Association of type 2 diabetes GWAS loci and the risk of Parkinson's and Alzheimer's diseases. Issue 12 (December 2015)

• Record Type: Journal Article
• Authors: Chung, Sun Ju; Kim, Mi-Jung; Kim, Juyeon; Ryu, Ho-Sung; Kim, Young Jin; Kim, Seong Yoon; Lee, Jae-Hong
• Is Part Of: Parkinsonism & related disorders. Volume 21:Issue 12(2015)
• Page Start: 1435
• Page End: 1440
• Publication Date: 2015-12
• Subjects: Parkinson's disease -- Alzheimer's disease -- Type 2 diabetes mellitus -- Genome -- Genetic variation; Parkinson's disease -- Periodicals; Movement disorders -- Periodicals; Movement Disorders -- Periodicals; Nerve Degeneration -- Periodicals; Nervous System Diseases -- Periodicals; Parkinson Disease -- Periodicals; Tremor -- Periodicals; Parkinson, Maladie de -- Périodiques; Parkinson's disease; 616.833
• DOI: 10.1016/j.parkreldis.2015.10.010
• Languages: English
• ISSNs: 1353-8020

Abstract

Abstract: Background: Insulin and insulin-like growth factor contribute to normal brain function. Recent experimental and clinical studies showed that type 2 diabetes mellitus (T2DM) and Parkinson's disease (PD) or Alzheimer's disease (AD) share several dysregulated pathways. Objective: We aimed to investigate whether genome-wide significant loci of T2DM are associated with the risk of PD and AD as well as the severity of cognitive impairment. Methods: Study subjects were 500 PD patients, 400 AD patients, and 500 unrelated controls. We selected 32 genetic variants from 11 genes ( CDC123, CDKAL1, CDKN2B, FTO, GLIS3, HHEX, IGF2BP2, KCNJ11, KCNQ1, SLC30A8, and TCF7L2 ) and intergenic regions based on results of recent genome-wide association studies (GWAS) in T2DM. These variants were reported to be T2DM-susceptibility loci and have been replicated in other independent studies. All association analyses were performed using logistic regression models, adjusting for age and sex. Results: KCNQ1 SNP rs163182 showed the strongest association with AD, but it was not significant after Bonferroni correction (OR = 1.30, 95% CI = 1.07–1.59, P corrected = 0.32). In PD patients, CDC123 SNP rs11257655 showed modest association with MMSE score <26, and CDKN2B SNPs (rs2383208, rs10965250, and rs10811661) showed modest association with MoCA score <26, which were not significant after Bonferroni correction. Other genetic variants had no association with the risk of PD or AD and the severity of cognitive impairment. Conclusions: Our results suggest that genome-wide significant loci of T2DM play no major role in the risk and cognitive impairment of PD and AD. Highlights: Type 2 diabetes, Parkinson's and Alzheimer's diseases share pathogenic mechanisms. This is the first study to investigate T2DM GWAS loci in PD and AD. There was no direct association between T2DM GWAS loci and PD and AD. Links between T2DM and PD and AD may be explained by other pathogenic mechanisms.