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NEUROGENESIS IN THE ADULT BRAIN, GENE NETWORKS, AND ALZHEIMER’S DISEASE Emrin Horgusluoglu Submitted to the faculty of the University Graduate School in partial fulfillment of the requirements for the degree Doctor of Philosophy in the Department of Medical and Molecular Genetics, Indiana University August 2017 Accepted by the Graduate Faculty of Indiana University, in partial fulfillment of the requirements for the Degree of Doctor of Philosophy. Andrew J. Saykin, PsyD, Chair Doctoral Committee Tatiana Foroud, PhD Yunlong Liu, PhD May 15, 2017 Kwangsik Nho, PhD Li Shen, PhD ii ACKNOWLEDGEMENT Firstly, I would like to express my sincere gratitude to my mentor Dr. Saykin and my co-mentor Dr. Nho for the continuous support of my PhD study and related research, for their patience, motivation, and immense knowledge. Their guidance helped me in all the time of research and writing of my dissertation. Besides my advisor, I would like to thank the rest of my thesis committee: Dr. Foroud, Dr. Liu and Dr. Shen for their insightful comments and encouragement, but also for the hard question which incented me to widen my research from various perspectives. I thank my fellow lab-mates and friends for the stimulating discussions, and working together. My sincere thanks also goes to Dr. Malacinski who provided me an opportunity to come to Indiana University, School of Medicine and supported me more than ten years in my scientific career. I also would like to thank my son, Efe K. Guner, for understanding my long work hours and schedule. We shared great laughs and memories during my PhD training. We planned our success and life together. Thank you for supporting me and motivating me. iii Last but not the least, I also would like to thank my mother, Nehrin Gurel and my sister, Elif Tokel for always supporting me and encouraging me with their help and best wishes. I would like to thank to my husband and family for supporting me and believing me throughout writing this thesis and my life in general. iv Emrin Horgusluoglu NEUROGENESIS IN THE ADULT BRAIN, GENE NETWORKS, AND ALZHEIMER’S DISEASE New neurons are generated throughout adulthood in two regions of the brain, the dentate gyrus of the hippocampus, which is important for memory formation and cognitive functions, and the sub-ventricular zone of the olfactory bulb, which is important for the sense of smell, and are incorporated into hippocampal network circuitry. Disruption of this process has been postulated to contribute to neurodegenerative disorders including Alzheimer’s disease [1]. AD is the most common form of adult-onset dementia and the number of patients with AD escalates dramatically each year. The generation of new neurons in the dentate gyrus declines with age and in AD. Many of the molecular players in AD are also modulators of adult neurogenesis, but the genetic mechanisms influencing adult neurogenesis in AD are unclear. The overall goal of this project is to identify candidate genes and pathways that play a role in neurogenesis in the adult brain and to test the hypotheses that 1) hippocampal neurogenesis-related genes and pathways are significantly perturbed in AD and 2) neurogenesis-related pathways are significantly associated with hippocampal volume and other AD-related biomarker endophenotypes including brain deposition of amyloid-β and tau pathology. First, potential modulators of adult neurogenesis and their roles in neurodegenerative diseases were evaluated. Candidate genes that control the v turnover process of neural stem cells/precursors to new functional neurons during adult neurogenesis were manually curated using a pathway-based systems biology approach. Second, a targeted neurogenesis pathway-based gene analysis was performed resulting in the identification of ADORA2A as associated with hippocampal volume and memory performance in mild cognitive impairment and AD. Third, a genome-wide gene-set enrichment analysis was conducted to discover associations between hippocampal volume and AD- related endophenotypes and neurogenesis-related pathways. Within the discovered neurogenesis enriched pathways, a gene-based association analysis identified TESC and ACVR1 as significantly associated with hippocampal volume and APOE and PVLR2 as significantly associated with tau and amyloid beta levels in cerebrospinal fluid. This project identifies new genetic contributions to hippocampal neurogenesis with translational implications for novel therapeutic targets related to learning and memory and neuroprotection in AD. Andrew J. Saykin, PsyD, Chair vi TABLE OF CONTENTS List of Tables …………………………………………………………………………....ix List of Figures…………………………………………………………………………..xii List of Abbreviations…………………………………………………………………..xiv I. Adult neurogenesis and neurodegenerative diseases: A systems biology perspective A. Introduction………………………………………………………………………1 i. Neurogenesis Role in Cognition……………………………………….3 ii. Cell Types in Adult Neurogenesis……………………………………..5 iii. Neurogenesis Role in Hippocampus………………………………...10 B. Modulators of Adult Neurogenesis…………………………………………..11 i. Signaling Transduction in Adult Neurogenesis……………………..13 ii. Vascular System and Angiogenesis…………………………………18 iii. Metabolic Factors and Their Role in Adult Neurogenesis…………20 iv. Immune System and Neurogenesis…………………………………23 v. Epigenetic Modulators………………………………………………...28 C. Role of Genetic Variation in Adult Neurogenesis…………………………..30 D. Adult Neurogenesis and Neurodegenerative Diseases……………………32 E. Therapeutic Research Focused on Adult Neurogenesis………………….41 F. Discussion………………………………………………………………………44 vii II. Targeted neurogenesis pathway-based gene analysis identifies ADORA2A associated with hippocampal volume in mild cognitive impairment and Alzheimer’s disease A. Introduction……………………………………………………………………..46 B. Materials and Methods………………………………………………………..52 C. Results………………………………………………………………………….63 D. Discussion………………………………………………………………………81 III. Genome-wide association analysis of hippocampal volume identifies enrichment of neurogenesis-related pathways A. Introduction…………………………………………………………………86 B. Materials and Methods……………………………………………………88 C. Results………………………………………………………………………95 D. Discussion………………………………………………………………...105 IV. Genome-wide association analysis of AD pathology-related phenotypes identifies enrichment of neurogenesis-related pathways A. Introduction………………………………………………………………..109 B. Materials and Methods…………………………………………………..111 C. Results…………………………………………………………………….117 D. Discussion………………………………………………………………...127 V. Conclusion and Future Directions……………………………………………….130 References……………………………………………………………………………137 Curriculum Vitae viii LIST OF TABLES 1. Demographic and clinical characteristics of ADNI participants…………………...53 2. 81 genes of gene-based association results in the discovery sample for hippocampal volume using common variants (MAF ≥ 0.05) where empirical p-values were calculated using 20,000 permutations in PLINK…………………..64 3. Association of rs9608282 in ADORA2A with neuroimaging phenotypes and memory composite scores with and without diagnosis (DX) adjustment……………………………………………………………………..............67 4. Meta-analysis of ADORA2A with hippocampal volume in three independent cohorts: ADNI, AddNeuroMed and IMAS…………………………………………...69 5. Meta-analysis of rs9608282 with hippocampal volume in three independent cohorts: ADNI, AddNeuroMed and IMAS…………………………………..............69 6. Demographic and clinical characteristics of ADNI participants………….............90 7. Molecular Signatures Database (MSigDB) GO Ontology pathways enriched for hippocampal volume…………………………………………………………........98 ix 8. Molecular Signatures Database (MSigDB) GO Ontology pathways enriched with 2 years hippocampal atrophy………………………………............................99 9. Gene-based association results (p-value) of four significant genes for hippocampal volume using common variants (MAF ≥ 0.05), where p-values were calculated using GATES software…………………………………………...100 10. Gene-based association results (p-values) of four genes for composite memory scores using common variants (MAF ≥ 0.05), where empirical p-values were calculated using 20,000 permutations in PLINK……………………………101 11. SNP-based analysis results for memory scores in ADNI……………………….102 12. GSEA pathway analysis result showed that six pathways are related to neurogenesis after Bonferroni correction………………………………………….104 13. Molecular Signatures Database (MSigDB) GO Ontology pathways enriched for CSF total tau and p-tau levels and tau PET…………………………………...119 14. Gene-based association analysis of genes linked to the enriched neurogenesis-related pathways…………………………………………………….121 x

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Genes playing roles in stem cells proliferation, differentiation, migration, and survival to new . neurogenesis, including the proliferation of neural progenitor cells, fate determination of neural increases levels of neurotrophic factors such as BDNF and GDNF, and rescues impaired hippocampal
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