Alzheimer's disease is associated with low density of the long CR1 isoform
Rachid Mahmoudi1, Aymric Kisserli2, Jean-Luc Novella1
1Champagne-Ardenne Resource and Research Memory Center (CMRR), Maison Blanche Hospital, Reims University Hospitals, Reims, France; Department of Internal Medicine and Geriatrics, Maison Blanche Hospital, Reims University Hospitals, Reims, France; Faculty of Medicine, University of Reims Champagne-Ardenne, EA 3797, Reims, France.
Insights
The long complement receptor type 1 (CR1*2) isoform is linked to Alzheimer's disease (AD) risk. AD patients with this CR1 isoform show lower red blood cell CR1 density, suggesting impaired plaque clearance.
Area of Science:
- Immunogenetics
- Neurodegenerative Diseases
- Erythrocyte Biology
Background:
- The long complement receptor type 1 (CR1) isoform, CR1*2 (S), is associated with Alzheimer's disease (AD) risk.
- CR1 plays a role in immune regulation and clearance of immune complexes.
Purpose of the Study:
- To investigate the phenotypic, structural, and expression characteristics of CR1 in erythrocytes of AD patients and controls.
- To determine the association between CR1 length polymorphism and AD susceptibility.
Main Methods:
- Analysis of CR1 length polymorphism at protein (Western blot) and gene (high-resolution melting) levels.
- Quantification of erythrocyte CR1 sites using flow cytometry.
- Genotyping of CR1 polymorphisms (rs6656401, rs3818361) via pyrosequencing.
Main Results:
- CR1 density on erythrocytes was significantly lower in AD patients expressing the CR1*2 isoform compared to controls (p = 0.001).
- CR1 gene polymorphisms rs6656401 and rs3818361 were strongly associated with CR1 length polymorphism (p < 0.0001).
- Evidence suggests the existence of silent CR1 alleles.
Conclusions:
- AD susceptibility is linked to the long CR1 isoform (CR1*2), characterized by lower CR1 density on erythrocytes.
- These findings suggest AD may result from insufficient clearance of amyloid plaque deposits rather than increased neuroinflammation.
Abstract:
The long complement receptor type 1 (CR1) isoform, CR1*2 (S), has been identified as being associated with Alzheimer's disease (AD) risk. We aimed to analyze the phenotypic structural and expression aspects (length and density) of CR1 in erythrocytes of 135 Caucasian subjects (100 AD and 35 controls). CR1 length polymorphism was assessed at protein and gene levels using Western blot and high-resolution melting, respectively. CR1 sites on erythrocytes were enumerated by flow cytometry. CR1 gene analysis, spotting the rs6656401 and rs3818361 polymorphisms, was performed by pyrosequencing. The CR1 density was significantly lower in AD patients expressing the CR1*2 isoform compared with the controls (p = 0.001), demonstrating lower expression of CR1 in CR1*2 carriers. Our data suggested the existence of silent CR1 alleles. Finally, rs6656401 and rs3818361 were strongly associated with CR1 length polymorphism (p < 0.0001). These observations indicate that AD susceptibility is associated with the long CR1 isoform (CR1*2), albeit at a lower density, suggesting that AD results from insufficient clearance of plaque deposits rather than increased inflammation.
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