Frequency of the TREM2 R47H Variant in Various Neurodegenerative Disorders

Ariane H Ayer1, Kevin Wojta1, Eliana Marisa Ramos1

  • 1Department of Psychiatry and Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine.

Abstract

Insights

The TREM2 R47H variant is strongly linked to Alzheimer disease (AD) risk. This study found no association between this variant and other neurodegenerative diseases, supporting its specific role in AD.

Area of Science:

  • Neurogenetics
  • Neurodegenerative Diseases
  • Alzheimer Disease Research

Background:

  • The TREM2 p.R47H variant (rs75932628) is a known risk factor for Alzheimer disease (AD).
  • Evidence linking this variant to other neurodegenerative diseases is inconsistent.
  • Understanding the specific associations of TREM2 variants is crucial for disease mechanisms.

Purpose of the Study:

  • To investigate the frequency of the TREM2 R47H variant in a large, diverse cohort of patients with various neurodegenerative diseases.
  • To clarify the association of the R47H variant with Alzheimer disease and other neurodegenerative conditions.

Main Methods:

  • A multicenter cohort study involving 3058 patients diagnosed with Alzheimer disease, frontotemporal dementia spectrum syndromes, mild cognitive impairment, progressive supranuclear palsy syndrome, corticobasal syndrome, or amyotrophic lateral sclerosis.
  • Genotyping for the TREM2 R47H variant was performed.
  • Comparison of variant frequency between patient groups and 5089 control subjects.

Main Results:

  • A statistically significant association was observed between the TREM2 R47H variant and Alzheimer disease.
  • No significant association was found between the R47H variant and frontotemporal dementia spectrum syndromes, mild cognitive impairment, progressive supranuclear palsy syndrome, corticobasal syndrome, or amyotrophic lateral sclerosis.

Conclusions:

  • The findings confirm the robust association between the TREM2 R47H variant and an increased risk of Alzheimer disease.
  • This study provides no evidence to support a link between the TREM2 R47H variant and other investigated neurodegenerative diseases.

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