Evidence map›Paper›PMID 40185916›Full record

ArticleScientific reports2025

Exome sequencing of a Portuguese cohort of early-onset Alzheimer's disease implicates the X-linked lysosomal gene GLA.

Miguel Tábuas-Pereira, José Brás, Ricardo Taipa, Kelly Del Tredici, Kimberly Paquette, Sophia Chaudhry, Kaitlyn DenHaan, João Durães, Marisa Lima, Catarina Bernardes and 5 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Miguel Tábuas-PereiraFaculty of Medicine, University of Coimbra, Coimbra, Portugal. miguelatcp@gmail.com.
José BrásDepartment of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.
Ricardo TaipaPortuguese Brain Bank, Department of Neuropathology, Department of Neurosciences, Centro Hospitalar Universitário do Porto, Largo Prof. Abel Salazar, Porto, 4099-001, Portugal.
Kelly Del TrediciClinical Neuroanatomy Section, Department of Neurology, University of Ulm, 89081, Ulm, Germany.
Kimberly PaquetteDepartment of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.
Sophia ChaudhryDepartment of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.
Kaitlyn DenHaanDepartment of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.
João DurãesFaculty of Medicine, University of Coimbra, Coimbra, Portugal.
Marisa LimaCentro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Catarina BernardesCentro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Susana CarmonaDementia Research Institute, UCL, London, United Kingdom.
Inês BaldeirasFaculty of Medicine, University of Coimbra, Coimbra, Portugal.
Rosário AlmeidaFaculty of Medicine, University of Coimbra, Coimbra, Portugal.
Isabel Santana *Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Rita Guerreiro *Department of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.

Funding

Alzheimer's disease genetic architecture in the Portuguese populationR01AG067426 · NIA · VAN ANDEL RESEARCH INSTITUTE · PI GUERREIRO, RITA · 2020 to 2023
$3.1M
NIA NIH HHS R01 AG067426NIA NIH HHS R01AG067426
6 · The paper itself

Abstract

Cerebrovascular disease is a common comorbidity in patients with Alzheimer's disease (AD) and other dementias. Accumulating evidence suggests that dysfunction of the cerebral vasculature and AD neuropathology interact in multiple ways. Additionally, common variants in COL4A1 and rare variants in HTRA1, NOTCH3, COL4A1, and CST3 have been associated with AD pathogenesis. We aimed to search for rare genetic variants in genes associated with monogenic small vessel disease in a cohort of Portuguese early-onset AD patients. We performed whole-exome sequencing in 104 thoroughly studied patients with early-onset AD who lacked known pathogenic variants in the genes associated with AD or frontotemporal dementia. We searched for rare (minor allele frequency < 0.001) non-synonymous variants in genes associated with small vessel disease: NOTCH3, HTRA1, COL4A1, COL4A2, CSTA, GLA, and TREX1. We identified 12 rare variants in 18 patients (17.3% of the cohort). Three male AD patients carried a pathogenic GLA variant (p.Arg118Cys). One of these patients had a definite neuropathological study, confirming the diagnosis of AD and showing concomitant Fabry pathology in CA1-CA4 and the subiculum. We also found several rare variants in other genes associated with cSVD (NOTCH3, COL4A2 and HTRA1), corroborating previous studies and providing further support for the possibility that cSVD genes may play a role in AD pathogenesis. The presence of the same GLA variant in 3 early-onset AD patients, with no other genetic cause for the disease, together with the colocalization of Fabry disease pathology in areas relevant for AD pathogenesis, suggest GLA may have a role in its pathophysiology, possibly parallel to that of GBA in Parkinson's disease, meriting further studies.

Indexed as

alpha-GalactosidaseAlzheimer DiseaseCalcium-Binding ProteinsExome SequencingAge of OnsetCohort StudiesFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedPortugalalpha-GalactosidaseCalcium-Binding ProteinsAngiopathyFabryGLANOTCH3Small vesselVascular

Identifiers

PMID40185916
PMCPMC11971426

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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.