Genome‐wide association studies of TDP‐43 proteinopathy and hippocampal sclerosis reveal shared genetic associations with APOE and TMEM106B
Dana Godrich, Jeremy Pasteris, Eden R. Martin, Brian W. Kunkle, Adam Christian Naj, Kara Hamilton, Hui Wang, Wan‐Ping Lee et al.. Alzheimer s & Dementia, 2025-11-01
Topic: Brain proteins, microglia and lab models
Plain-language summary
Two regions achieved genome-wide significance with TDP-43: apolipoprotein E (APOE) and TMEM106B. Three loci reached genome-wide significance with HS: APOE, TMEM106B, and granulin precursor (GRN). Fine mapping of TMEM106B identified 93 variants in the credible set. Mediation analyses showed that genetic effects on HS were partially mediated through TDP-43 proteinopathy. We identified associations with TDP-43 inclusion and HS, showing shared genetic risk across frontotemporal lobar degeneration, amyotrophic lateral sclerosis, Alzheimer's disease, and limbic-predominant age-related TDP-43 encephalopathy. HIGHLIGHTS: HS and TDP-43 contribute to dementia and often co-occur. The etiology and relationship of HS and TDP-43 remains unclear. HS and TDP-43 share genetic risk factors in the genes APOE and TMEM106B. Genes have direct effects on HS, with additional effects mediated through TDP-43.
What this study adds
Evidence grade: High
This is a pooled review of 9,509 participants. This genetic study found that TDP-43 proteinopathy and hippocampal sclerosis share risk genes, including APOE and TMEM106B, with effects on hippocampal sclerosis partly mediated through TDP-43. It identifies shared genetic risk factors but does not test any treatment, cure, or prevention.
Taken from this record’s own fields, not from reading the paper. The grade is assigned from the abstract’s wording; what that means.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Godrich, D., Pasteris, J., Martin, E. R., Kunkle, B. W., Naj, A. C., Hamilton, K., et al. (2025). Genome‐wide association studies of TDP‐43 proteinopathy and hippocampal sclerosis reveal shared genetic associations with APOE and TMEM106B. Alzheimer s & Dementia. https://doi.org/10.1002/alz.70760
Vancouver
Godrich D, Pasteris J, Martin ER, Kunkle BW, Naj AC, Hamilton K, et al. Genome‐wide association studies of TDP‐43 proteinopathy and hippocampal sclerosis reveal shared genetic associations with APOE and TMEM106B. Alzheimer s & Dementia. 2025. doi:10.1002/alz.70760. PMID: 41208712.
BibTeX
@article{godrich2025-41208712,
author = {Godrich, Dana and Pasteris, Jeremy and Martin, Eden R. and Kunkle, Brian W. and Naj, Adam Christian and Hamilton, Kara and Wang, Hui and Lee, Wan‐Ping and others},
title = {{Genome‐wide association studies of TDP‐43 proteinopathy and hippocampal sclerosis reveal shared genetic associations with APOE and TMEM106B}},
journal = {Alzheimer s \& Dementia},
year = {2025},
doi = {10.1002/alz.70760},
pmid = {41208712},
url = {https://doi.org/10.1002/alz.70760}
}
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Key findings
- Two regions achieved genome-wide significance with TDP-43: apolipoprotein E (APOE) and TMEM106B.
- Three loci reached genome-wide significance with HS: APOE, TMEM106B, and granulin precursor (GRN).
- Fine mapping of TMEM106B identified 93 variants in the credible set.
- Mediation analyses showed that genetic effects on HS were partially mediated through TDP-43 proteinopathy.
- We identified associations with TDP-43 inclusion and HS, showing shared genetic risk across frontotemporal lobar degeneration, amyotrophic lateral sclerosis, Alzheimer's disease, and limbic-predominant age-related TDP-43 encephalopathy.
Why it matters
This genetic study found that TDP-43 proteinopathy and hippocampal sclerosis share risk genes, including APOE and TMEM106B, with effects on hippocampal sclerosis partly mediated through TDP-43. It identifies shared genetic risk factors but does not test any treatment, cure, or prevention.
New to this subject? Start with our plain-English guide: Genetics →
Study details
- Study designmeta-analysis
- Participants9,509
- Evidence strengthHigh
How this study scored 68/100
Published in a peer-reviewed journal, and it is a meta-analysis pooling many studies. Scored zero for effect reported because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 12 / 12 | A meta-analysis pooling many studies |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 3 / 4 | 9,509 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | A review of other studies — randomization is not credited here |
| Times cited | 2 / 7 | Cited 9 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 3.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 5.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 1 / 4 | Cited 9 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Gary W. Beecham: h-index 53 (OpenAlex, whole career) |
| Institution's track record | 3 / 3 | University of Washington: institution h-index 3,540 (OpenAlex) |
| Multicenter collaboration | 3 / 3 | OpenAlex lists 15 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41208712) |
| Free to read | 2 / 2 | Free to read |
| Total | 68 / 100 | — |
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