Sequence variants of IDE are associated with the extent of β-amyloid deposition in the Alzheimerʹs disease brain

Insulin degrading enzyme, encoded by IDE, plays a primary role in the degradation of amyloid β-protein (Aβ), the deposition of which in senile plaques is one of the defining hallmarks of Alzheimerʹs disease (AD). We recently identified haplotypes in a broad linkage disequilibrium (LD) block encompassing IDE that associate with several AD-related quantitative traits. Here, by examining 32 polymorphic markers extending across IDE and testing quantitative measures of plaque density and cognitive function in three independent Swedish AD samples, we have refined the probable position of pathogenic sequences to a 3′ region of IDE, with local maximum effects in the proximity of marker rs1887922. To replicate these findings, a subset of variants were examined against measures of brain Aβ load in an independent English AD sample, whereby maximum effects were again observed for rs1887922. For both Swedish and English autopsy materials, variation at rs1887922 explained approximately 10% of the total variance in the respective histopathology traits. However, across all clinical materials studied to date, this variant site does not appear to associate directly with disease, suggesting that IDE may affect AD severity rather than risk. Results indicate that alleles of IDE contribute to variability in Aβ deposition in the AD brain and suggest that this relationship may have relevance for the degree of cognitive dysfunction in AD patients.