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Item Targeted neurogenesis pathway-based gene analysis identifies ADORA2A associated with hippocampal volume in mild cognitive impairment and Alzheimer's disease(Office of the Vice Chancellor for Research, 2016-04-08) Horgusluoglu, Emrin; Nho, Kwangsik; Risacher, Shannon L.; Saykin, Andrew J.Background: New neurons are generated throughout adulthood in the olfactory bulb and dentate gyrus of the hippocampus, and are incorporated into hippocampal networks during maintenance of neural circuits and in turn contribute to learning and memory. Numerous intrinsic and extrinsic factors such as growth factors, transcription factors, and cell cycle regulators control neural stem cells proliferation, differentiation, and maintenance into mature neurons. However, the genetic mechanisms controlling adult hippocampal neurogenesis remain unclear. We performed a gene-based association analysis of neurogenesis pathway-related candidate genes using data from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Methods: Neurogenesis-related genes were curated from existing databases (Qiagen RT2 Profiler PCR Arrays, GoGene and MANGO). The gene list was filtered by AD susceptibility genes from the Alzgene database (http://www.alzgene.org/) and large-scale GWAS (Lambert,et al. 2013, Nature). Caucasian non-Hispanic individuals (N=1,525) with AD or mild cognitive impairment (MCI) and cognitively normal older adults from the ADNI cohort with MRI and genotyping data were included. Gene-based association analysis of neurogenesis pathway-related candidate genes was performed. Baseline bilateral hippocampus and hippocampal subfield (CA regions and dentate gyrus) volumes were extracted from MRI and served as phenotypes. Gender, age, intracranial volume, MRI field strength, and diagnosis at scanning were entered as covariates. The empirical p value from permutation testing for each gene was adjusted for the number of significant SNPs in each gene. Results: ADORA2A was significantly associated with total hippocampal volume and hippocampal subfield volumes (p<0.001). For the most significant SNP (rs9608282) in ADORA2A, dosage of the minor allele (T) increased hippocampal volume. rs9608282 was also associated with composite memory score (p= 0.0076). Conclusion: ADORA2A-mediated control of neuroinflammation modulates adult neurogenesis and the inhibition of ADORA2A prevents Aβ-induced neurotoxicity. Targeted pathway-based genetic analysis combined with brain imaging endophenotypes appears promising to help elucidate disease pathophysiology and identify potential therapeutic targets. **Data used in preparation of this article were obtained from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database (adni.loni.usc.edu). As such, the investigators within the ADNI contributed to the design and implementation of ADNI and/or provided data but did not participate in analysis or writing of this report. A complete listing of ADNI investigators can be found at: http://adni.loni.usc.edu/wpcontent/ uploads/how_to_apply/ADNI_Acknowledgement_List.pdfItem Targeted neurogenesis pathway-based gene analysis identifies ADORA2A associated with hippocampal volume in mild cognitive impairment and Alzheimer's disease(Elsevier, 2017-12) Horgusluoglu-Moloch, Emrin; Nho, Kwangsik; Risacher, Shannon L.; Kim, Sungeun; Foroud, Tatiana; Shaw, Leslie M.; Trojanowski, John Q.; Aisen, Paul S.; Peterson, Ronald C.; Jack, Clifford R., Jr.; Lovestone, Simon; Simmons, Andrew; Weiner, Michael W.; Saykin, Andrew J.; Medical and Molecular Genetics, School of MedicineAlzheimer's disease (AD) patients display hippocampal atrophy, memory impairment, and cognitive decline. New neurons are generated throughout adulthood in 2 regions of the brain implicated in AD, the dentate gyrus of the hippocampus and the subventricular zone of the olfactory bulb. Disruption of this process contributes to neurodegenerative diseases including AD, and many of the molecular players in AD are also modulators of adult neurogenesis. However, the genetic mechanisms underlying adult neurogenesis in AD have been underexplored. To address this gap, we performed a gene-based association analysis in cognitively normal and impaired participants using neurogenesis pathway-related candidate genes curated from existing databases, literature mining, and large-scale genome-wide association study findings. A gene-based association analysis identified adenosine A2a receptor (ADORA2A) as significantly associated with hippocampal volume and the association between rs9608282 within ADORA2A and hippocampal volume was replicated in the meta-analysis after multiple comparison adjustments (p = 7.88 × 10-6). The minor allele of rs9608282 in ADORA2A is associated with larger hippocampal volumes and better memory.