INTRODUCTIONDementia is a multifactorial disease with Alzheimer's disease (AD) and vascular dementia (VaD) pathologies making the largest contributions. Yet, most genomeâwide association studies (GWAS) focus on AD.METHODSWe conducted a GWAS of allâcause dementia (ACD) and examined the genetic overlap with VaD. Our dataset includes 800,597 individuals, with 46,902 and 8702 cases of ACD and VaD, respectively. Known AD loci for ACD and VaD were replicated. Bioinformatic analyses prioritized genes that are likely functionally relevant and shared with closely related traits and risk factors.RESULTSFor ACD, novel loci identified were associated with energy transport (SEMA4D), neuronal excitability (ANO3), amyloid deposition in the brain (RBFOX1), and magnetic resonance imaging markers of small vessel disease (SVD; HBEGF). Novel VaD loci were associated with hypertension, diabetes, and neuron maintenance (SPRY2, FOXA2, AJAP1, and PSMA3).DISCUSSIONOur study identified genetic risks underlying ACD, demonstrating overlap with neurodegenerative processes, vascular risk factors, and cerebral SVD.Highlights
We conducted the largest genomeâwide association study of allâcause dementia (ACD) and vascular dementia (VaD).
Known genetic variants associated with AD were replicated for ACD and VaD.
Functional analyses identified novel loci for ACD and VaD.
Genetic risks of ACD overlapped with neurodegeneration, vascular risk factors, and cerebral small vessel disease.