PMID- 33898740 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231022 IS - 2376-7839 (Print) IS - 2376-7839 (Electronic) IS - 2376-7839 (Linking) VI - 7 IP - 2 DP - 2021 Apr TI - Interactive Effects of HLA and GM Alleles on the Development of Alzheimer Disease. PG - e565 LID - 10.1212/NXG.0000000000000565 [doi] LID - e565 AB - OBJECTIVE: We investigated whether particular immunoglobulin GM (gamma marker) alleles-individually or epistatically with a known human leukocyte antigen (HLA) risk allele-were associated with the development of Alzheimer disease (AD). METHODS: Using a prospective cohort study design, we genotyped DNA samples from 209 African American (AA) and 638 European American (EA) participants for IgG1 (GM 3 and GM 17), IgG2 (GM 23+ and GM 23-), and HLA-DRB1 rs9271192 (A/C) alleles by TaqMan and rhAMP genotyping assays. RESULTS: In EA subjects, none of the GM or HLA alleles-individually or epistatically-were associated with time to development of AD. In AA subjects, GM and HLA alleles individually were not associated with time to development of AD. However, there was a significant interaction: In the presence of GM 3 (i.e., GM 3/3 and GM 3/17 subjects), the presence of the HLA-C allele was associated with a 4-fold increase in the likelihood of developing AD compared with its absence (hazard ratio [HR] 4.17, 95% CI, 1.28-13.58). In the absence of GM 3 (GM 17/17 subjects), however, the presence of the HLA-C allele was not associated with time to development of AD (HR 1.10, 95% CI, 0.50-2.41). CONCLUSIONS: These results show that particular GM and HLA alleles epistatically contribute to the development of AD. CI - Copyright (c) 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology. FAU - Pandey, Janardan P AU - Pandey JP AUID- ORCID: 0000-0001-9992-4737 AD - Department of Microbiology and Immunology (J.P.P., R.T.K.) and Department of Public Health, Sciences (P.J.N.), Medical University of South Carolina, Charleston; and Rush Alzheimer's Disease Center (L.L.B., D.A.B.), Rush University Medical Center, Chicago, IL. FAU - Nietert, Paul J AU - Nietert PJ AD - Department of Microbiology and Immunology (J.P.P., R.T.K.) and Department of Public Health, Sciences (P.J.N.), Medical University of South Carolina, Charleston; and Rush Alzheimer's Disease Center (L.L.B., D.A.B.), Rush University Medical Center, Chicago, IL. FAU - Kothera, Ronald T AU - Kothera RT AD - Department of Microbiology and Immunology (J.P.P., R.T.K.) and Department of Public Health, Sciences (P.J.N.), Medical University of South Carolina, Charleston; and Rush Alzheimer's Disease Center (L.L.B., D.A.B.), Rush University Medical Center, Chicago, IL. FAU - Barnes, Lisa L AU - Barnes LL AD - Department of Microbiology and Immunology (J.P.P., R.T.K.) and Department of Public Health, Sciences (P.J.N.), Medical University of South Carolina, Charleston; and Rush Alzheimer's Disease Center (L.L.B., D.A.B.), Rush University Medical Center, Chicago, IL. FAU - Bennett, David A AU - Bennett DA AD - Department of Microbiology and Immunology (J.P.P., R.T.K.) and Department of Public Health, Sciences (P.J.N.), Medical University of South Carolina, Charleston; and Rush Alzheimer's Disease Center (L.L.B., D.A.B.), Rush University Medical Center, Chicago, IL. LA - eng GR - P30 AG010161/AG/NIA NIH HHS/United States GR - R01 AG015819/AG/NIA NIH HHS/United States GR - R01 AG022018/AG/NIA NIH HHS/United States GR - UL1 TR001450/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20210216 PL - United States TA - Neurol Genet JT - Neurology. Genetics JID - 101671068 PMC - PMC8063623 EDAT- 2021/04/27 06:00 MHDA- 2021/04/27 06:01 PMCR- 2021/02/16 CRDT- 2021/04/26 06:00 PHST- 2020/07/15 00:00 [received] PHST- 2020/12/22 00:00 [accepted] PHST- 2021/04/26 06:00 [entrez] PHST- 2021/04/27 06:00 [pubmed] PHST- 2021/04/27 06:01 [medline] PHST- 2021/02/16 00:00 [pmc-release] AID - NG2020015008 [pii] AID - 10.1212/NXG.0000000000000565 [doi] PST - epublish SO - Neurol Genet. 2021 Feb 16;7(2):e565. doi: 10.1212/NXG.0000000000000565. eCollection 2021 Apr.