A rare loss-of-function variant of ADAM17 is associated with late-onset familial Alzheimer disease

Mol Psychiatry. 2020 Mar;25(3):629-639. doi: 10.1038/s41380-018-0091-8. Epub 2018 Jul 9.

Abstract

Common variants of about 20 genes contributing to AD risk have so far been identified through genome-wide association studies (GWAS). However, there is still a large proportion of heritability that might be explained by rare but functionally important variants. One of the so far identified genes with rare AD causing variants is ADAM10. Using whole-genome sequencing we now identified a single rare nonsynonymous variant (SNV) rs142946965 [p.R215I] in ADAM17 co-segregating with an autosomal-dominant pattern of late-onset AD in one family. Subsequent genotyping and analysis of available whole-exome sequencing data of additional case/control samples from Germany, UK, and USA identified five variant carriers among AD patients only. The mutation inhibits pro-protein cleavage and the formation of the active enzyme, thus leading to loss-of-function of ADAM17 alpha-secretase. Further, we identified a strong negative correlation between ADAM17 and APP gene expression in human brain and present in vitro evidence that ADAM17 negatively controls the expression of APP. As a consequence, p.R215I mutation of ADAM17 leads to elevated Aß formation in vitro. Together our data supports a causative association of the identified ADAM17 variant in the pathogenesis of AD.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • ADAM17 Protein / genetics*
  • ADAM17 Protein / metabolism
  • Aged
  • Alzheimer Disease / genetics*
  • Amyloid Precursor Protein Secretases / metabolism
  • Amyloid beta-Protein Precursor / genetics
  • Case-Control Studies
  • Exome Sequencing
  • Female
  • Genetic Predisposition to Disease
  • Genome-Wide Association Study
  • Germany
  • Humans
  • Loss of Function Mutation / genetics
  • Male
  • Middle Aged
  • Mutation

Substances

  • Amyloid beta-Protein Precursor
  • Amyloid Precursor Protein Secretases
  • ADAM17 Protein
  • ADAM17 protein, human