ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025
Linkage and association of preserved cognitive function in the midwestern Amish at a higher genetic risk of Alzheimer's disease.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- A longitudinal study of age-related traits and cognitive function: The Collaborative Amish Aging and Memory Project (CAAMP).medRxiv : the preprint server for health sciences · 2026Article
- Non-Random Association of Ultraconserved Genomic Elements (UCE) with Human Genes.International journal of molecular sciences · 2026Article
- Linkage and association of preserved cognitive function in the midwestern Amish at a higher genetic risk of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
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25 authors.
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Abstract
introductionGenetic factors promoting cognitive preservation in high-risk older adults for Alzheimer's disease (AD) risk remain understudied. Among Midwestern Amish with elevated AD genetic risk, we hypothesized ranking sibships by mean genetic risk scores during linkage analysis would reveal loci influencing preserved cognition.
methodsWe evaluated 1855 Amish adults (≥75 years) using the Modified Mini-Mental Status Exam (3MS), classifying individuals with education-adjusted scores ≥87 as cognitively unimpaired (CU) and lower scores as impaired (CI). Non-parametric linkage analysis (NPL) on 143 sibships with ≥ 2 CU was combined with ordered-subsets analysis (OSA) to incorporate 25 known European AD risk loci.
resultsNPL-OSA and association identified linkage on chromosome 2 (rs6719884) within LINC01122 (logarithm of odds [LOD]* = 3.08) and a significant interaction on chromosome 12 (rs11063479 near KCNA5), suggesting synergy with genetic risk. DISCUSSION: These findings implicate long intergenic non-coding RNAs (lincRNAs) and potassium channel genes in maintaining cognition despite high AD risk, informing future research on protective genetic mechanisms. HIGHLIGHTS: Non-parametric linkage and ordered-subsets analysis in sibships enriched with cognitively unimpaired older adults found significant evidence of linkage on chromosome 2 within the lincRNA LINC01122, along with suggestive evidence at additional loci. Association mapping within significant and suggestively linked regions revealed a significant single nucleoride polymorphism (SNP) x AD genetic risk scores (GRS) interaction effect on chromosome 12, near the potassium channel gene KCNA5. LINC01122 is primarily brain-expressed, while KCNA5 has been linked to multiple cardiovascular phenotypes, supporting their potential role in cognitive function.
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