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Zaman A, Caywood L, Prough M, Clouse J, Harrington S, Adams L, Fuzzell D, Fuzzell S, Laux R, Hochstetler SD, Ogrocki P, Lerner A, Vance JM, Haines JL, Scott WK, Pericak-Vance MA, Cuccaro ML. Psychometric Approaches to Defining Cognitive Phenotypes in the Old Order Amish. Int J Geriatr Psychiatry 2023; 38:e5903. [PMID: 36929524 DOI: 10.1002/gps.5903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 03/11/2023] [Indexed: 03/18/2023]
Abstract
OBJECTIVE Memory and cognitive problems are central to the diagnosis of Alzheimer's disease (AD). Psychometric approaches to defining phenotypes can aid in identify genetic variants associated with AD. However, these approaches have mostly been limited to affected individuals. Defining phenotypes of both affected and unaffected individuals may help identify genetic variants associated with both AD and healthy aging. This study compares psychometric methods for developing cognitive phenotypes that are more granular than clinical classifications. METHODS 682 older Old Order Amish individuals were included in the analysis. Adjusted Z-scores of cognitive tests were used to create four models including 1) global threshold scores or 2) memory threshold scores, and 3) global clusters and 4) memory clusters. An ordinal regression examined the coherence of the models with clinical classifications [cognitively impaired (CI), mildly impaired (MI), cognitively unimpaired (CU)], APOE-e4, sex, and age. An ANOVA examined the best model phenotypes for differences in clinical classification, APOE-e4, domain Z-scores (memory, language, executive function, and processing speed), sex, and age. RESULTS The memory cluster identified four phenotypes and had the best fit (χ2 = 491.66). Individuals in the worse performing phenotypes were more likely to be classified as CI or MI and to have APOE-e4. Additionally, all four phenotypes performed significantly differently from one another on the domains of memory, language, and executive functioning. CONCLUSIONS Memory cluster stratification identified the cognitive phenotypes that best aligned with clinical classifications, APOE-e4, and cognitive performance We predict these phenotypes will prove useful in searching for protective genetic variants. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Andrew Zaman
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Laura Caywood
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Jason Clouse
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Sharlene Harrington
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Larry Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Denise Fuzzell
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA
| | - Sarada Fuzzell
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA
| | - Renee Laux
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA
| | - Sherri D Hochstetler
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA
| | - Paula Ogrocki
- Department of Neurology, Case Western Reserve University, Cleveland, OH, USA
| | - Alan Lerner
- Department of Neurology, Case Western Reserve University, Cleveland, OH, USA
| | - Jeffery M Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Jonathan L Haines
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.,Cleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, OH, USA
| | - William K Scott
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Margaret A Pericak-Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michael L Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
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2
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Waksmunski AR, Miskimen K, Song YE, Grunin M, Laux R, Fuzzell D, Fuzzell S, Adams LD, Caywood L, Prough M, Stambolian D, Scott WK, Pericak-Vance MA, Haines JL. Consequences of a Rare Complement Factor H Variant for Age-Related Macular Degeneration in the Amish. Invest Ophthalmol Vis Sci 2022; 63:8. [PMID: 35930268 PMCID: PMC9363678 DOI: 10.1167/iovs.63.9.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Purpose Genetic variants in the complement factor H gene (CFH) have been consistently implicated in age-related macular degeneration (AMD) risk. However, their functional effects are not fully characterized. We previously identified a rare, AMD-associated variant in CFH (P503A, rs570523689) in 19 Amish individuals, but its functional consequences were not investigated. Methods We performed genotyping for CFH P503A in 1326 Amish individuals to identify additional risk allele carriers. We examined differences for age at AMD diagnosis between carriers and noncarriers. In blood samples from risk allele carriers and noncarriers, we quantified (i) CFH RNA expression, (ii) CFH protein expression, and (iii) C-reactive protein (CRP) expression. Potential changes to the CFH protein structure were interrogated computationally with Phyre2 and Chimera software programs. Results We identified 39 additional carriers from Amish communities in Ohio and Indiana. On average, carriers were younger than noncarriers at AMD diagnosis, but this difference was not significant. CFH transcript and protein levels in blood samples from Amish carriers and noncarriers were also not significantly different. CRP levels were also comparable in plasma samples from carriers and noncarriers. Computational protein modeling showed slight changes in the CFH protein conformation that were predicted to alter interactions between the CFH 503 residue and other neighboring residues. Conclusions In total, we have identified 58 risk allele carriers for CFH P503A in the Ohio and Indiana Amish. Although we did not detect significant differences in age at AMD diagnosis or expression levels of CFH in blood samples from carriers and noncarriers, we observed modest structural changes to the CFH protein through in silico modeling. Based on our functional and computational observations, we hypothesize that CFH P503A may affect CFH binding or function rather than expression, which would require additional research to confirm.
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Affiliation(s)
- Andrea R Waksmunski
- Department of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, United States.,Cleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, Ohio, United States.,Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
| | - Kristy Miskimen
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
| | - Yeunjoo E Song
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
| | - Michelle Grunin
- Cleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, Ohio, United States.,Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
| | - Renee Laux
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
| | - Denise Fuzzell
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
| | - Sarada Fuzzell
- Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
| | - Larry D Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, Florida, United States
| | - Laura Caywood
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, Florida, United States
| | - Michael Prough
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, Florida, United States
| | - Dwight Stambolian
- Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - William K Scott
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, Florida, United States
| | - Margaret A Pericak-Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, Florida, United States
| | - Jonathan L Haines
- Department of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, United States.,Cleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, Ohio, United States.,Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, United States
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3
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Rajabli F, Feliciano-Astacio BE, Cukier HN, Wang L, Griswold AJ, Hamilton-Nelson KL, Adams LD, Rodriguez VC, Mena PR, Tejada S, Celis K, Whitehead PL, Van Booven DJ, Hofmann NK, Bussies PL, Prough M, Chinea A, Feliciano NI, Vardarajan BN, Reitz C, Lee JH, Prince MJ, Jimenez IZ, Mayeux RP, Acosta H, Dalgard CL, Haines JL, Vance JM, Cuccaro ML, Beecham GW, Pericak-Vance MA. Linkage of Alzheimer disease families with Puerto Rican ancestry identifies a chromosome 9 locus. Neurobiol Aging 2021; 104:115.e1-115.e7. [PMID: 33902942 DOI: 10.1016/j.neurobiolaging.2021.02.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 02/08/2021] [Accepted: 02/23/2021] [Indexed: 12/30/2022]
Abstract
The genetic admixture of Caribbean Hispanics provides an opportunity to discover novel genetic factors in Alzheimer disease (AD). We sought to identify genetic variants for AD through a family-based design using the Puerto Rican (PR) Alzheimer Disease Initiative (PRADI). Whole-genome sequencing (WGS) and parametric linkage analysis were performed for 100 individuals from 23 multiplex PRADI families. Variants were prioritized by minor allele frequency (<0.01), functional potential [combined annotation dependent depletion score (CADD) >10], and co-segregation with AD. Variants were further ranked using an independent PR case-control WGS dataset (PR10/66). A genome-wide significant linkage peak was found in 9p21 with a heterogeneity logarithm of the odds score (HLOD) >5.1, which overlaps with an AD linkage region from two published independent studies. The region harbors C9orf72, but no expanded repeats were observed in the families. Seven variants prioritized by the PRADI families also displayed evidence for association in the PR10/66 (p < 0.05), including a missense variant in UNC13B. Our study demonstrated the importance of family-based design and WGS in genetic study of AD.
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Affiliation(s)
- Farid Rajabli
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | | | - Holly N Cukier
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA; Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Liyong Wang
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA; Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Anthony J Griswold
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA; Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Kara L Hamilton-Nelson
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Larry D Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Vanessa C Rodriguez
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Pedro R Mena
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Sergio Tejada
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Katrina Celis
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Patrice L Whitehead
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Derek J Van Booven
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Natalia K Hofmann
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Parker L Bussies
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Angel Chinea
- Universidad Central del Caribe, Bayamón, PR, USA
| | - Nereida I Feliciano
- Hospital De Psiquiatría Estatal Dr. Ramón Fernández Marina-Centro Médico, San Juan, PR, USA
| | - Badri N Vardarajan
- Departments of Neurology, Psychiatry, and Epidemiology, Gertrude H. Sergievsky Center, Taub Institute for Research on the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Christiane Reitz
- Departments of Neurology, Psychiatry, and Epidemiology, Gertrude H. Sergievsky Center, Taub Institute for Research on the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Joseph H Lee
- Departments of Neurology, Psychiatry, and Epidemiology, Gertrude H. Sergievsky Center, Taub Institute for Research on the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Martin J Prince
- Department of Epidemiological Psychiatry, Centre for Public Mental Health, Institute of Psychiatry, King's College, London, UK
| | | | - Richard P Mayeux
- Departments of Neurology, Psychiatry, and Epidemiology, Gertrude H. Sergievsky Center, Taub Institute for Research on the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | | | - Clifton L Dalgard
- Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Jonathan L Haines
- Department of Population & Quantitative Health Sciences, Cleveland Institute for Computational Biology, Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Jeffery M Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA; Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michael L Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA; Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Gary W Beecham
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA; Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Margaret A Pericak-Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA; Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA.
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4
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Ramos J, Chowdhury AR, Caywood LJ, Prough M, Denise Fuzzell M, Fuzzell S, Miskimen K, Whitehead PL, Adams LD, Laux R, Song Y, Ogrocki P, Lerner AJ, Vance JM, Haines JL, Scott WK, Pericak-Vance MA, Cuccaro ML. Lower Levels of Education Are Associated with Cognitive Impairment in the Old Order Amish. J Alzheimers Dis 2020; 79:451-458. [PMID: 33285633 DOI: 10.3233/jad-200909] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND Lower education has been reported to be associated with dementia. However, many studies have been done in settings where 12 years of formal education is the standard. Formal schooling in the Old Order Amish communities (OOA) ends at 8th grade which, along with their genetic homogeneity, makes it an interesting population to study the effect of education on cognitive impairment. OBJECTIVE The objective of this study was to examine the association of education with cognitive function in individuals from the OOA. We hypothesized that small differences in educational attainment at lower levels of formal education were associated with risk for cognitive impairment. METHODS Data of 2,426 individuals from the OOA aged 54-99 were analyzed. The Modified Mini-Mental State Examination (3MS-R) was used to classify participants as CI or normal. Individuals were classified into three education categories: <8, 8, and >8 years of education. To measure the association of education with cognitive status, a logistic regression model was performed adding age and sex as covariates. RESULTS Our results showed that individuals who attained lowest levels of education (<8 and 8) had a higher probability of becoming cognitvely impaired compared with people attending >8 years (OR = 2.96 and 1.85). CONCLUSION Even within a setting of low levels of formal education, small differences in educational attainment can still be associated with the risk of cognitive impairment. Given the homogeneity of the OOA, these results are less likely to be biased by differences in socioeconomic backgrounds.
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Affiliation(s)
- Jairo Ramos
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Aneesa R Chowdhury
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Laura J Caywood
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - M Denise Fuzzell
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Sarada Fuzzell
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Kristy Miskimen
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Patrice L Whitehead
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Larry D Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Renee Laux
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Yeunjoo Song
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Paula Ogrocki
- University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Alan J Lerner
- University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Jeffery M Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,The Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Jonathan L Haines
- Case Western Reserve University School of Medicine, Cleveland, OH, USA.,Cleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, OH, USA
| | - William K Scott
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,The Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Margaret A Pericak-Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,The Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michael L Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA.,The Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, FL, USA
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5
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Feliciano‐Astacio BE, Beecham GW, Silva C, Mena PR, Inciute JD, Tejada S, Adams LD, Rodriguez VC, Celis K, Prough M, Bussies P, Sierra‐Lopez CB, Contreras M, Manrique P, Feliciano NI, Chinea A, McCauley JL, Acosta H, Vance JM, Cuccaro ML, Pericak‐Vance MA. PRADI cohort case‐control study on related factors of Alzheimer’s disease. Alzheimers Dement 2020. [DOI: 10.1002/alz.046443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
| | | | | | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Jovita D. Inciute
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Sergio Tejada
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Vanessa C. Rodriguez
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Katrina Celis
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Parker Bussies
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | - Maricarmen Contreras
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Patricia Manrique
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | | | | | | | - Jeffery M. Vance
- Dr. John T. Macdonald Department of Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Michael L. Cuccaro
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Margaret A. Pericak‐Vance
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
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6
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Rajabli F, Adams LD, Tejada S, Rodriguez VC, Mena PR, Prough M, Bussies P, Feliciano NI, Silva‐Vergara C, Contreras M, Hamilton‐Nelson KL, Acosta H, Vance JM, Cuccaro ML, Feliciano‐Astacio BE, Beecham GW, Pericak‐Vance MA. Southern European genetic ancestry shows reduced APOE E4 risk for Alzheimer disease in Caribbean Hispanic population. Alzheimers Dement 2020. [DOI: 10.1002/alz.045951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Farid Rajabli
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Sergio Tejada
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Vanessa C. Rodriguez
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Parker Bussies
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | - Concepcion Silva‐Vergara
- Institute of Research Education and Services in Addiction (IRESA) Universidad Central del Caribe Bayamon PR USA
| | - Maricarmen Contreras
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Kara L. Hamilton‐Nelson
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | - Jeffery M. Vance
- Dr. John T. Macdonald Department of Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Michael L. Cuccaro
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | | | - Gary W. Beecham
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
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7
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Main LR, Song YE, Laux RA, Miskimen K, Cuccaro ML, Ogrocki P, Lerner AJ, Vance JM, Fuzzell MD, Fuzzell SL, Sewell JL, Lynn A, Caywood LJ, Prough M, Scott B, Adams LD, Clouse JE, Herington SD, Pericak‐Vance MA, Haines JL. Search for protective genetic variants in Alzheimer disease in the U.S. Midwestern Amish. Alzheimers Dement 2020. [DOI: 10.1002/alz.045350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Yeunjoo E. Song
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Renee A. Laux
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Kristy Miskimen
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Michael L. Cuccaro
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Paula Ogrocki
- University Hospitals Cleveland Medical Center Cleveland OH USA
| | - Alan J. Lerner
- Case Western Reserve University School of Medicine Cleveland OH USA
| | - Jeffery M. Vance
- Dr. John T. Macdonald Department of Genetics University of Miami Miller School of Medicine Miami FL USA
| | - M. Denise Fuzzell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Sarada L. Fuzzell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Jane L. Sewell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Audrey Lynn
- Case Western Reserve University Cleveland OH USA
| | - Laura J. Caywood
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | | | | | - Sharlene D. Herington
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
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8
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Silva C, Mena PR, Tejada S, Adams LD, Rodriguez VC, Celis K, Prough M, Bussies P, Sierra‐Lopez CB, Contreras M, Manrique P, Feliciano NI, Chinea A, McCauley JL, Acosta H, Vance JM, Cuccaro ML, Beecham GW, Pericak‐Vance MA, Feliciano‐Astacio BE. Recruitment strategies for the genetics of Alzheimer disease in the Puerto Rican population. Alzheimers Dement 2020. [DOI: 10.1002/alz.043468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
| | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Sergio Tejada
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Larry D Adams
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Vanessa C Rodriguez
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Katrina Celis
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Parker Bussies
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | - Maricarmen Contreras
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Patricia Manrique
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | | | | | | | - Jeffery M Vance
- Dr. John T. Macdonald Department of Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Michael L Cuccaro
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Gary W Beecham
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
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9
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Song YE, Miskimen K, Laux RA, Fuzzell MD, Fuzzell SL, Sewell JL, Miller SD, Adams LD, Caywood LJ, Prough M, Close JE, Herington SD, Slifer SH, Ramos J, Vance JM, Cuccaro ML, Ogrocki PK, Lerner AJ, Scott WK, Pericak‐Vance MA, Haines JL. Longitudinal assessment of cognitive decline in the Amish. Alzheimers Dement 2020. [DOI: 10.1002/alz.043440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Yeunjoo E. Song
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Kristy Miskimen
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Renee A. Laux
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - M. Denise Fuzzell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Sarada L. Fuzzell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Jane L. Sewell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Sherri D. Miller
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Laura J. Caywood
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Jason E. Close
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Sharlene D. Herington
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Susan H. Slifer
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Jairo Ramos
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Jeffery M. Vance
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Michael L. Cuccaro
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | | | - Alan J. Lerner
- Brain Health and Memory Center University Hospital Cleveland OH USA
| | - William K. Scott
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Margaret A. Pericak‐Vance
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Jonathan L. Haines
- Cleveland Institute for Computational Biology Case Western Reserve University Cleveland OH USA
- Case Western Reserve University School of Medicine Cleveland OH USA
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10
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Ramos J, Jaworski J, Adams LD, Laux RA, Caywood LJ, Prough M, Clouse JE, Herington SD, Slifer SH, Fuzzell MD, Fuzzell SL, Sewell JL, Miller SD, Song YE, Miskimen K, Main LR, Ogrocki P, Lerner AJ, Vance JM, Cuccaro ML, Haines JL, Pericak‐Vance MA, Scott WK. Joint linkage and association mapping of preserved cognition in the old‐order Amish. Alzheimers Dement 2020. [DOI: 10.1002/alz.046416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Jairo Ramos
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - James Jaworski
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Renee A. Laux
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Laura J. Caywood
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | - Sharlene D. Herington
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Susan H. Slifer
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - M. Denise Fuzzell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Sarada L. Fuzzell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Jane L. Sewell
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Sherri D. Miller
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Yeunjoo E. Song
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | - Kristy Miskimen
- Department of Population and Quantitative Health Sciences Case Western Reserve University Cleveland OH USA
| | | | - Paula Ogrocki
- University Hospitals Cleveland Medical Center Cleveland OH USA
| | - Alan J. Lerner
- Case Western Reserve University School of Medicine Cleveland OH USA
| | - Jeffery M. Vance
- Dr. John T. Macdonald Department of Genetics University of Miami Miller School of Medicine Miami FL USA
| | - Michael L. Cuccaro
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | | | | | - William K. Scott
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
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11
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Tejada SJ, Rajabli F, Mena PR, Martin ER, Rodriguez VC, Celis K, Adams LD, Bussies P, Prough M, Hamilton‐Nelson KL, Silva‐Vergara C, Acosta H, Vance JM, Feliciano‐Astacio BE, Beecham GW, Pericak‐Vance MA, Cuccaro ML. The effect of global ancestry and diabetes on the 3MS score in older Puerto Ricans. Alzheimers Dement 2020. [DOI: 10.1002/alz.046051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | - Farid Rajabli
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Eden R. Martin
- University of Miami Miller School of Medicine Miami FL USA
| | - Vanessa C. Rodriguez
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Katrina Celis
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Parker Bussies
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | - Kara L. Hamilton‐Nelson
- John P. Hussman Institute for Human Genomics University of Miami Miller School of Medicine Miami FL USA
| | | | | | - Jeffery M. Vance
- Dr. John T. Macdonald Department of Genetics University of Miami Miller School of Medicine Miami FL USA
| | | | - Gary W. Beecham
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
| | | | - Michael L. Cuccaro
- Dr. John T. Macdonald Foundation Department of Human Genetics University of Miami Miller School of Medicine Miami FL USA
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12
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Ramos J, Caywood LJ, Prough M, Fuzzell MD, Fuzzell S, Miskimen K, Whitehead PL, Adams LD, Laux R, Song Y, Ogrocki P, Lerner AJ, Vance JM, Scott WK, Pericak-Vance MA, Cuccaro ML. P3-140: PROTECTIVE EFFECT OF EDUCATION ON COGNITIVE FUNCTION IN THE OLD ORDER AMISH. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.3168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Jairo Ramos
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | | | - Michael Prough
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - M. Denise Fuzzell
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Sarada Fuzzell
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Kristy Miskimen
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | | | - Larry D. Adams
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Renee Laux
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Yeunjoo Song
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Paula Ogrocki
- University Hospitals Cleveland Medical Center; Cleveland OH USA
| | - Alan J. Lerner
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Jeffery M. Vance
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - William K. Scott
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Margaret A. Pericak-Vance
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
- The Dr. John T. Macdonald Foundation Department of Human Genetics; University of Miami Miller School of Medicine; Miami FL USA
| | - Michael L. Cuccaro
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
- The Dr. John T. Macdonald Foundation Department of Human Genetics; University of Miami Miller School of Medicine; Miami FL USA
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13
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Rajabli F, Feliciano-Astacio BE, Celis K, Hamilton-Nelson KL, Adams LD, Rodriguez VC, Mena PR, Whitehead PL, Hofmann NK, Bussies P, Prough M, Sierra-Lopez CB, Acosta H, Chinea A, Feliciano NI, Vance JM, Cuccaro ML, Beecham GW, Pericak-Vance MA. P2-140: GENOME-WIDE LINKAGE ANALYSIS OF CARIBBEAN HISPANIC PUERTO RICAN FAMILIES SUPPORTS EVIDENCE OF LINKAGE TO C9ORF72 REGION OF CHROMOSOME 9. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.2547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Farid Rajabli
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | | | - Katrina Celis
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Kara L. Hamilton-Nelson
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Vanessa C. Rodriguez
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Patrice L. Whitehead
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Natalia K. Hofmann
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Parker Bussies
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Michael Prough
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | | | | | | | - Nereida I. Feliciano
- Hospital De Psiquiatría Estatal Dr. Ramón Fernández Marina-Centro Médico; San Juan PR USA
| | - Jeffery M. Vance
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics; University of Miami; Miami FL USA
| | - Michael L. Cuccaro
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics; University of Miami; Miami FL USA
| | - Gary W. Beecham
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
- The Dr. John T. Macdonald Foundation Department of Human Genetics; University of Miami Miller School of Medicine; Miami FL USA
| | - Margaret A. Pericak-Vance
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
- The Dr. John T. Macdonald Foundation Department of Human Genetics; University of Miami Miller School of Medicine; Miami FL USA
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14
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Main LR, Disher MC, Song Y, Laux R, Miskimen K, Cuccaro ML, Ogrocki P, Lerner AJ, Vance JM, Fuzzell MD, Fuzzell S, Sewell J, Caywood LJ, Prough M, Scott B, Pericak-Vance MA, Haines JL. P3-135: PROTECTIVE GENETIC VARIANTS IN THE MIDWESTERN AMISH. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.3163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Leighanne R. Main
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | | | - Yeunjoo Song
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Renee Laux
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Kristy Miskimen
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Michael L. Cuccaro
- University of Miami; Miami FL USA
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - Paula Ogrocki
- University Hospitals Cleveland Medical Center; Cleveland OH USA
| | - Alan J. Lerner
- Case Western Reserve University School of Medicine; Cleveland OH USA
- University Hospitals Cleveland Medical Center; Cleveland OH USA
| | - Jeffery M. Vance
- University of Miami; Miami FL USA
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | - M Denise Fuzzell
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Sarada Fuzzell
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | - Jane Sewell
- Case Western Reserve University School of Medicine; Cleveland OH USA
| | | | - Michael Prough
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
| | | | - Margaret A. Pericak-Vance
- John P. Hussman Institute for Human Genomics; University of Miami Miller School of Medicine; Miami FL USA
- The Dr. John T. Macdonald Foundation Department of Human Genetics; University of Miami Miller School of Medicine; Miami FL USA
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15
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Feliciano-Astacio BE, Celis K, Ramos J, Rajabli F, Adams LD, Rodriguez A, Rodriguez V, Bussies PL, Sierra C, Manrique P, Mena PR, Grana A, Prough M, Hamilton-Nelson KL, Feliciano N, Chinea A, Acosta H, McCauley JL, Vance JM, Beecham GW, Pericak-Vance MA, Cuccaro ML. The Puerto Rico Alzheimer Disease Initiative (PRADI): A Multisource Ascertainment Approach. Front Genet 2019; 10:538. [PMID: 31275353 PMCID: PMC6593074 DOI: 10.3389/fgene.2019.00538] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 05/17/2019] [Indexed: 11/28/2022] Open
Abstract
Introduction Puerto Ricans, the second largest Latino group in the continental US, are underrepresented in genomic studies of Alzheimer disease (AD). To increase representation of this group in genomic studies of AD, we developed a multisource ascertainment approach to enroll AD patients, and their family members living in Puerto Rico (PR) as part of the Alzheimer’s Disease Sequencing Project (ADSP), an international effort to advance broader personalized/precision medicine initiatives for AD across all populations. Methods The Puerto Rico Alzheimer Disease Initiative (PRADI) multisource ascertainment approach was developed to recruit and enroll Puerto Rican adults aged 50 years and older for a genetic research study of AD, including individuals with cognitive decline (AD, mild cognitive impairment), their similarly, aged family members, and cognitively healthy unrelated individuals age 50 and up. Emphasizing identification and relationship building with key stakeholders, we conducted ascertainment across the island. In addition to reporting on PRADI ascertainment, we detail admixture analysis for our cohort by region, group differences in age of onset, cognitive level by region, and ascertainment source. Results We report on 674 individuals who met standard eligibility criteria [282 AD-affected participants (42% of the sample), 115 individuals with mild cognitive impairment (MCI) (17% of the sample), and 277 cognitively healthy individuals (41% of the sample)]. There are 43 possible multiplex families (10 families with 4 or more AD-affected members and 3 families with 3 AD-affected members). Most individuals in our cohort were ascertained from the Metro, Bayamón, and Caguas health regions. Across health regions, we found differences in ancestral backgrounds, and select clinical traits. Discussion The multisource ascertainment approach used in the PRADI study highlights the importance of enlisting a broad range of community resources and providers. Preliminary results provide important information about our cohort that will be useful as we move forward with ascertainment. We expect that results from the PRADI study will lead to a better understanding of genetic risk for AD among this population.
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Affiliation(s)
| | - Katrina Celis
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Jairo Ramos
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Farid Rajabli
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Larry Deon Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Alejandra Rodriguez
- Department of Internal Medicine, Universidad Central Del Caribe, Bayamón, PR, United States
| | - Vanessa Rodriguez
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Parker L Bussies
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Carolina Sierra
- Department of Internal Medicine, Universidad Central Del Caribe, Bayamón, PR, United States
| | - Patricia Manrique
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Pedro R Mena
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Antonella Grana
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Michael Prough
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Kara L Hamilton-Nelson
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | | | - Angel Chinea
- Department of Internal Medicine, Universidad Central Del Caribe, Bayamón, PR, United States
| | | | - Jacob L McCauley
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Jeffery M Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Gary W Beecham
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Margaret A Pericak-Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Michael L Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, United States
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16
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Abstract
BACKGROUND The World Economic Forum (2011) concluded that the economic impact of mental illness is the single most important contributor among all non-communicable diseases to loss of productivity. The 21 economies represented by Asia Pacific Economic Cooperation (APEC) responded to that information with efforts to address mental health as an integral component of economic development. AIM In order to help assess the progress of APEC region compared to other regions of the world, the World Health Organization (WHO) granted us access to a subset of the 2014 Mental Health Atlas database containing health indicators from all 21 APEC economies. METHODS APEC-specific data were extracted using the same format used by WHO in its Mental Health Atlas to compare/contrast data in APEC versus the six WHO regions of the world. RESULTS It was observed that mental health workforces in APEC include a higher number of psychiatrist providers compared with WHO regions. Suicide rates reported in three APEC economies are among the highest in the world. All APEC economies continue their individual and coordinated efforts to support their ' APEC Roadmap to Promote Mental Wellness in a Healthy Asia Pacific (2014-2020)'. CONCLUSION Significant challenges for APEC members exist to coordinate regional efforts to improve mental health due to highly variable income levels, existing health infrastructures and social preferences. The findings in this report may serve as a helpful baseline for measuring success within the APEC region by 2020, the year in which progress in support of economic development will be reassessed.
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Affiliation(s)
- Michael Kron
- 1 Division of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
| | | | - John Idso
- 2 Medical College of Wisconsin, Milwaukee, WI, USA
| | | | | | - Scott Klein
- 3 University of Notre Dame, Notre Dame, IN, USA
| | - John Nida
- 3 University of Notre Dame, Notre Dame, IN, USA
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