment
title_sort genetic risk score predicts late life cognitive impairment
url http://dx.doi.org/10.1155/2015/267062
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