Evidence map›Paper›PMID 37115753›Full record

ArticlePloS one2023

What does heritability of Alzheimer's disease represent?

Emily Baker, Ganna Leonenko, Karl Michael Schmidt, Matthew Hill, Amanda J Myers, Maryam Shoai, Itziar de Rojas, Niccoló Tesi, Henne Holstege, Wiesje M van der Flier and 5 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
13.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Cross-ancestry polygenic risk scores enhance Alzheimer's disease risk prediction in multiethnic cohorts.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Dissecting Alzheimer's disease heritability across populations.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  8. Article
  9. Genetic Burden andJournal of personalized medicine · 2026
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 4 countries.

Emily BakerDivision of Neuroscience and Mental Health, School of Medicine, Cardiff University, Cardiff, United Kingdom.ORCID 0000-0001-5691-597X
Ganna LeonenkoDivision of Neuroscience and Mental Health, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Karl Michael SchmidtSchool of Mathematics, Cardiff University, Cardiff, United Kingdom.
Matthew HillDementia Research Institute, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Amanda J MyersDepartment of Cell Biology, Miller School of Medicine, University of Miami, Coral Gables, FL, United States of America.
Maryam ShoaiInstitute of Neurology, University College London, London, United Kingdom.
Itziar de RojasResearch Center and Memory Clinic, ACE Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.ORCID 0000-0002-2148-381X
Niccoló TesiGenomics of Neurodegenerative Diseases and Aging, Human Genetics, Vrije Universiteit Amsterdam, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.
Henne HolstegeGenomics of Neurodegenerative Diseases and Aging, Human Genetics, Vrije Universiteit Amsterdam, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.ORCID 0000-0002-7688-3087
Wiesje M van der FlierAmsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands.ORCID 0000-0001-8766-6224
Yolande A L PijnenburgAmsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands.
Agustin RuizResearch Center and Memory Clinic, ACE Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.
John HardyInstitute of Neurology, University College London, London, United Kingdom.
Sven van der LeeGenomics of Neurodegenerative Diseases and Aging, Human Genetics, Vrije Universiteit Amsterdam, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.
Valentina Escott-PriceDivision of Neuroscience and Mental Health, School of Medicine, Cardiff University, Cardiff, United Kingdom.ORCID 0000-0003-1784-5483
Amsterdam Neuroscience · NLUK Dementia Research Institute · GBCardiff University · GBInstituto de Salud Carlos III · ESUniversity College London · GBUniversity of Miami · US

Funding

Medical Research Council MR/L010305/1Medical Research Council MR/T033371/1Medical Research Council MR/T04604X/1
6 · The paper itself

Abstract

introductionBoth late-onset Alzheimer's disease (AD) and ageing have a strong genetic component. In each case, many associated variants have been discovered, but how much missing heritability remains to be discovered is debated. Variability in the estimation of SNP-based heritability could explain the differences in reported heritability.

methodsWe compute heritability in five large independent cohorts (N = 7,396, 1,566, 803, 12,528 and 3,963) to determine whether a consensus for the AD heritability estimate can be reached. These cohorts vary by sample size, age of cases and controls and phenotype definition. We compute heritability a) for all SNPs, b) excluding APOE region, c) excluding both APOE and genome-wide association study hit regions, and d) SNPs overlapping a microglia gene-set.

resultsSNP-based heritability of late onset Alzheimer's disease is between 38 and 66% when age and genetic disease architecture are correctly accounted for. The heritability estimates decrease by 12% [SD = 8%] on average when the APOE region is excluded and an additional 1% [SD = 3%] when genome-wide significant regions were removed. A microglia gene-set explains 69-84% of our estimates of SNP-based heritability using only 3% of total SNPs in all cohorts.

conclusionThe heritability of neurodegenerative disorders cannot be represented as a single number, because it is dependent on the ages of cases and controls. Genome-wide association studies pick up a large proportion of total AD heritability when age and genetic architecture are correctly accounted for. Around 13% of SNP-based heritability can be explained by known genetic loci and the remaining heritability likely resides around microglial related genes.

Indexed as

Alzheimer DiseaseGenome-Wide Association StudyApolipoproteins EGenetic LociGenetic Predisposition to DiseaseHumansPolymorphism, Single NucleotideApolipoproteins E

Identifiers

PMID37115753
PMCPMC10146480
OpenAlexW4367309356

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.