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Glutathione S-transferase omega-1 modifies age-at-onset of Alzheimer disease and Parkinson disease

Identifieur interne : 000A17 ( Main/Corpus ); précédent : 000A16; suivant : 000A18

Glutathione S-transferase omega-1 modifies age-at-onset of Alzheimer disease and Parkinson disease

Auteurs : Yi-Ju Li ; Sofia A. Oliveira ; Puting Xu ; Eden R. Martin ; Judith E. Stenger ; Clemens R. Scherzer ; Michael A. Hauser ; William K. Scott ; Gary W. Small ; Martha A. Nance ; Ray L. Watts ; Jean P. Hubble ; William C. Koller ; Rajesh Pahwa ; Mathew B. Stern ; Bradley C. Hiner ; Joseph Jankovic ; Christopher G. Goetz ; Frank Mastaglia ; Lefkos T. Middleton ; Allen D. Roses ; Ann M. Saunders ; Donald E. Schmechel ; Steven R. Gullans ; Jonathan L. Haines ; John R. Gilbert ; Jeffery M. Vance ; Margaret A. Pericak-Vance

Source :

RBID : ISTEX:309BE1DA604A9377F0D3B3DAE63A38B7592B7A24

Abstract

We previously reported genetic linkage of loci controlling age-at-onset in Alzheimer disease (AD) and Parkinson's disease (PD) to a 15 cM region on chromosome 10q. Given the large number of genes in this initial starting region, we applied the process of ‘genomic convergence’ to prioritize and reduce the number of candidate genes for further analysis. As our second convergence factor we performed gene expression studies on hippocampus obtained from AD patients and controls. Analysis revealed that four of the genes [stearoyl-CoA desaturase; NADH-ubiquinone oxidoreductase 1 beta subcomplex 8; protease, serine 11; and glutathione S-transferase, omega-1 (GSTO1)] were significantly different in their expression between AD and controls and mapped to the 10q age-at-onset linkage region, the first convergence factor. Using 2814 samples from our AD dataset (1773 AD patients) and 1362 samples from our PD dataset (635 PD patients), allelic association studies for age-at-onset effects in AD and PD revealed no association for three of the candidates, but a significant association was found for GSTO1 (P=0.007) and a second transcribed member of the GST omega class, GSTO2 (P=0.005), located next to GSTO1. The functions of GSTO1 and GSTO2 are not well understood, but recent data suggest that GSTO1 maybe involved in the post-translational modification of the inflammatory cytokine interleukin-1β. This is provocative given reports of the possible role of inflammation in these two neurodegenerative disorders.

Url:
DOI: 10.1093/hmg/ddg357

Links to Exploration step

ISTEX:309BE1DA604A9377F0D3B3DAE63A38B7592B7A24

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<name sortKey="Hubble, Jean P" sort="Hubble, Jean P" uniqKey="Hubble J" first="Jean P." last="Hubble">Jean P. Hubble</name>
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<name sortKey="Koller, William C" sort="Koller, William C" uniqKey="Koller W" first="William C." last="Koller">William C. Koller</name>
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<name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name>
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<mods:affiliation>Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66045, USA,</mods:affiliation>
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<name sortKey="Stern, Mathew B" sort="Stern, Mathew B" uniqKey="Stern M" first="Mathew B." last="Stern">Mathew B. Stern</name>
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<name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G." last="Goetz">Christopher G. Goetz</name>
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<name sortKey="Middleton, Lefkos T" sort="Middleton, Lefkos T" uniqKey="Middleton L" first="Lefkos T." last="Middleton">Lefkos T. Middleton</name>
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<name sortKey="Roses, Allen D" sort="Roses, Allen D" uniqKey="Roses A" first="Allen D." last="Roses">Allen D. Roses</name>
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<name sortKey="Pericak Vance, Margaret A" sort="Pericak Vance, Margaret A" uniqKey="Pericak Vance M" first="Margaret A." last="Pericak-Vance">Margaret A. Pericak-Vance</name>
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<title level="a" type="main" xml:lang="en">Glutathione S-transferase omega-1 modifies age-at-onset of Alzheimer disease and Parkinson disease</title>
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<name sortKey="Xu, Puting" sort="Xu, Puting" uniqKey="Xu P" first="Puting" last="Xu">Puting Xu</name>
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<mods:affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</mods:affiliation>
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<name sortKey="Martin, Eden R" sort="Martin, Eden R" uniqKey="Martin E" first="Eden R." last="Martin">Eden R. Martin</name>
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<name sortKey="Stenger, Judith E" sort="Stenger, Judith E" uniqKey="Stenger J" first="Judith E." last="Stenger">Judith E. Stenger</name>
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<name sortKey="Scherzer, Clemens R" sort="Scherzer, Clemens R" uniqKey="Scherzer C" first="Clemens R." last="Scherzer">Clemens R. Scherzer</name>
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<mods:affiliation>Harvard University Medical School, Boston, MA 02115, USA,</mods:affiliation>
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<name sortKey="Hauser, Michael A" sort="Hauser, Michael A" uniqKey="Hauser M" first="Michael A." last="Hauser">Michael A. Hauser</name>
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<mods:affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</mods:affiliation>
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<name sortKey="Scott, William K" sort="Scott, William K" uniqKey="Scott W" first="William K." last="Scott">William K. Scott</name>
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<mods:affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</mods:affiliation>
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<name sortKey="Small, Gary W" sort="Small, Gary W" uniqKey="Small G" first="Gary W." last="Small">Gary W. Small</name>
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<mods:affiliation>Departments of Psychiatry and Biobehavioral Science and Neurology, University of California, Los Angeles, CA 90024, USA,</mods:affiliation>
</affiliation>
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<name sortKey="Nance, Martha A" sort="Nance, Martha A" uniqKey="Nance M" first="Martha A." last="Nance">Martha A. Nance</name>
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<mods:affiliation>Struthers Parkinson Center, Golden Valley, MN 55426, USA,</mods:affiliation>
</affiliation>
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<name sortKey="Watts, Ray L" sort="Watts, Ray L" uniqKey="Watts R" first="Ray L." last="Watts">Ray L. Watts</name>
<affiliation>
<mods:affiliation>Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA,</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hubble, Jean P" sort="Hubble, Jean P" uniqKey="Hubble J" first="Jean P." last="Hubble">Jean P. Hubble</name>
<affiliation>
<mods:affiliation>Department of Neurology, Ohio State University, Columbus, OH 43210, USA,</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Koller, William C" sort="Koller, William C" uniqKey="Koller W" first="William C." last="Koller">William C. Koller</name>
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<mods:affiliation>Department of Neurology, University of Miami School of Medicine, Miami, FL 33124, USA,</mods:affiliation>
</affiliation>
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<name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name>
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<mods:affiliation>Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66045, USA,</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Stern, Mathew B" sort="Stern, Mathew B" uniqKey="Stern M" first="Mathew B." last="Stern">Mathew B. Stern</name>
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<mods:affiliation>Department of Neurology, University of Pennsylvania Health System, Philadelphia, PA 19104, USA,</mods:affiliation>
</affiliation>
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<name sortKey="Hiner, Bradley C" sort="Hiner, Bradley C" uniqKey="Hiner B" first="Bradley C." last="Hiner">Bradley C. Hiner</name>
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<mods:affiliation>Department of Neurology, Marshfield Clinic, Marshfield, WI 54449, USA,</mods:affiliation>
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<name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
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<mods:affiliation>Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA,</mods:affiliation>
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<name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G." last="Goetz">Christopher G. Goetz</name>
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<mods:affiliation>Department of Neurological Sciences, Rush-Presbyterian–St Luke's Hospital, Chicago, IL 60612, USA,</mods:affiliation>
</affiliation>
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<name sortKey="Mastaglia, Frank" sort="Mastaglia, Frank" uniqKey="Mastaglia F" first="Frank" last="Mastaglia">Frank Mastaglia</name>
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<mods:affiliation>Centre for Neuromuscular and Neurological Disorders, University of Western Australia, Perth, Western Australia 6009, Australia,</mods:affiliation>
</affiliation>
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<author>
<name sortKey="Middleton, Lefkos T" sort="Middleton, Lefkos T" uniqKey="Middleton L" first="Lefkos T." last="Middleton">Lefkos T. Middleton</name>
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<mods:affiliation>GlaxoSmithKline Research and Development, Greenford, Middlesex UB6 0HE, UK,</mods:affiliation>
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<name sortKey="Roses, Allen D" sort="Roses, Allen D" uniqKey="Roses A" first="Allen D." last="Roses">Allen D. Roses</name>
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<mods:affiliation>GlaxoSmithKline Genetics Research Directorate, Research Triangle Park, NC, USA,</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Saunders, Ann M" sort="Saunders, Ann M" uniqKey="Saunders A" first="Ann M." last="Saunders">Ann M. Saunders</name>
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<mods:affiliation>GlaxoSmithKline Genetics Research Directorate, Research Triangle Park, NC, USA,</mods:affiliation>
</affiliation>
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<name sortKey="Schmechel, Donald E" sort="Schmechel, Donald E" uniqKey="Schmechel D" first="Donald E." last="Schmechel">Donald E. Schmechel</name>
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<name sortKey="Gullans, Steven R" sort="Gullans, Steven R" uniqKey="Gullans S" first="Steven R." last="Gullans">Steven R. Gullans</name>
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<name sortKey="Haines, Jonathan L" sort="Haines, Jonathan L" uniqKey="Haines J" first="Jonathan L." last="Haines">Jonathan L. Haines</name>
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<mods:affiliation>Program in Human Genetics, Vanderbilt University Medical Center, Nashville, TN 37232, USA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Gilbert, John R" sort="Gilbert, John R" uniqKey="Gilbert J" first="John R." last="Gilbert">John R. Gilbert</name>
<affiliation>
<mods:affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</mods:affiliation>
</affiliation>
</author>
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<name sortKey="Vance, Jeffery M" sort="Vance, Jeffery M" uniqKey="Vance J" first="Jeffery M." last="Vance">Jeffery M. Vance</name>
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<mods:affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</mods:affiliation>
</affiliation>
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<name sortKey="Pericak Vance, Margaret A" sort="Pericak Vance, Margaret A" uniqKey="Pericak Vance M" first="Margaret A." last="Pericak-Vance">Margaret A. Pericak-Vance</name>
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<mods:affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</mods:affiliation>
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<title level="j">Human Molecular Genetics</title>
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<div type="abstract" xml:lang="en">We previously reported genetic linkage of loci controlling age-at-onset in Alzheimer disease (AD) and Parkinson's disease (PD) to a 15 cM region on chromosome 10q. Given the large number of genes in this initial starting region, we applied the process of ‘genomic convergence’ to prioritize and reduce the number of candidate genes for further analysis. As our second convergence factor we performed gene expression studies on hippocampus obtained from AD patients and controls. Analysis revealed that four of the genes [stearoyl-CoA desaturase; NADH-ubiquinone oxidoreductase 1 beta subcomplex 8; protease, serine 11; and glutathione S-transferase, omega-1 (GSTO1)] were significantly different in their expression between AD and controls and mapped to the 10q age-at-onset linkage region, the first convergence factor. Using 2814 samples from our AD dataset (1773 AD patients) and 1362 samples from our PD dataset (635 PD patients), allelic association studies for age-at-onset effects in AD and PD revealed no association for three of the candidates, but a significant association was found for GSTO1 (P=0.007) and a second transcribed member of the GST omega class, GSTO2 (P=0.005), located next to GSTO1. The functions of GSTO1 and GSTO2 are not well understood, but recent data suggest that GSTO1 maybe involved in the post-translational modification of the inflammatory cytokine interleukin-1β. This is provocative given reports of the possible role of inflammation in these two neurodegenerative disorders.</div>
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<given-names>Mathew B.</given-names>
</name>
<xref rid="AF9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hiner</surname>
<given-names>Bradley C.</given-names>
</name>
<xref rid="AF10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jankovic</surname>
<given-names>Joseph</given-names>
</name>
<xref rid="AF11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Goetz</surname>
<given-names>Christopher G.</given-names>
</name>
<xref rid="AF12">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mastaglia</surname>
<given-names>Frank</given-names>
</name>
<xref rid="AF13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Middleton</surname>
<given-names>Lefkos T.</given-names>
</name>
<xref rid="AF14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Roses</surname>
<given-names>Allen D.</given-names>
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<xref rid="AF15">15</xref>
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<contrib contrib-type="author">
<name>
<surname>Saunders</surname>
<given-names>Ann M.</given-names>
</name>
<xref rid="AF15">15</xref>
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<contrib contrib-type="author">
<name>
<surname>Schmechel</surname>
<given-names>Donald E.</given-names>
</name>
<xref rid="AF16">16</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gullans</surname>
<given-names>Steven R.</given-names>
</name>
<xref rid="AF2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Haines</surname>
<given-names>Jonathan L.</given-names>
</name>
<xref rid="AF17">17</xref>
<xref rid="FN3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gilbert</surname>
<given-names>John R.</given-names>
</name>
<xref rid="AF1">1</xref>
<xref rid="FN3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vance</surname>
<given-names>Jeffery M.</given-names>
</name>
<xref rid="AF1">1</xref>
<xref rid="FN3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pericak-Vance</surname>
<given-names>Margaret A.</given-names>
</name>
<xref rid="AF1">1</xref>
<xref rid="FN3"></xref>
</contrib>
<aff id="AF1">
<sup>1</sup>
Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</aff>
<aff id="AF2">
<sup>2</sup>
Harvard University Medical School, Boston, MA 02115, USA,</aff>
<aff id="AF3">
<sup>3</sup>
Departments of Psychiatry and Biobehavioral Science and Neurology, University of California, Los Angeles, CA 90024, USA,</aff>
<aff id="AF4">
<sup>4</sup>
Struthers Parkinson Center, Golden Valley, MN 55426, USA,</aff>
<aff id="AF5">
<sup>5</sup>
Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA,</aff>
<aff id="AF6">
<sup>6</sup>
Department of Neurology, Ohio State University, Columbus, OH 43210, USA,</aff>
<aff id="AF7">
<sup>7</sup>
Department of Neurology, University of Miami School of Medicine, Miami, FL 33124, USA,</aff>
<aff id="AF8">
<sup>8</sup>
Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66045, USA,</aff>
<aff id="AF9">
<sup>9</sup>
Department of Neurology, University of Pennsylvania Health System, Philadelphia, PA 19104, USA,</aff>
<aff id="AF10">
<sup>10</sup>
Department of Neurology, Marshfield Clinic, Marshfield, WI 54449, USA,</aff>
<aff id="AF11">
<sup>11</sup>
Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA,</aff>
<aff id="AF12">
<sup>12</sup>
Department of Neurological Sciences, Rush-Presbyterian–St Luke's Hospital, Chicago, IL 60612, USA,</aff>
<aff id="AF13">
<sup>13</sup>
Centre for Neuromuscular and Neurological Disorders, University of Western Australia, Perth, Western Australia 6009, Australia,</aff>
<aff id="AF14">
<sup>14</sup>
GlaxoSmithKline Research and Development, Greenford, Middlesex UB6 0HE, UK,</aff>
<aff id="AF15">
<sup>15</sup>
GlaxoSmithKline Genetics Research Directorate, Research Triangle Park, NC, USA,</aff>
<aff id="AF16">
<sup>16</sup>
Department of Medicine and Joseph and Kathleen Bryan Alzheimer's Disease Research Center, Duke University Medical Center, Durham, NC 27710, USA and</aff>
<aff id="AF17">
<sup>17</sup>
Program in Human Genetics, Vanderbilt University Medical Center, Nashville, TN 37232, USA</aff>
</contrib-group>
<pub-date pub-type="ppub">
<day>15</day>
<month>12</month>
<year>2003</year>
</pub-date>
<volume>12</volume>
<issue>24</issue>
<fpage>3259</fpage>
<lpage>3267</lpage>
<history>
<date date-type="accepted">
<day>29</day>
<month>09</month>
<year>2003</year>
</date>
<date date-type="received">
<day>7</day>
<month>07</month>
<year>2003</year>
</date>
<date date-type="rev-recd">
<day>22</day>
<month>09</month>
<year>2003</year>
</date>
</history>
<permissions>
<copyright-year>2003</copyright-year>
</permissions>
<abstract xml:lang="en">
<p>We previously reported genetic linkage of loci controlling age-at-onset in Alzheimer disease (AD) and Parkinson's disease (PD) to a 15 cM region on chromosome 10q. Given the large number of genes in this initial starting region, we applied the process of ‘genomic convergence’ to prioritize and reduce the number of candidate genes for further analysis. As our second convergence factor we performed gene expression studies on hippocampus obtained from AD patients and controls. Analysis revealed that four of the genes [stearoyl-CoA desaturase; NADH-ubiquinone oxidoreductase 1 beta subcomplex 8; protease, serine 11; and glutathione
<italic>S</italic>
-transferase, omega-1 (GSTO1)] were significantly different in their expression between AD and controls and mapped to the 10q age-at-onset linkage region, the first convergence factor. Using 2814 samples from our AD dataset (1773 AD patients) and 1362 samples from our PD dataset (635 PD patients), allelic association studies for age-at-onset effects in AD and PD revealed no association for three of the candidates, but a significant association was found for GSTO1 (
<italic>P</italic>
=0.007) and a second transcribed member of the GST omega class, GSTO2 (
<italic>P</italic>
=0.005), located next to GSTO1. The functions of GSTO1 and GSTO2 are not well understood, but recent data suggest that GSTO1 maybe involved in the post-translational modification of the inflammatory cytokine interleukin-1β. This is provocative given reports of the possible role of inflammation in these two neurodegenerative disorders.</p>
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<name type="personal">
<namePart type="given">Yi-Ju</namePart>
<namePart type="family">Li</namePart>
<affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</affiliation>
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<roleTerm type="text">author</roleTerm>
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<namePart type="given">Sofia A.</namePart>
<namePart type="family">Oliveira</namePart>
<affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Puting</namePart>
<namePart type="family">Xu</namePart>
<affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Eden R.</namePart>
<namePart type="family">Martin</namePart>
<affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Judith E.</namePart>
<namePart type="family">Stenger</namePart>
<affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Clemens R.</namePart>
<namePart type="family">Scherzer</namePart>
<affiliation>Harvard University Medical School, Boston, MA 02115, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Michael A.</namePart>
<namePart type="family">Hauser</namePart>
<affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">William K.</namePart>
<namePart type="family">Scott</namePart>
<affiliation>Department of Medicine and Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Gary W.</namePart>
<namePart type="family">Small</namePart>
<affiliation>Departments of Psychiatry and Biobehavioral Science and Neurology, University of California, Los Angeles, CA 90024, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Martha A.</namePart>
<namePart type="family">Nance</namePart>
<affiliation>Struthers Parkinson Center, Golden Valley, MN 55426, USA,</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Ray L.</namePart>
<namePart type="family">Watts</namePart>
<affiliation>Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Jean P.</namePart>
<namePart type="family">Hubble</namePart>
<affiliation>Department of Neurology, Ohio State University, Columbus, OH 43210, USA,</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">William C.</namePart>
<namePart type="family">Koller</namePart>
<affiliation>Department of Neurology, University of Miami School of Medicine, Miami, FL 33124, USA,</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Rajesh</namePart>
<namePart type="family">Pahwa</namePart>
<affiliation>Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66045, USA,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Mathew B.</namePart>
<namePart type="family">Stern</namePart>
<affiliation>Department of Neurology, University of Pennsylvania Health System, Philadelphia, PA 19104, USA,</affiliation>
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<name type="personal">
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<namePart type="given">Donald E.</namePart>
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