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Exome sequencing reveals a rare damaging variant in GRIN2C in familial late-onset Alzheimer's disease
by
Brusco, Alfredo
, Cambria, Clara Maria
, Rogaeva, Ekaterina
, Elia, Gabriella
, Pippucci, Tommaso
, Roveta, Fausto
, Dimartino, Paola
, Italia, Maria
, Gardoni, Fabrizio
, Marcinnò, Andrea
, Boschi, Silvia
, Gallone, Salvatore
, Rainero, Innocenzo
, Rubino, Elisa
, Antonucci, Flavia
, Giorgio, Elisa
in
14-3-3
/ Age of Onset
/ Aged
/ Alzheimer Disease - genetics
/ Alzheimer's disease
/ Animals
/ Biomedical and Life Sciences
/ Biomedicine
/ DNA sequencing
/ Exome Sequencing
/ Female
/ Genetic aspects
/ Geriatric Psychiatry
/ Geriatrics/Gerontology
/ GluN2C
/ GRIN2C
/ Humans
/ Italy
/ Male
/ Medical research
/ Medicine, Experimental
/ Middle Aged
/ Mutation, Missense
/ Neurology
/ Neurons
/ Neurosciences
/ NMDAR
/ Nucleotide sequencing
/ Pedigree
/ Physiological aspects
/ Rats
/ Receptors, N-Methyl-D-Aspartate - genetics
2025
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Exome sequencing reveals a rare damaging variant in GRIN2C in familial late-onset Alzheimer's disease
by
Brusco, Alfredo
, Cambria, Clara Maria
, Rogaeva, Ekaterina
, Elia, Gabriella
, Pippucci, Tommaso
, Roveta, Fausto
, Dimartino, Paola
, Italia, Maria
, Gardoni, Fabrizio
, Marcinnò, Andrea
, Boschi, Silvia
, Gallone, Salvatore
, Rainero, Innocenzo
, Rubino, Elisa
, Antonucci, Flavia
, Giorgio, Elisa
in
14-3-3
/ Age of Onset
/ Aged
/ Alzheimer Disease - genetics
/ Alzheimer's disease
/ Animals
/ Biomedical and Life Sciences
/ Biomedicine
/ DNA sequencing
/ Exome Sequencing
/ Female
/ Genetic aspects
/ Geriatric Psychiatry
/ Geriatrics/Gerontology
/ GluN2C
/ GRIN2C
/ Humans
/ Italy
/ Male
/ Medical research
/ Medicine, Experimental
/ Middle Aged
/ Mutation, Missense
/ Neurology
/ Neurons
/ Neurosciences
/ NMDAR
/ Nucleotide sequencing
/ Pedigree
/ Physiological aspects
/ Rats
/ Receptors, N-Methyl-D-Aspartate - genetics
2025
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Exome sequencing reveals a rare damaging variant in GRIN2C in familial late-onset Alzheimer's disease
by
Brusco, Alfredo
, Cambria, Clara Maria
, Rogaeva, Ekaterina
, Elia, Gabriella
, Pippucci, Tommaso
, Roveta, Fausto
, Dimartino, Paola
, Italia, Maria
, Gardoni, Fabrizio
, Marcinnò, Andrea
, Boschi, Silvia
, Gallone, Salvatore
, Rainero, Innocenzo
, Rubino, Elisa
, Antonucci, Flavia
, Giorgio, Elisa
in
14-3-3
/ Age of Onset
/ Aged
/ Alzheimer Disease - genetics
/ Alzheimer's disease
/ Animals
/ Biomedical and Life Sciences
/ Biomedicine
/ DNA sequencing
/ Exome Sequencing
/ Female
/ Genetic aspects
/ Geriatric Psychiatry
/ Geriatrics/Gerontology
/ GluN2C
/ GRIN2C
/ Humans
/ Italy
/ Male
/ Medical research
/ Medicine, Experimental
/ Middle Aged
/ Mutation, Missense
/ Neurology
/ Neurons
/ Neurosciences
/ NMDAR
/ Nucleotide sequencing
/ Pedigree
/ Physiological aspects
/ Rats
/ Receptors, N-Methyl-D-Aspartate - genetics
2025
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Exome sequencing reveals a rare damaging variant in GRIN2C in familial late-onset Alzheimer's disease
Journal Article
Exome sequencing reveals a rare damaging variant in GRIN2C in familial late-onset Alzheimer's disease
2025
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Overview
Background
Alzheimer's disease (AD) is a progressive neurodegenerative disorder with both genetic and environmental factors contributing to its pathogenesis. While early-onset AD has well-established genetic determinants, the genetic basis for late-onset AD remains less clear. This study investigates a large Italian family with late-onset autosomal dominant AD, identifying a novel rare missense variant in
GRIN2C
gene associated with the disease, and evaluates the functional impact of this variant.
Methods
Affected and unaffected members from a Northern Italian family were included. Genomic DNA from family members was extracted and initially screened for pathogenic mutations in
APP
,
PSEN1
, and
PSEN2
, and screened for 77 genes associated with neurodegenerative conditions using NeuroX array assay. Exome sequencing was performed on three affected individuals and two healthy relatives. Bioinformatics analyses were conducted. Functional analysis was performed using primary neuronal cultures, and the impact of the variant was assessed through immunocytochemistry and electrophysiology.
Results
Pathogenic variants were not identified in
APP
,
PSEN1
, or
PSEN2
, nor in the 77 genes in NeuroX array assay. Exome Sequencing revealed the c.3215C > T p.(A1072V) variant in
GRIN2C
gene (NM 000835.6), encoding for the glutamate ionotropic receptor N-methyl-D-aspartate receptor (NMDA) type subunit 2C (GluN2C). This variant segregated in 6 available AD patients in the family and was absent in 9 healthy relatives. Primary rat hippocampal neurons overexpressing GluN2C
A1072V
showed an increase in NMDAR-induced currents, suggesting altered glutamatergic transmission. Surface expression assays demonstrated an elevated surface/total ratio of the mutant GluN2C, correlating with the increased NMDAR current. Additionally, immunocytochemistry revealed in neurons expressing the mutant variant a reduced colocalization between the GluN2C subunit and 14-3-3 proteins, which are known to facilitate membrane trafficking of NMDARs.
Discussion
We identified a rare missense variant in
GRIN2C
associated with late-onset autosomal dominant Alzheimer's disease. These findings highlight the role of GluN2C-containing NMDARs in glutamatergic signaling and their potential contribution to AD pathogenesis.
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