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Peer-reviewedCC BY-NC-NDAlzheimer's & dementia : the journal of the Alzheimer's Association

Polygenic risk scores for LATE-neuropathologic change: Implications for clinical utility.

4 affiliations
  1. 1Department of Neurology, Seoul National University Bundang Hospital and Seoul National University College of Medicine, Seongnam, Republic of Korea.
  2. 2Department of Biostatistics, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
  3. 3Department of Radiology and Imaging Sciences, and the Indiana Alzheimer's Disease Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  4. 4Center for Computational Biology and Bioinformatics, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Abstract

Introduction

Limbic-predominant age-related TDP-43 encephalopathy (LATE) exhibits clinical features resembling Alzheimer's disease (AD) and frequently occurs as a co-pathology, yet there are fewer biomarkers for LATE relative to AD.Methods

We calculated polygenic risk scores for LATE-neuropathologic change (LATE-PRS) and performed association analysis with neuropathology (N = 99) and longitudinal cognitive change rates (N = 538) in Alzheimer's Disease Neuroimaging Initiative participants aged ≥ 75 years, stratified by amyloid positron emission tomography (PET) positivity status.Results

LATE-PRS was significantly associated with pathologically confirmed LATE (odds ratio = 2.292, P = 0.002), independent of AD pathology. In cognitively impaired individuals, LATE-PRS was associated with faster executive function decline in PET-negative individuals (β = -0.002, P = 0.041), and faster memory (β = -0.002, P < 0.001) and executive function (β = -0.001, P = 0.035) decline in PET-positive individuals. In the overall sample, associations were significant only in the PET-negative individuals.Discussion

LATE-PRS may serve as a potential biomarker for LATE risk and cognitive progression.

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BibTeX
@article{pyun2026polygenic,
  title = {{Polygenic risk scores for LATE-neuropathologic change: Implications for clinical utility.}},
  author = {Jung-Min Pyun and Young Ho Park and Lincoln M P Shade and David W Fardo and SangYun Kim and Kwangsik Nho and Alzheimer's Disease Neuroimaging Initiative},
  journal = {Alzheimer's \& dementia : the journal of the Alzheimer's Association},
  year = {2026},
  month = oct,
  doi = {10.1002/alz.71824},
  url = {https://europepmc.org/article/MED/42963336},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Polygenic risk scores for LATE-neuropathologic change: Implications for clinical utility.
AU  - Jung-Min Pyun
AU  - Young Ho Park
AU  - Lincoln M P Shade
AU  - David W Fardo
AU  - SangYun Kim
AU  - Kwangsik Nho
AU  - Alzheimer's Disease Neuroimaging Initiative
PY  - 2026
DA  - 2026/10/01
JO  - Alzheimer's & dementia : the journal of the Alzheimer's Association
DO  - 10.1002/alz.71824
UR  - https://europepmc.org/article/MED/42963336
AB  - Introduction  Limbic-predominant age-related TDP-43 encephalopathy (LATE) exhibits clinical features resembling Alzheimer's disease (AD) and frequently occurs as a co-pathology, yet there are fewer biomarkers for LATE relative to AD.Methods  We calculated polygenic risk scores for LATE-neuropathologic change (LATE-PRS) and performed association analysis with neuropathology (N = 99) and longitudinal cognitive change rates (N = 538) in Alzheimer's Disease Neuroimaging Initiative participants aged ≥ 75 years, stratified by amyloid positron emission tomography (PET) positivity status.Results  LATE-PRS was significantly associated with pathologically confirmed LATE (odds ratio = 2.292, P = 0.002), independent of AD pathology. In cognitively impaired individuals, LATE-PRS was associated with faster executive function decline in PET-negative individuals (β = -0.002, P = 0.041), and faster memory (β = -0.002, P < 0.001) and executive function (β = -0.001, P = 0.035) decline in PET-positive individuals. In the overall sample, associations were significant only in the PET-negative individuals.Discussion  LATE-PRS may serve as a potential biomarker for LATE risk and cognitive progression.
SN  - 1552-5260
SN  - 1552-5279
ER  -