A 22-single nucleotide polymorphism Alzheimer's disease risk score correlates with family history, onset age, and cerebrospinal fluid Aβ42  Kristel Sleegers,

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A 22-single nucleotide polymorphism Alzheimer's disease risk score correlates with family history, onset age, and cerebrospinal fluid Aβ42  Kristel Sleegers, Karolien Bettens, Arne De Roeck, Caroline Van Cauwenberghe, Elise Cuyvers, Jan Verheijen, Hanne Struyfs, Jasper Van Dongen, Steven Vermeulen, Sebastiaan Engelborghs, Mathieu Vandenbulcke, Rik Vandenberghe, Peter Paul De Deyn, Christine Van Broeckhoven  Alzheimer's & Dementia: The Journal of the Alzheimer's Association  Volume 11, Issue 12, Pages 1452-1460 (December 2015) DOI: 10.1016/j.jalz.2015.02.013 Copyright © 2015 The Authors Terms and Conditions

Fig. 1 Comparison of the discriminative ability of different models of GRS for AD. (A) Receiver operating characteristic (ROC) curves for the six GRS models detailed in Table 1, based on the AD and control cohort. Area under the curve (AUC) for APOE-S: 0.65, APOE-A: 0.67; ALL-WA: 0.70; ALL-WS: 0.68; ALL-C: 0.60, and OTH-W: 0.58. (B) Odds ratios (OR) of AD are presented with 95% confidence intervals (CI) for each quantile of ModelALL-WA, with the third (20% average GRS) quantile as reference. The x-axis gives numbers for increasing quantiles. *denotes a P value of <1.0e−15 based on Cochran-Armitage test for trend. Abbreviations: GRS, genetic risk score; AD, Alzheimer's disease; wGRS, weighted genetic risk score. Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2015 11, 1452-1460DOI: (10.1016/j.jalz.2015.02.013) Copyright © 2015 The Authors Terms and Conditions

Fig. 2 GRS and family history of AD. (A) ROC curves for familial AD (FAD) patients (defined by at least one first degree relative with dementia, n = 206) versus controls and sporadic AD (SAD) patients (n = 899) versus controls. ROC curves for FAD based on ModelALL-WA (black curve; AUC = 0.78) and ModelAPOE-A (green curve; AUC = 0.76); ROC curves for SAD based on ModelALL-WA (red; AUC = 0.68) and ModelAPOE-A (blue; AUCAPOE = 0.65). (B) The percentage of familial AD (blue, n = 206), sporadic AD patients (red, n = 899), and control subjects (green, n = 1019) is shown per quantile. **denotes a P value of <1.0e−15 based on Cochran-Armitage test for trend when comparing FAD to SAD patients; *OR, 2.03 (95% CI, 1.27–3.27; P, .004) for positive family history of AD when comparing the upper fifth with the center fifth. Abbreviations: GRS, genetic risk score; AD, Alzheimer's disease; ROC, receiver operating characteristic; AUC, area under the curve; OR, odds ratio; CI, confidence interval. Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2015 11, 1452-1460DOI: (10.1016/j.jalz.2015.02.013) Copyright © 2015 The Authors Terms and Conditions

Fig. 3 Negative correlation between GRS and onset age in patients. Scatterplot of onset age (y-axis) and GRS (x-axis). A regression line is presented with 95% CI. The association between onset age and GRS was determined using ModelALL-WS without incorporated age weights. Abbreviations: GRS, genetic risk score; CI, confidence interval. Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2015 11, 1452-1460DOI: (10.1016/j.jalz.2015.02.013) Copyright © 2015 The Authors Terms and Conditions

Fig. 4 GRS-CSF biomarker correlations. Scatterplots of GRS ModelALL-WA with patient CSF concentrations of (A) Aβ1–42, (B) T-tau, and (C) P-tau181P. Regression lines are presented with 95% CI. Abbreviations: GRS, genetic risk score; CSF, cerebrospinal fluid; CI, confidence interval. Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2015 11, 1452-1460DOI: (10.1016/j.jalz.2015.02.013) Copyright © 2015 The Authors Terms and Conditions

Supplementary Figure S1 Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2015 11, 1452-1460DOI: (10.1016/j.jalz.2015.02.013) Copyright © 2015 The Authors Terms and Conditions

Supplementary Figure S2 Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2015 11, 1452-1460DOI: (10.1016/j.jalz.2015.02.013) Copyright © 2015 The Authors Terms and Conditions

Supplementary Figure S3 Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2015 11, 1452-1460DOI: (10.1016/j.jalz.2015.02.013) Copyright © 2015 The Authors Terms and Conditions