Novel early‐onset Alzheimer‐associated genes influence risk through dysregulation of glutamate, immune activation, and intracell signaling pathways
Joseph L. Bradley, Daniel Western, Ciyang Wang, Eder Lúcio da Fonseca, Asmita Neupane, Jiji Thulaseedhara Kurup, Nicholas R. Ray, Melissa N. Jean‐Francois et al.. Alzheimer s & Dementia, 2025-12-01
Topic: Amyloid, tau and blood-test diagnosis
Abstract Background Alzheimer Disease (AD) is a highly polygenic dementia that presents with relatively earlier onset (≤65yo; EOAD) in about 5% of cases. Around 90% of these EOAD cases remain unexplained by pathogenic mutations. Method We used data from EOAD cases ≤ 70 and controls > 70 to ensure they would not develop AD. genome‐wide association study (GWAS) and trans‐ancestry meta‐analysis were performed for non‐Hispanic European (EUR, N Case =6,282, N Control =13,386), African (AFR N Case =782, N Control =3,663) and East Asian (ASN: N Case =375, N Control =838 CO) ancestries. We performed QTL mapping and in‐silico annotation to identify the functional gene for each genome‐wide loci, and PRS and LDSC to compare the genetic architecture of EOAD vs LOAD Result We identified a total of 15 genome‐wide significant loci, 7 already reported to be associated with LOAD and 8 novel loci. Of the novel loci: six were found in the ancestry‐specific analyses and two in the trans‐ancestry analysis. By integrating gene‐based analysis, eQTL, pQTL and functional annotations, we nominate four novel functional genes ( CDH12, FOLH1, ALG10B and LRRC25 ) for four loci that are involved in microglia activation, glutamate production, and signaling pathways. LOAD‐derived PRS showed a strong association with EOAD (R 2 =0.170, p <10 ‐300 , and R 2 =0.048, p = 1.20×10 ‐143 : for PRS with and without APOE ). LDSC found strong overall genetic covariance between EOAD and LOAD (rg=0.791, p = 6.80×10 ‐12 ) Conclusion These results indicate that EOAD, although sharing many genes with LOAD, harbors unique genes and pathways that could be used to create better prediction models or target identification for this type of AD.
Key findings
- We performed QTL mapping and in‐silico annotation to identify the functional gene for each genome‐wide loci, and PRS and LDSC to compare the genetic architecture of EOAD vs LOAD Result We identified a total of 15 genome‐wide significant loci, 7 already reported to be associated with LOAD and 8 novel loci.
- LDSC found strong overall genetic covariance between EOAD and LOAD (rg=0.791, p = 6.80×10 ‐12 ) Conclusion These results indicate that EOAD, although sharing many genes with LOAD, harbors unique genes and pathways that could be used to create better prediction models or target identification for this type of AD.
Why it matters
Eight novel genome-wide significant loci for early-onset Alzheimer's disease were identified, with four functional genes involved in microglia activation, glutamate production, and signaling pathways. Early-onset Alzheimer's shares many genes with late-onset but harbors unique genetic contributors.
New to this subject? Start with our plain-English guide: Genetics →
Study details
- Participants15
- Evidence strengthLow
How this study scored 38/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it. We have no data on senior author's track record, so that was left out: it earned 36 of the 96 points we could judge it on, which is 38 out of 100.
| 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 | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” 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 | 1 / 4 | 15 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) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | — / 4 | OpenAlex's profile for last-listed author Gary W Beecham holds only 5 work(s), too few to judge a track record — left out of this score |
| Institution's track record | 2 / 3 | Washington University in St. Louis: institution h-index 1,962 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 9 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41444475) |
| Free to read | 2 / 2 | Free to read |
| Points | 36 / 96 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 36 of the 96 points we could judge it on is 38 out of 100. |
| Total | 38 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1002/alz70855_107379
- PubMed: 41444475
- Original source →
- Free full text: Alzheimer s & Dementia →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Bradley, J. L., Western, D., Wang, C., da Fonseca, E. L., Neupane, A., Kurup, J. T., et al. (2025). Novel early‐onset Alzheimer‐associated genes influence risk through dysregulation of glutamate, immune activation, and intracell signaling pathways. Alzheimer s & Dementia. https://doi.org/10.1002/alz70855_107379
Vancouver
Bradley JL, Western D, Wang C, da Fonseca EL, Neupane A, Kurup JT, et al. Novel early‐onset Alzheimer‐associated genes influence risk through dysregulation of glutamate, immune activation, and intracell signaling pathways. Alzheimer s & Dementia. 2025. doi:10.1002/alz70855_107379. PMID: 41444475.
BibTeX
@article{bradley2025-41444475,
author = {Bradley, Joseph L. and Western, Daniel and Wang, Ciyang and da Fonseca, Eder Lúcio and Neupane, Asmita and Kurup, Jiji Thulaseedhara and Ray, Nicholas R. and Jean‐Francois, Melissa N. and others},
title = {{Novel early‐onset Alzheimer‐associated genes influence risk through dysregulation of glutamate, immune activation, and intracell signaling pathways}},
journal = {Alzheimer s \& Dementia},
year = {2025},
doi = {10.1002/alz70855_107379},
pmid = {41444475},
url = {https://doi.org/10.1002/alz70855_107379}
}
Related studies in Genetics
Also tagged “amyloid-beta”
1,339 studies in the library carry the topic tag “amyloid-beta”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 1,339 tagged studies.