{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T19:57:08Z","timestamp":1783108628829,"version":"3.54.6"},"reference-count":52,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAD"],"published-print":{"date-parts":[[2023,8,15]]},"abstract":"<jats:p>Background: Neuroinflammation and the activation of microglial cells are among the earliest events in Alzheimer\u2019s disease (AD). However, direct observation of microglia in living people is not currently possible. Here, we indexed the heritable propensity for neuroinflammation with polygenic risk scores (PRS), using results from a recent genome-wide analysis of a validated post-mortem measure of morphological microglial activation. Objective: We sought to determine whether a PRS for microglial activation (PRSmic) could augment the predictive performance of existing AD PRSs for late-life cognitive impairment. Methods: First, PRSmic were calculated and optimized in a calibration cohort (Alzheimer\u2019s Disease Neuroimaging Initiative (ADNI), n\u200a=\u200a450), with resampling. Second, predictive performance of optimal PRSmic was assessed in two independent, population-based cohorts (total n\u200a=\u200a212,237). Finally, we explored associations of PRSmic with a comprehensive set of imaging and fluid AD biomarkers in ADNI. Results: Our PRSmic showed no significant improvement in predictive power for either AD diagnosis or cognitive performance in either external cohort. Some nominal associations were found in ADNI, but with inconsistent effect directions. Conclusion: While genetic scores capable of indexing risk for neuroinflammatory processes in aging are highly desirable, more well-powered genome-wide studies of microglial activation are required. Further, biobank-scale studies would benefit from phenotyping of proximal neuroinflammatory processes to improve the PRS development phase.<\/jats:p>","DOI":"10.3233\/jad-230434","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T10:20:23Z","timestamp":1689070823000},"page":"1549-1561","source":"Crossref","is-referenced-by-count":2,"title":["Testing a Polygenic Risk Score for Morphological Microglial Activation in Alzheimer\u2019s Disease and Aging"],"prefix":"10.1177","volume":"94","author":[{"given":"Earvin S.","family":"Tio","sequence":"first","affiliation":[{"name":"Krembil Centre for Neuroinformatics, Centre for Addiction and Mental Health, Toronto, ON, Canada"},{"name":"Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Alzheimer\u2019s Disease Neuroimaging Initiative","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J.","family":"Hohman","sequence":"additional","affiliation":[{"name":"Vanderbilt Memory and Alzheimer\u2019s Center, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milos","family":"Milic","sequence":"additional","affiliation":[{"name":"Krembil Centre for Neuroinformatics, Centre for Addiction and Mental Health, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Rush Alzheimer\u2019s Disease Center, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Felsky","sequence":"additional","affiliation":[{"name":"Krembil Centre for Neuroinformatics, Centre for Addiction and Mental Health, Toronto, ON, 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