Polygenic risk scores for LATE-neuropathologic change: Implications for clinical utility.
4 affiliations
- 1Department of Neurology, Seoul National University Bundang Hospital and Seoul National University College of Medicine, Seongnam, Republic of Korea.
- 2Department of Biostatistics, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
- 3Department of Radiology and Imaging Sciences, and the Indiana Alzheimer's Disease Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
- 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 -