Domain mapping of disease mutations reveals pathogenic SORL1 variants in Alzheimer's disease


Por: Andersen, OM, de Waal, MWJ, Monti, G, Tesi, N, Jensen, AMG, De Geus, C, van Spaendonk, R, Vogel, M, Ahmad, S, Amin, N, Amouyel, P, Beecham, GW, Bellenguez, C, Berr, C, Bis, JC, Boland, A, Bossù, P, Bouwman, F, Bras, J, Charbonnier, C, Clarimon, J, Cruchaga, C, Daniele, A, Dartigues, JF, Debette, S, Deleuze, JF, Denning, N, Destefano, AL, Dols-Icardo, O, van Duijn, CM, Farrer, LA, Fernández, MV, van der Flier, WM, Fox, NC, Galimberti, D, Genin, E, Gille, JJP, Grenier-Boley, B, Grozeva, D, Guen, YL, Guerreiro, R, Haines, JL, Holmes, C, Hummerich, H, Ikram, MA, Ikram, MK, Kawalia, A, Kraaij, R, Lambert, JC, Lathrop, M, Lemstra, AW, Lleo, A, Myers, RM, Mannens, MMAM, Marshall, R, Martin, ER, Masullo, C, Mayeux, R, Mead, S, Mecocci, P, Meggy, A, Mol, MO, Nacmias, B, Naj, AC, Napolioni, V, Cochran, JN, Nicolas, G, Pasquier, F, Pastor, P, Pericak-Vance, MA, Pijnenburg, YAL, Piras, F, Quenez, O, Ramirez, A, Raybould, R, Redon, R, Reinders, MJT, Richard, AC, Riedel-Heller, SG, Rivadeneira, F, van Rooij, JGJ, Rousseau, S, Ryan, NS, Sanchez-Juan, P, Schellenberg, GD, Scheltens, P, Schott, JM, Seshadri, S, Sie, D, Sims, R, Sistermans, EA, Sorbi, S, van Swieten, JC, Tijms, B, Uitterlinden, AG, Visser, PJ, Wagner, M, Wallon, D, Wang, LS, Williams, J, Yokoyama, JS, Zarea, A, van der Lee, SJ, Olsen, JG, Hulsman, M, Holstege, H

Publicada: 1 dic 2025
Resumen:
Background: Protein truncating variants (PTVs) in SORL1 are observed almost exclusively in Alzheimer's Disease (AD) cases, but the effect of rare SORL1 missense variants is unclear. Methods: To identify high-priority missense variants (HPVs), we applied 'domain mapping of disease mutations' for the 637 unique coding SORL1 variants detected in 18,959 AD-cases and 21,893 non-demented controls. Results: In this sample, PTVs and HPVs associated with respectively a 35- and 10-fold increased risk of early onset AD and 17- and 6-fold increased risk of overall AD. The median age at onset (AAO) of PTV- and HPV-carriers was 62 and 64 years, and APOE-genotype contributed to AAO-variability. The median AAO of PTV- and HPV-carriers is similar to 8-10 years earlier than wild-type SORL1 carriers, matched for APOE-genotype. Specific HPVs are highly penetrant and lead to earlier AAOs than PTVs, suggesting possible dominant negative effects. Conclusion: Our results justify a debate on whether HPV carriers should be considered for clinical counseling.

Filiaciones:
Andersen, OM:
 Aarhus Univ, Dept Biomed, Aarhus, Denmark

de Waal, MWJ:
 Vrije Univ Amsterdam, Dept Human Genet, Amsterdam UMC, Amsterdam, Netherlands

 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

Monti, G:
 Aarhus Univ, Dept Biomed, Aarhus, Denmark

Tesi, N:
 Vrije Univ Amsterdam, Dept Human Genet, Amsterdam UMC, Amsterdam, Netherlands

 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

 Delft Univ Technol, Delft Bioinformat Lab, Delft, Netherlands

Jensen, AMG:
 Aarhus Univ, Dept Biomed, Aarhus, Denmark

De Geus, C:
 Amsterdam UMC, Clin Genet, Human Genet, Amsterdam, Netherlands

van Spaendonk, R:
 Vrije Univ Amsterdam, Genome Anal Lab, Human Genet, Amsterdam UMC, Amsterdam, Netherlands

Vogel, M:
 Vrije Univ Amsterdam, Genome Anal Lab, Human Genet, Amsterdam UMC, Amsterdam, Netherlands

Ahmad, S:
 Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands

 LACDR, Leiden, Netherlands

Amin, N:
 Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands

 Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England

Amouyel, P:
 Univ Lille, CHU Lille, LabEx DISTALZ,RID AGE Facteurs Risque & Determinan, Inst Pasteur Lille,Inserm,U1167, Lille, France

Beecham, GW:
 Univ Miami, John P Hussman Inst Human Genom, Miami, FL USA

Bellenguez, C:
 Univ Lille, CHU Lille, LabEx DISTALZ,RID AGE Facteurs Risque & Determinan, Inst Pasteur Lille,Inserm,U1167, Lille, France

Berr, C:
 Univ Montpellier, INM Inst Neurosci Montpellier, Inserm, Montpellier, France

Bis, JC:
 Univ Washington, Dept Med, Cardiovasc Hlth Res Unit, Seattle, WA USA

Boland, A:
 Univ Paris Saclay, Ctr Natl Rech Genom Humaine, CEA, Evry, France

Bossù, P:
 IrCCS Santa Lucia Fdn, Dept Clin & Behav Neurol, Expt Neuropsychobiol Lab, Rome, Italy

Bouwman, F:
 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

Bras, J:
 Michigan State Univ, Coll Human Med, Div Psychiat & Behav Med, Grand Rapids, MI USA

 Van Andel Inst, Dept Neurodegenerat Sci, Grand Rapids, MI USA

Charbonnier, C:
 Normandie Univ, Univ Rouen Normandie, Dept Genet, Inserm,U1245, F-76000 Rouen, France

 Normandie Univ, Univ Rouen Normandie, CNRMAJ, Inserm,U1245, F-76000 Rouen, France

 CHU Rouen, F-76000 Rouen, France

Clarimon, J:
 Univ Autonoma Barcelona, Neurol Dept, Memory Unit, St Quinti 77-79, Barcelona 08041, Spain

 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Inst Recerca St Pau, St Quinti 77-79, Barcelona 08041, Spain

 Natl Inst Hlth Carlos III, Network Ctr Biomed Res Neurodegenerat Dis, CIBERNED, Madrid, Spain

Cruchaga, C:
 Washington Univ, Psychiat Dept, Sch Med, St Louis, MO USA

 Washington Univ, Sch Med, NeuroGenom & Informat Ctr, St Louis, MO USA

 Washington Univ, Sch Med, Hope Ctr Neurol Disorders, St Louis, MO USA

Daniele, A:
 Fdn Policlin Univ A Gemelli IRCCS, Catholic Univ Sacred Heart, Dept Neurosci, Rome, Italy

Dartigues, JF:
 Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, INSERM, Bordeaux, France

Debette, S:
 Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, INSERM, Bordeaux, France

 Bordeaux Univ Hosp, Dept Neurol, Bordeaux, France

Deleuze, JF:
 Univ Paris Saclay, Ctr Natl Rech Genom Humaine, CEA, Evry, France

Denning, N:
 Cardiff Univ, Sch Med, UKDRI Cardiff, Cardiff, Wales

Destefano, AL:
 Boston Univ, Sch Publ Hlth, Dept Biostat, Boston, MA USA

 Framingham Heart Dis Epidemiol Study, Framingham, MA USA

Dols-Icardo, O:
 Univ Autonoma Barcelona, Neurol Dept, Memory Unit, St Quinti 77-79, Barcelona 08041, Spain

 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Inst Recerca St Pau, St Quinti 77-79, Barcelona 08041, Spain

 Natl Inst Hlth Carlos III, Network Ctr Biomed Res Neurodegenerat Dis, CIBERNED, Madrid, Spain

van Duijn, CM:
 Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands

 Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England

Farrer, LA:
 Boston Univ, Sch Publ Hlth, Dept Biostat, Boston, MA USA

 Framingham Heart Dis Epidemiol Study, Framingham, MA USA

 Boston Univ, Dept Neurol, Sch Med, Boston, MA USA

 Boston Univ, Dept Med Biomed Genet, Boston, MA USA

Fernández, MV:
 Washington Univ, Psychiat Dept, Sch Med, St Louis, MO USA

 Washington Univ, Sch Med, NeuroGenom & Informat Ctr, St Louis, MO USA

 Washington Univ, Sch Med, Hope Ctr Neurol Disorders, St Louis, MO USA

Fox, NC:
 UCL, UK Dementia Res Inst, London, England

 UCL Queen Sq Inst Neurol, Dementia Res Ctr, London, England

Galimberti, D:
 Univ Milan, Milan, Italy

 Osped Policlin, Fdn IRCCS CaGranda, Milan, Italy

Genin, E:
 Univ Brest, UMR 1078, GGB, Inserm,EFS,CHU Brest, F-29200 Brest, France

Gille, JJP:
 Vrije Univ Amsterdam, Genome Anal Lab, Human Genet, Amsterdam UMC, Amsterdam, Netherlands

Grenier-Boley, B:
 Univ Lille, CHU Lille, LabEx DISTALZ,RID AGE Facteurs Risque & Determinan, Inst Pasteur Lille,Inserm,U1167, Lille, France

Grozeva, D:
 Cardiff Univ, Sch Med, Div Psychol Med & Clin Neurosci, Cardiff, Wales

Guen, YL:
 Stanford Univ, Dept Med, Quantitat Sci Unit, Stanford, CA USA

Guerreiro, R:
 Michigan State Univ, Coll Human Med, Div Psychiat & Behav Med, Grand Rapids, MI USA

 Van Andel Inst, Dept Neurodegenerat Sci, Grand Rapids, MI USA

Haines, JL:
 Case Western Reserve Univ, Sch Med, Dept Populat & Quantitat Hlth Sci, Cleveland, OH USA

Holmes, C:
 Univ Southampton, Fac Med, Clin & Expt Sci, Southampton, England

Hummerich, H:
 UCL, Inst Prion Dis, MRC Pr Unit, London, England

Ikram, MA:
 Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands

Ikram, MK:
 Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands

Kawalia, A:
 Fac Med, Dept Psychiat & Psychotherapy, Div Neurogenet & Mol Psychiat, Cologne, Germany

 Univ Hosp Cologne, Cologne, Germany

Kraaij, R:
 Erasmus MC, Dept Internal Med, Rotterdam, Netherlands

Lambert, JC:
 Univ Lille, CHU Lille, LabEx DISTALZ,RID AGE Facteurs Risque & Determinan, Inst Pasteur Lille,Inserm,U1167, Lille, France

Lathrop, M:
 McGill Univ, Montreal, PQ, Canada

 Genome Quebec Innovat Ctr, Montreal, PQ, Canada

Lemstra, AW:
 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

Lleo, A:
 Univ Autonoma Barcelona, Neurol Dept, Memory Unit, St Quinti 77-79, Barcelona 08041, Spain

 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Inst Recerca St Pau, St Quinti 77-79, Barcelona 08041, Spain

 Natl Inst Hlth Carlos III, Network Ctr Biomed Res Neurodegenerat Dis, CIBERNED, Madrid, Spain

Myers, RM:
 HudsonAlpha Inst Biotechnol, Huntsville, AL USA

Mannens, MMAM:
 Univ Amsterdam, Amsterdam Reprod & Dev Res Inst Amsterdam, Dept Human Genet, Amsterdam UMC, Amsterdam, Netherlands

Marshall, R:
 Cardiff Univ, Sch Med, Div Psychol Med & Clin Neurosci, Cardiff, Wales

Martin, ER:
 Univ Miami, John P Hussman Inst Human Genom, Miami, FL USA

 Univ Miami, Dr John T Macdonald Fdn Dept Human Genet, Miami, FL USA

Masullo, C:
 Univ Cattolica Sacro Cuore, Inst Neurol, Rome, Italy

Mayeux, R:
 Columbia Univ, Dept Neurol, Taub Inst Res Alzheimers Dis & Aging Brain, New York, NY USA

 Columbia Univ, Gertrude H Sergievsky Ctr, New York, NY USA

Mead, S:
 UCL, Inst Prion Dis, MRC Pr Unit, London, England

Mecocci, P:
 Univ Perugia, Dept Med & Surg, Div Gerontol & Geriatr, Perugia, Italy

 Karolinska Inst, Div Clin Geriatr, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden

Meggy, A:
 Cardiff Univ, Sch Med, UKDRI Cardiff, Cardiff, Wales

Mol, MO:
 Erasmus MC, Dept Clin Genet, Rotterdam, Netherlands

Nacmias, B:
 IRCCS Fdn Don Carlo Gnocchi, Florence, Italy

 Univ Florence, Dept Neurosci Psychol Drug Res & Child Hlth, Florence, Italy

Naj, AC:
 Univ Penn, Perelman Sch Med, Penn Neurodegenerat Genom Ctr, Dept Pathol & Lab Med, Philadelphia, PA USA

 Univ Penn, Penn Neurodegenerat Genom Ctr, Perelman Sch Med, Dept Biostat Epidemiol & Informat, Philadelphia, PA USA

Napolioni, V:
 Stanford Univ, Dept Med, Quantitat Sci Unit, Stanford, CA USA

 Univ Camerino UNICAM, Sch Biosci & Vet Med, Genom & Mol Epidemiol GAME Lab, Camerino, Italy

Cochran, JN:
 HudsonAlpha Inst Biotechnol, Huntsville, AL USA

Nicolas, G:
 Normandie Univ, Univ Rouen Normandie, Dept Genet, Inserm,U1245, F-76000 Rouen, France

 Normandie Univ, Univ Rouen Normandie, CNRMAJ, Inserm,U1245, F-76000 Rouen, France

 CHU Rouen, F-76000 Rouen, France

Pastor, P:
 Germans Trias & Pujol Res Inst IGTP, Badalona, Barcelona, Spain

Pericak-Vance, MA:
 Univ Miami, John P Hussman Inst Human Genom, Miami, FL USA

 Univ Miami, Dr John T Macdonald Fdn Dept Human Genet, Miami, FL USA

Pijnenburg, YAL:
 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

Piras, F:
 IrCCS Santa Lucia Fdn, Dept Clin & Behav Neurol, Lab Neuropsychiat, Rome, Italy

Quenez, O:
 Normandie Univ, Univ Rouen Normandie, Dept Genet, Inserm,U1245, F-76000 Rouen, France

 Normandie Univ, Univ Rouen Normandie, CNRMAJ, Inserm,U1245, F-76000 Rouen, France

 CHU Rouen, F-76000 Rouen, France

Ramirez, A:
 Fac Med, Dept Psychiat & Psychotherapy, Div Neurogenet & Mol Psychiat, Cologne, Germany

 Univ Hosp Cologne, Cologne, Germany

 Univ Cologne, Cluster Excellence Cellular Stress Responses Aging, Cologne, Germany

 Dept Psychiat, San Antonio, TX USA

 Glenn Biggs Inst Alzheimers & Neurodegenerat Dis, San Antonio, TX USA

 German Ctr Neurodegenerat Dis DZNE, Bonn, Germany

 Univ Hosp Bonn, Med Fac, Dept Neurodegenerat Dis & Geriatr Psychiat, Bonn, Germany

Raybould, R:
 Cardiff Univ, Sch Med, UKDRI Cardiff, Cardiff, Wales

Redon, R:
 Univ Nantes, CNRS, Inst Thorax, INSERM,CHU Nantes, Nantes, France

Reinders, MJT:
 Delft Univ Technol, Delft Bioinformat Lab, Delft, Netherlands

Richard, AC:
 Normandie Univ, Univ Rouen Normandie, Dept Genet, Inserm,U1245, F-76000 Rouen, France

 Normandie Univ, Univ Rouen Normandie, CNRMAJ, Inserm,U1245, F-76000 Rouen, France

 CHU Rouen, F-76000 Rouen, France

Riedel-Heller, SG:
 Univ Leipzig, Inst Social Med Occupat Hlth & Publ Hlth, Leipzig, Germany

Rivadeneira, F:
 Erasmus MC, Dept Internal Med, Rotterdam, Netherlands

Rousseau, S:
 Normandie Univ, Univ Rouen Normandie, Dept Genet, Inserm,U1245, F-76000 Rouen, France

 Normandie Univ, Univ Rouen Normandie, CNRMAJ, Inserm,U1245, F-76000 Rouen, France

 CHU Rouen, F-76000 Rouen, France

Ryan, NS:
 UCL, UK Dementia Res Inst, London, England

 UCL Queen Sq Inst Neurol, Dementia Res Ctr, London, England

Sanchez-Juan, P:
 Natl Inst Hlth Carlos III, Network Ctr Biomed Res Neurodegenerat Dis, CIBERNED, Madrid, Spain

 Univ Cantabria, Marques de Valdecilla Univ Hosp, Neurol Serv, Santander, Spain

 IDIVAL, Santander, Spain

Schellenberg, GD:
 Univ Penn, Perelman Sch Med, Penn Neurodegenerat Genom Ctr, Dept Pathol & Lab Med, Philadelphia, PA USA

Scheltens, P:
 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

Schott, JM:
 UCL, UK Dementia Res Inst, London, England

 UCL Queen Sq Inst Neurol, Dementia Res Ctr, London, England

Seshadri, S:
 Framingham Heart Dis Epidemiol Study, Framingham, MA USA

 Boston Univ, Dept Neurol, Sch Med, Boston, MA USA

 Dept Psychiat, San Antonio, TX USA

 Glenn Biggs Inst Alzheimers & Neurodegenerat Dis, San Antonio, TX USA

Sie, D:
 Vrije Univ Amsterdam, Genome Anal Lab, Human Genet, Amsterdam UMC, Amsterdam, Netherlands

Sims, R:
 Cardiff Univ, Sch Med, Div Psychol Med & Clin Neurosci, Cardiff, Wales

Sistermans, EA:
 Vrije Univ Amsterdam, Dept Human Genet, Amsterdam UMC, Amsterdam, Netherlands

 Univ Amsterdam, Amsterdam Reprod & Dev Res Inst Amsterdam, Dept Human Genet, Amsterdam UMC, Amsterdam, Netherlands

Sorbi, S:
 IRCCS Fdn Don Carlo Gnocchi, Florence, Italy

 Univ Florence, Dept Neurosci Psychol Drug Res & Child Hlth, Florence, Italy

Tijms, B:
 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

Uitterlinden, AG:
 Erasmus MC, Dept Internal Med, Rotterdam, Netherlands

Visser, PJ:
 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

Wagner, M:
 German Ctr Neurodegenerat Dis DZNE, Bonn, Germany

 Univ Hosp Bonn, Med Fac, Dept Neurodegenerat Dis & Geriatr Psychiat, Bonn, Germany

Wallon, D:
 Normandie Univ, Univ Rouen Normandie, Dept Genet, Inserm,U1245, F-76000 Rouen, France

 Normandie Univ, Univ Rouen Normandie, CNRMAJ, Inserm,U1245, F-76000 Rouen, France

 CHU Rouen, F-76000 Rouen, France

Wang, LS:
 Univ Penn, Perelman Sch Med, Penn Neurodegenerat Genom Ctr, Dept Pathol & Lab Med, Philadelphia, PA USA

Williams, J:
 Cardiff Univ, Sch Med, Div Psychol Med & Clin Neurosci, Cardiff, Wales

 Cardiff Univ, MRC UK Dementia Res Inst, Div Psychol Med, Cardiff, Wales

Yokoyama, JS:
 Univ Calif San Francisco, Weill Inst Neurosci, Memory & Aging Ctr, Dept Neurol, San Francisco, CA USA

 Univ Calif San Francisco, Dept Radiol & Biomed Imaging, San Francisco, CA USA

Zarea, A:
 Normandie Univ, Univ Rouen Normandie, Dept Genet, Inserm,U1245, F-76000 Rouen, France

 Normandie Univ, Univ Rouen Normandie, CNRMAJ, Inserm,U1245, F-76000 Rouen, France

 CHU Rouen, F-76000 Rouen, France

Olsen, JG:
 Univ Copenhagen, Dept Biol, Ole Maaloes Vej 5, DK-2200 Copenhagen, Denmark

Hulsman, M:
 Vrije Univ Amsterdam, Dept Human Genet, Amsterdam UMC, Amsterdam, Netherlands

 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

 Delft Univ Technol, Delft Bioinformat Lab, Delft, Netherlands

Holstege, H:
 Vrije Univ Amsterdam, Dept Human Genet, Amsterdam UMC, Amsterdam, Netherlands

 Amsterdam Neurosci, Neurodegenerat, Amsterdam, Netherlands

 Vrije Univ Amsterdam, Alzheimer Ctr Amsterdam, Neurol, Amsterdam UMC, Amsterdam, Netherlands

 Delft Univ Technol, Delft Bioinformat Lab, Delft, Netherlands
ISSN: 17501326





Molecular Neurodegeneration
Editorial
BMC, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 20 Número: 1
Páginas:
WOS Id: 001628994100001
ID de PubMed: 41327266
imagen Green Submitted, Green Published, gold

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