東アジア人特異的な新規アルツハイマー病発症リスク遺伝子変異を発見

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2026-04-20 長寿医療研究センター

国立長寿医療研究センターの研究チームは、日本人を中心とした全ゲノム解析により、東アジア人に特異的なアルツハイマー病発症リスク遺伝子変異を新たに発見した。INPP5J遺伝子内の稀なミスセンス変異が同定され、この変異によりタンパク質の酵素活性が低下することが確認された。これらの変異は東アジア集団に特有であり、従来知られていたAPOE以外の新たな遺伝的要因として注目される。今回の成果は、地域差のある発症メカニズムの理解を深めるとともに、リスク予測の精度向上や個別化医療の実現、新規治療法の開発につながる可能性がある。

東アジア人特異的な新規アルツハイマー病発症リスク遺伝子変異を発見

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全ゲノムシーケンス解析により、アルツハイマー病に関連する東アジア人特有のINPP5J遺伝子の希少変異が明らかになった Whole-genome sequencing reveals an East Asian-specific rare variant of INPP5J associated with Alzheimer’s disease

Tetsuaki Kimura,Akiko Yamakawa,Risa Mitsumori,Shumpei Niida,Kouichi Ozaki & Daichi Shigemizu
Translational Psychiatry  Published:08 April 2026
DOI:https://doi.org/10.1038/s41398-026-04027-0  Unedited version

Abstract

Late-onset Alzheimer’s disease (LOAD) is the most common form of dementia in the elderly, yet no curative treatments are available. Although genome-wide association studies (GWASs) have identified numerous genetic risk factors, these factors often differ among ethnic groups, and the mechanisms driving LOAD onset remain poorly understood. Most GWASs of LOAD have been conducted in European populations; the expansion of future studies to non-European populations should uncover novel genetic factors underlying LOAD pathogenesis. To identify novel LOAD-susceptible genes, we conducted whole-genome sequencing data analysis on 1928 Japanese individuals including 325 patients with LOAD and 1603 cognitively normal elderly controls. A GWAS for common variants identified a statistically significant association signal in rs429358, within the apolipoprotein E gene (APOE), which defines the APOEε4 haplotype. This association was successfully replicated in an independent Japanese replication cohort of 4768 samples, genotyped using the Asian Screening Array. For rare variants, a gene-based association study identified two rare variants, rs769490815 and rs1921732305, in Inositol polyphosphate 5-phosphatase (INPP5J) as potential candidates for LOAD association. Due to their extremely low allele frequencies, these variants were not included on the genotyping array and could not be evaluated in the replication cohort. However in vitro functional analyses revealed that the ethnicity-specific p.K687T mutation (rs1921732305) significantly reduced the phosphatase activity of INPP5J, suggesting a potential pathogenic role in LOAD.

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