Prion protein gene M129 allele is a risk factor for Alzheimer's disease

M Gacia1, K Safranow, M Styczyńska

  • 1Department of Neurodegenerative Disorders, Medical Research Center, Polish Academy of Sciences, Warszawa, Poland.

Insights

The prion protein gene M129V polymorphism, specifically the MM genotype, is linked to an elevated risk of late-onset Alzheimer's disease (AD) in the Polish population, independent of APOE4 status.

Area of Science:

  • Neurogenetics
  • Alzheimer's Disease Research
  • Human Genetics

Background:

  • The prion protein gene (PRNP) M129V polymorphism is a known risk factor for Creutzfeldt-Jakob disease.
  • Recent meta-analyses suggest a potential link between homozygosity at codon 129 and an increased risk of Alzheimer's disease (AD).

Purpose of the Study:

  • To investigate if the PRNP M129V polymorphism acts as a risk factor for Alzheimer's disease in a Polish cohort.
  • To analyze the association between M129V genotypes and AD, considering early-onset and late-onset forms, and APOE4 status.

Main Methods:

  • Genotyping analysis of the PRNP M129V polymorphism in early-onset AD (EOAD) and late-onset AD (LOAD) patients and control groups from Poland.
  • Stratification of patient data based on APOE4 allele status to assess gene-gene interactions.

Main Results:

  • A statistically significant increase in the MM genotype and a decrease in the MV genotype frequency were observed in LOAD patients compared to controls.
  • In LOAD patients without the APOE4 allele, MM genotype frequency was significantly higher, and MV genotype frequency was significantly lower.
  • In LOAD patients with the APOE4 allele, only the MV genotype frequency was significantly lower than in controls.
  • No significant interaction was detected between APOE4 status and M129V polymorphism.

Conclusions:

  • The MM genotype of the PRNP M129V polymorphism is associated with an increased risk of LOAD in the Polish population.
  • This increased risk appears to be independent of APOE4 status, suggesting a distinct genetic contribution to LOAD pathogenesis.

Related Concept Videos

Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Amyloid Fibrils03:03

Amyloid Fibrils

Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining, normally used to...
Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Parkinson Disease ll: Pathophysiology01:24

Parkinson Disease ll: Pathophysiology

Parkinson disease (PD) is a progressive neurodegenerative disorder primarily affecting movement, with additional non-motor features. Its pathophysiology involves complex interactions among genetic susceptibility, environmental exposures, and cellular dysfunction, including dopaminergic neuron loss, protein aggregation, and mitochondrial impairment.Selective NeurodegenerationA key feature is the degeneration of dopaminergic neurons in the substantia nigra pars compacta, leading to reduced...
Parkinson Disease l: Introduction01:24

Parkinson Disease l: Introduction

Parkinson’s disease is a chronic, progressive neurodegenerative disorder that primarily affects movement. It is characterized by motor symptoms such as resting tremors, muscle rigidity, bradykinesia (slowness of movement), and postural instability. Patients may notice hand tremors at rest, stiffness during movement, or a shuffling gait. In addition to motor features, non-motor symptoms include sleep disturbances, mood and behavioral changes, constipation, and cognitive impairment, all of which...
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...