Genetic risk factors for variant Creutzfeldt–Jakob disease: a genome-wide association study
2009

Genetic Risk Factors for Variant Creutzfeldt–Jakob Disease

Sample size: 5183 publication 10 minutes Evidence: high

Author Information

Author(s): Simon Mead, Mark Poulter, James Uphill, John Beck, Jerome Whitfield, Thomas Webb, Tracy Campbell, Gary Adamson, Pelagia Deriziotis, Sarah Tabrizi, Holger Hummerich, Claudio Verzilli, Michael Alpers, John Whittaker, John Collinge

Primary Institution: Medical Research Council Prion Unit and Department of Neurodegenerative Disease, Institute of Neurology, Queen Square, London, UK

Hypothesis

What genetic factors contribute to the risk of variant Creutzfeldt–Jakob disease (vCJD)?

Conclusion

The study identified the PRNP codon 129 as the main genetic risk factor for vCJD, along with additional candidate loci.

Supporting Evidence

  • The PRNP locus was strongly associated with risk across several markers.
  • Best single SNP association in vCJD was p=2·5×10−17.
  • Another SNP upstream of RARB had nominal genome-wide significance (p=1·9×10−7).
  • Expression of Stmn2 was reduced 30-fold post-infection in a mouse model.

Takeaway

Scientists found that a specific gene is linked to a disease called variant Creutzfeldt–Jakob disease, which can be caused by eating infected meat.

Methodology

A genome-wide association study was conducted with samples from patients with vCJD and various control groups.

Potential Biases

Potential bias due to the rarity of the disease and the use of amplified DNA in some cases.

Limitations

The study's power was limited by the small size of the vCJD sample and the use of an early generation platform.

Participant Demographics

Patients were primarily white British, with a mean age of disease onset of 29.8 years for vCJD.

Statistical Information

P-Value

p=2·5×10−17

Confidence Interval

95% CI 9·6–155·2

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/S1474-4422(08)70265-5

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