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Research Article
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Rate of brain aging and APOE ε4 are synergistic risk factors for Alzheimer’s disease

View ORCID ProfileChristin A Glorioso  Correspondence email, Andreas R Pfenning, View ORCID ProfileSam S Lee, David A Bennett, Etienne L Sibille, Manolis Kellis, View ORCID ProfileLeonard P Guarente  Correspondence email
Christin A Glorioso
1Department of Biology, Massachusetts Institute of Technology, Cambridge, MA, USA
2Paul F. Glenn Center for Biology of Aging Research at Massachusetts Institute of Technology, Cambridge, MA, USA
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  • ORCID record for Christin A Glorioso
  • For correspondence: glorioso@mit.edu
Andreas R Pfenning
3Department of Computational Biology, School of Computer Science, Carnegie Mellon University, Pittsburgh, PA, USA
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Sam S Lee
1Department of Biology, Massachusetts Institute of Technology, Cambridge, MA, USA
2Paul F. Glenn Center for Biology of Aging Research at Massachusetts Institute of Technology, Cambridge, MA, USA
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  • ORCID record for Sam S Lee
David A Bennett
4Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, IL, USA
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Etienne L Sibille
5Department of Psychiatry and of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada
6Campbell Family Mental Health Research Institute, Toronto, Ontario, Canada
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Manolis Kellis
7Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute of Technology, Cambridge, MA, USA
8The Broad Institute of Harvard and the Massachusetts Institute of Technology, Cambridge, MA, USA
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Leonard P Guarente
1Department of Biology, Massachusetts Institute of Technology, Cambridge, MA, USA
2Paul F. Glenn Center for Biology of Aging Research at Massachusetts Institute of Technology, Cambridge, MA, USA
9The Koch Institute, Massachusetts Institute of Technology, Cambridge, MA, USA
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  • ORCID record for Leonard P Guarente
  • For correspondence: leng@mit.edu
Published 27 May 2019. DOI: 10.26508/lsa.201900303
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Figures

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  • Figure 1.
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    Figure 1. Schematic of our approach.

    Age-sensitive transcripts are determined from a large training cohort of disease-free brains. These are used to create “molecular ages” and applied to four additional cohorts, one of which includes subjects with neurodegenerative diseases. The deviation of molecular age from chronological age (Δ age) is used to test associations of diseases and phenotypes with rates of aging of the brain.

  • Figure 2.
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    Figure 2. Molecular ages were significantly predictive of chronological ages in all cohorts.

    (A–H) P-values corresponding to the R-values depicted are (A) P = 8.3 × 10−49. (B) P = 2.1 × 10−6. (C) P = 3.2 × 10−20. (D) P = 1 × 10−10. (E) P = 1.2 × 10−9. (F) P = 1.3 × 10−18. (G) P = 9.8 × 10−10. (H) P = 1.7 × 10−19. R-values were determined by Pearson correlation. The age-sensitive transcripts used to predict molecular ages are listed in Table S2. Note that the PE cohorts were analyzed as two separate cohorts because of confounding variables from different collections (see the Materials and Methods section).

  • Figure S1.
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    Figure S1. Delta Age predicts age at death in subjects over 60 yr of age

    (A, B) Delta age versus chronological age in old and young subjects in CM.

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    Figure S2. Sex differences in delta age in CM.
  • Figure 3.
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    Figure 3. Methylation ages and Δages in BC and ROS-MAP

    (A, B) Methylation ages are predictive of chronological ages in BrainCloud (A) and ROS-MAP (B). (C, D) Methylation and molecular delta ages correlate in BrainCloud (C) and ROS-MAP (D). R values were determined by Pearson correlation.

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    Figure 4. Characterization of age-sensitive transcripts and molecular ages.

    (A, B) The 537 increasing and 834 decreasing age-sensitive transcripts are visualized in the heat map (A). Top Ingenuity functional categories are shown for increasing or decreasing transcripts (A). (B, C) Venn diagrams show the intersection of age down-regulated transcripts and neuronal-specific transcripts (B) and age up-regulated transcripts and glial-specific transcripts (C).

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    Figure 5. Relationship of Δ age to clinical variables.

    (A–I) Representative plots are shown using raw data (A–I). P values were determined by linear regression with relevant covariates. (A) Postmortem final clinical diagnosis of AD, (B) mini mental examination score, (C) tangles density, (D) Global PD score, a composite score for 4 signs: tremor, rigidity, bradykinesia, and gait, (E) rigidity score, (F) PD pathology is present if Lewy bodies are present and there was moderate-to-severe neuronal loss in the substantia nigra, (G) Global cognition slope, a composite slope of the longitudinal changes over time in five domains of cognition: working memory, visual-spatial ability, perceptual speed, episodic memory, and semantic memory, (H) change in episodic memory over time, and (I) association of Δ age & APOE ε4.

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    Figure 6. APOE ε4 and Δage are synergistic risk factors for AD

    (A) Odds ratio of Δ age and APOE ε4 for having AD diagnosis. (B) Model showing synergistic effects of Δ age and APOE ε4 on AD.

Tables

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    Table 1.

    Cohort characteristic.

    CohortNo. subjectsNo. maleNo. CaucasiansNo. African AmericanNo. HispanicNo. AsianMean ageMean PMIMean RINMean pHMean Education
    CM2391471793917363 yr15 h7.76.7N/A
    BrainCloud1278558694348 yr35 h8.1N/A10 yr
    PE21614521102270 yr11 hN/A6.5N/A
    GTEx876276110058 yr14 h7.4N/AN/A
    ROS-MAP43816343800089 yr7 h7.2N/A17 yr
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    Table 2.

    False discovery corrected P-values obtained from regression of either Δ age (main method) or APOE ε4 with indicated disease or aging variables of interest.

    VariableΔ AgeAPOE ε4
    P-valueP-value
    ΔGlobal cognition/yr5.1 × 10−5a1.9 × 10−5a
     ΔEpisodic memory/yr2.9 × 10−4a2.5 × 10−6a
     ΔVisual-spatial ability/yr0.003a0.02a
     ΔPerceptual speed/yr8.7 × 10−5a0.02a
     ΔSemantic memory/yr5.1 × 10−5a1.6 × 10−5a
     ΔWorking memory/yr0.03a0.006a
    Global cognition level3.2 × 10−5a2.4 × 10−6a
     Episodic memory level9 × 10−5a2.2 × 10−6a
    Dementia grade0.006a7.6 × 10−5a
    AD clinical diagnosis3.2 × 10−5a7.9 × 10−4a
    Mini mental examination score0.0017a1.7 × 10−4a
    Depression score0.690.85
    General pathology0.035a5.2 × 10−10a
    Plaque level0.068.1 × 10−8a
    Tangles level0.04a5.4 × 10−7a
    Amyloid level0.155.4 × 10−7a
    Amyloid angiopathy0.07a9.4 × 10−7a
    PD diagnosis0.880.28
    PD sign score0.038a0.02a
     Gait0.031a0.02a
     Bradykinesia0.410.02a
     Rigidity0.0059a0.035a
     Tremor0.860.17
    PD Pathology0.006a0.88
    Lewy body pathology0.02a0.69
    Stroke diagnosis0.560.40
    “Heart problem” history0.170.90
    Hypertension at baseline0.003b0.67
    Arteriolar sclerosis0.750.84
    Cerebral infarction gross0.470.40
    Cerebral infarction micro0.330.58
    Cancer history0.910.95
    Thyroid disease history0.080.60
    Smoking (lifetime pack-years)0.750.46
    APO ε4 alleles0.035a0
    Δ Age00.035a
    • ↵a Indicate significantly increased risk with older Δ age or greater APOE ε4 alleles.

    • ↵b Indicates the inverse relationship.

Supplementary Materials

  • Figures
  • Tables
  • Table S1 Subject-level cohort characteristics of the CM cohort.

  • Table S2 Age-regulated genes used to create molecular ages.

  • Table S3 Characteristics of the ROS-MAP cohort.

  • Table S4 Regression of Δ age with clinical variables split by control and disease subjects. P-values obtained from multiple regression of Δ age with variables of interest segregated into control and disease cases. Red P-values indicate significantly increased risk with older Δ age. Those in blue indicate the inverse relationship. Cognitive measures were performed longitudinally by clinicians.

  • Table S5 Comparison of transcriptional Δ age regressed with clinical variables and methyl Δ age. P-values obtained from multiple regression of either methyl Δ age or transcriptional Δ age with variables of interest. Red P-values indicate significantly increased risk with older Δ age. Those in blue indicate the inverse relationship. Cognitive measures were performed longitudinally by clinicians.

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Brain aging and APOE ε4 synergize risk of Alzheimer
Christin A Glorioso, Andreas R Pfenning, Sam S Lee, David A Bennett, Etienne L Sibille, Manolis Kellis, Leonard P Guarente
Life Science Alliance May 2019, 2 (3) e201900303; DOI: 10.26508/lsa.201900303

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Brain aging and APOE ε4 synergize risk of Alzheimer
Christin A Glorioso, Andreas R Pfenning, Sam S Lee, David A Bennett, Etienne L Sibille, Manolis Kellis, Leonard P Guarente
Life Science Alliance May 2019, 2 (3) e201900303; DOI: 10.26508/lsa.201900303
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Volume 2, No. 3
June 2019
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