PMID- 33917565 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230920 IS - 2075-1729 (Print) IS - 2075-1729 (Electronic) IS - 2075-1729 (Linking) VI - 11 IP - 4 DP - 2021 Apr 6 TI - The Role of the Rare Variants in the Genes Encoding the Alpha-Ketoglutarate Dehydrogenase in Alzheimer's Disease. LID - 10.3390/life11040321 [doi] LID - 321 AB - There is increasing evidence that several mitochondrial abnormalities are present in the brains of patients with Alzheimer's disease (AD). Decreased alpha-ketoglutarate dehydrogenase complex (alphaKGDHc) activity was identified in some patients with AD. The alphaKGDHc is a key enzyme in the Krebs cycle. This enzyme is very sensitive to the harmful effect of reactive oxygen species, which gives them a critical role in the Alzheimer and mitochondrial disease research area. Previously, several genetic risk factors were described in association with AD. Our aim was to analyze the associations of rare damaging variants in the genes encoding alphaKGDHc subunits and AD. The three genes (OGDH, DLST, DLD) encoding alphaKGDHc subunits were sequenced from different brain regions of 11 patients with histologically confirmed AD and the blood of further 35 AD patients. As a control group, we screened 134 persons with whole-exome sequencing. In all subunits, a one-one rare variant was identified with unknown significance based on American College of Medical Genetics and Genomics (ACMG) classification. Based on the literature research and our experience, R263H mutation in the DLD gene seems likely to be pathogenic. In the different cerebral areas, the alphaKGDHc mutational profile was the same, indicating the presence of germline variants. We hypothesize that the heterozygous missense R263H in the DLD gene may have a role in AD as a mild genetic risk factor. FAU - Csaban, Dora AU - Csaban D AD - Institute of Genomic Medicine and Rare Disorders, Semmelweis University, H-1082 Budapest, Hungary. FAU - Pentelenyi, Klara AU - Pentelenyi K AD - Institute of Genomic Medicine and Rare Disorders, Semmelweis University, H-1082 Budapest, Hungary. FAU - Toth-Bencsik, Renata AU - Toth-Bencsik R AD - Institute of Genomic Medicine and Rare Disorders, Semmelweis University, H-1082 Budapest, Hungary. FAU - Illes, Anett AU - Illes A AD - PentaCore Laboratory Budapest, H-1094 Budapest, Hungary. FAU - Grosz, Zoltan AU - Grosz Z AD - Institute of Genomic Medicine and Rare Disorders, Semmelweis University, H-1082 Budapest, Hungary. FAU - Gezsi, Andras AU - Gezsi A AD - Department of Measurement and Information Systems, Budapest University of Technology and Economics, H-1117 Budapest, Hungary. FAU - Molnar, Maria Judit AU - Molnar MJ AD - Institute of Genomic Medicine and Rare Disorders, Semmelweis University, H-1082 Budapest, Hungary. LA - eng GR - KTIA_13_NAP-A-III/6/Hungarian National Brain Research Program/ GR - OTKA PD 134449/Hungarian Academy of Sciences and the National Research/ PT - Journal Article DEP - 20210406 PL - Switzerland TA - Life (Basel) JT - Life (Basel, Switzerland) JID - 101580444 PMC - PMC8067443 OTO - NOTNLM OT - Alzheimer OT - DLD OT - alpha-ketoglutarate dehydrogenase complex OT - brain tissue OT - dementia OT - rare variants OT - alphaKGDHc COIS- The authors declare no conflict of interest. EDAT- 2021/05/01 06:00 MHDA- 2021/05/01 06:01 PMCR- 2021/04/06 CRDT- 2021/04/30 01:06 PHST- 2021/03/23 00:00 [received] PHST- 2021/04/02 00:00 [revised] PHST- 2021/04/03 00:00 [accepted] PHST- 2021/04/30 01:06 [entrez] PHST- 2021/05/01 06:00 [pubmed] PHST- 2021/05/01 06:01 [medline] PHST- 2021/04/06 00:00 [pmc-release] AID - life11040321 [pii] AID - life-11-00321 [pii] AID - 10.3390/life11040321 [doi] PST - epublish SO - Life (Basel). 2021 Apr 6;11(4):321. doi: 10.3390/life11040321.