A megalin polymorphism associated with promoter activity and Alzheimer's disease risk
Teo Vargas1, Maria Jesus Bullido, Ana Martinez-Garcia
1Neuroscience Laboratory, Research Center, Hospital 12 de Octubre, Madrid, Spain.
Abstract:
Elevated cerebral levels of amyloid beta-protein (Abeta) occur in Alzheimer's disease (AD), yet only a few patients show evidence of increased Abeta production. This observation suggests that many, perhaps most, cases of AD are caused by faulty clearance of Abeta. Megalin, which plays an important role in mediating Abeta clearance, is an attractive candidate gene for genetic association with AD. To investigate this hypothesis, we analyzed the megalin gene in a population of 2,183 subjects. Genetic analysis indicated that the rs3755166 (G/A) polymorphism located in the megalin promoter associated with risk for AD, dependently of apolipoprotein E genotype. The rs3755166 AA genotype frequency was significantly greater in AD patients than in control subjects. Furthermore, the luciferase reporter assay indicated that the rs3755166 A variant has 20% less transcriptional activity than the rs3755166 G variant. This study provides strong evidence that this megalin polymorphism confers a greater risk for AD, and supports a biological role for megalin in the neurodegenerative processes involved in AD.
Insights
A specific gene variant in megalin may increase Alzheimer's disease (AD) risk by impairing amyloid beta-protein (Abeta) clearance. This finding highlights megalin's role in AD pathogenesis and suggests potential therapeutic targets.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Alzheimer's disease (AD) is characterized by elevated cerebral amyloid beta-protein (Abeta) levels.
- Faulty Abeta clearance, rather than overproduction, is implicated in many AD cases.
- Megalin is crucial for Abeta clearance and a candidate gene for AD association.
Purpose of the Study:
- To investigate the association between the megalin gene and Alzheimer's disease risk.
- To determine if megalin polymorphisms influence Abeta clearance and AD pathogenesis.
Main Methods:
- Genetic analysis of the megalin gene in 2,183 subjects.
- Analysis of the rs3755166 (G/A) polymorphism in the megalin promoter.
- Luciferase reporter assay to assess transcriptional activity of the rs3755166 A variant.
Main Results:
- The rs3755166 (G/A) polymorphism in the megalin promoter was associated with AD risk, independent of apolipoprotein E genotype.
- The rs3755166 AA genotype was significantly more frequent in AD patients than in controls.
- The rs3755166 A variant exhibited 20% less transcriptional activity than the G variant.
Conclusions:
- The studied megalin polymorphism confers an increased risk for Alzheimer's disease.
- This finding supports a significant biological role for megalin in the neurodegenerative processes underlying AD.
- Megalin's function in Abeta clearance is critical for AD pathogenesis.
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