Abstract

The Ontario Neurodegenerative Disease Research Initiative (ONDRI) is a multimodal, multi-year, prospective observational cohort study to characterise five diseases: (1) Alzheimer’s disease (AD) or amnestic single or multidomain mild cognitive impairment (aMCI) (AD/MCI); (2) amyotrophic lateral sclerosis (ALS); (3) frontotemporal dementia (FTD); (4) Parkinson’s disease (PD); and (5) vascular cognitive impairment (VCI). The ONDRI Genomics subgroup is investigating the genetic basis of neurodegeneration. We have developed a custom next-generation-sequencing-based panel, ONDRISeq that targets 80 genes known to be associated with neurodegeneration. We processed DNA collected from 216 individuals diagnosed with one of the five diseases, on ONDRISeq. All runs were executed on a MiSeq instrument and subjected to rigorous quality control assessments. We also independently validated a subset of the variant calls using NeuroX (a genome-wide array for neurodegenerative disorders), TaqMan allelic discrimination assay, or Sanger sequencing. ONDRISeq consistently generated high-quality genotyping calls and on average, 92% of targeted bases are covered by at least 30 reads. We also observed 100% concordance for the variants identified via ONDRISeq and validated by other genomic technologies. We were successful in detecting known as well as novel rare variants in 72.2% of cases although not all variants are disease-causing. Using ONDRISeq, we also found that the APOE E4 allele had a frequency of 0.167 in these samples. Our optimised workflow highlights next-generation sequencing as a robust tool in elucidating the genetic basis of neurodegenerative diseases by screening multiple candidate genes simultaneously.

Highlights

  • Dementia encompasses a heterogeneous group of neurodegenerative diseases characterised by a progressive decline in cognitive function, language deficiency, and in some cases, motor impairment and behavioural anomalies

  • Sex ratios showed an over representation of males, which was largely driven by the Parkinson’s disease (PD) and vascular cognitive impairment (VCI) cases (3.3:1.0 and 2.0:1.0, respectively) similar to the known sex distribution of these disorders in prior population studies

  • Among the 156 cases with potentially deleterious variants, we identified a total of 266 non-synonymous, rare variants (Table 5), including 107 (40.2%) within genes known to cause the disease with which the patient has been diagnosed

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Summary

Introduction

Dementia encompasses a heterogeneous group of neurodegenerative diseases characterised by a progressive decline in cognitive function, language deficiency, and in some cases, motor impairment and behavioural anomalies. Our group is part of the Ontario Neurodegenerative Disease Research Initiative (ONDRI), a multimodal, multi-year, prospective observational cohort study designed to address the effect of small vessel disease in neurodegeneration. ONDRI is recruiting ~ 600 participants diagnosed with one of the following five diseases: (1) Alzheimer’s disease (AD) or amnestic single- or multidomain mild cognitive impairment (aMCI) (AD/MCI); (2) amyotrophic lateral sclerosis (ALS); (3) frontotemporal dementia (FTD); (4) Parkinson’s disease (PD); and (5) vascular cognitive impairment (VCI)

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