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Global Translational Medicine                                     TEs link to Parkinson’s risk and progression



              We also observed that long-distance TE polymorphism   Acknowledgments
            events  were  significantly  linked  to  the  upregulation  of
            several  known  PD  risk  genes,  such  as  GBA,  CAMK2D,   Data used in the preparation of this article were obtained
                                                                                                      ®
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            and RPS12 (Figure 3). Functional studies have indicated   from the Accelerating Medicines Partnership  (AMP )
            that  GBA mutations disrupt the normal structure and   PD (AMP PD) Knowledge Platform. For up-to-date
            function of glucocerebrosidase, leading to the aggregation   information on the study, visit https://www.amp-pd.org.
            of alpha-synuclein and mitochondrial dysfunction,   For each individual cohort, acknowledgments are listed in
            ultimately exacerbating the progression of PD [65,66] . While   the supplementary file.
            CAMK2D and RPS12 are loci that have been confirmed   Funding
            to be associated with the risk of PD in GWAS studies,
            there  remains  a  lack  of  relevant  functional  studies .   This study is supported by the Shenzhen Fundamental
                                                        [15]
            These findings suggest that further exploration of the   Research Program (JCYJ20190807161601692), National
            connection between TE polymorphisms and PD-related   Natural Science Foundation of China (32270701), the
            genes is warranted.                                Fundamental Research Funds for the Central Universities,
              Our study has several limitations. First, the    Sun Yat-sen (22ykqb07), Young Talent Recruitment
            identification of TE insertions based on short-read   Project of Guangdong (2019QN01Y139), and Shenzhen
            sequencing data often results in fewer detections than   Key Laboratory for Systems Medicine in Inflammatory
            those obtained through third-generation long-read   Diseases (ZDSYS20220606100803007).
            sequencing data. This leads to incomplete and less   Conflict of interest
            accurate coverage of TE polymorphism information
            across the entire genome . Moreover, while typical   All authors report no relevant financial or other conflicts of
                                  [58]
            SNP-based GWAS analyze millions of SNP genotypes   interest in relation to this study.
            and hundreds of thousands of samples, our TE-GWAS
            study includes only around two thousand samples. As a   Author contributions
            result, the coverage of genome-wide variations, the power   Conceptualization: Ganqiang Liu, Hao Wu
            to identify associated loci, and the ability to detect rare   Formal analysis: Hao Wu
            variants in TE-GWAS analysis are comparatively weaker   Investigation: Hao Wu
            than  those  of  classical  GWAS.  Third,  our  discoveries   Methodology: Hao Wu, Junfeng Luo
            of TE risk loci and the effects of TE-eQTLs were based   Writing – original draft: Hao Wu
            solely on individuals of European ancestry, and it is   Writing – review & editing: Ganqiang Liu
            essential to assess populations of diverse ancestry. Finally,
            it should be noted that our TE-eQTLs analysis was   Ethics approval and consent to participate
            based on peripheral blood transcriptome data. Further   All data utilized were authorized for download from the
            investigation is required to determine whether these
            associations extend to the brain or not.           Accelerating Medicines Partnership in PD (AMP-PD)
                                                               databases (v2.5 release, https://amp-pd.org) on signing the
            5. Conclusion                                      AMP-PD Data Use Agreement.
            Our study explored the association between TE      Consent for publication
            polymorphisms and the risk of PD, highlighting the
            necessity of incorporating other complex genomic   Not applicable.
            variations  in  GWAS.  In  addition,  we  integrated  omics   Availability of data
            data to explore the potential associations between TE
            polymorphisms and gene expression, including risk genes   The WGS, RNA-seq, genotypes, and clinical data used
            related to PD. While it is challenging to fully elucidate   in  this  study  were  downloaded  from  the  AMP-PD
            and establish causative links between TE polymorphisms   database (https://amp-pd.org/). AMP-PD database was
            and the onset and progression of PD based on current   collaboratively established by the National Institutes of
            evidence and data sources, we propose that the advent of   Health (NIH), multiple biopharmaceutical and life science
            multi-omics big data and platforms for PD research, such   companies, and other organizations. The AMP-PD database
            as the Global Parkinson’s Genetics Program (GP2) , will   aims to  identify  and  validate  diagnostic, prognostic,
                                                    [67]
            provide additional insights into the connections between   and progression biomarkers for Parkinson’s disease by
            TE polymorphisms and PD. This could pave the way from   conducting in-depth  molecular characterization and
            genetics to translational medicine for PD.         longitudinal clinical analysis of patient samples.


            Volume 2 Issue 3 (2023)                         9                        https://doi.org/10.36922/gtm.1583
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