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SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease
SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease
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SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease
SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease

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SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease
SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease
Journal Article

SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease

2016
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Overview
The SORL1 protein plays a protective role against the secretion of the amyloid β peptide, a key event in the pathogeny of Alzheimer’s disease. We assessed the impact of SORL1 rare variants in early-onset Alzheimer’s disease (EOAD) in a case–control setting. We conducted a whole exome analysis among 484 French EOAD patients and 498 ethnically matched controls. After collapsing rare variants (minor allele frequency ≤1%), we detected an enrichment of disruptive and predicted damaging missense SORL1 variants in cases (odds radio (OR)=5.03, 95% confidence interval (CI)=(2.02–14.99), P =7.49.10 −5 ). This enrichment was even stronger when restricting the analysis to the 205 cases with a positive family history (OR=8.86, 95% CI=(3.35–27.31), P =3.82.10 −7 ). We conclude that predicted damaging rare SORL1 variants are a strong risk factor for EOAD and that the association signal is mainly driven by cases with positive family history.