Mutations

SORL1 R866Ter

Other Names: R866X

Overview

Clinical Phenotype: Alzheimer's Disease
Position: (GRCh38/hg38):Chr11:121557338 C>T
Position: (GRCh37/hg19):Chr11:121428047 C>T
dbSNP ID: rs1229933491
Coding/Non-Coding: Coding
DNA Change: Substitution
Expected Protein Consequence: Nonsense
Codon Change: CGA to TGA
Reference Isoform: SORL1 Isoform 1 (2214 aa)
Genomic Region: Exon 19

Findings

In a study that included 15,808 Alzheimer’s cases and 16,097 control subjects from multiple European and American cohorts, including the ADSP and CNR-MAJ cohorts mentioned below, this allele was observed four times among the AD cases (Holstege et al., 2022).

The R866Ter variant was found in a single subject—a non-Hispanic white man with autopsy-confirmed Alzheimer’s disease (Braak stage 6)—in a whole-exome sequencing study of more than 20,000 individuals (6,965 Alzheimer’s disease cases and 13,232 controls) from the Washington Heights-Inwood Columbia Aging Project, the Alzheimer’s Disease Sequencing Project (ADSP), and the Institute of Genomic Medicine at Columbia University (Raghavan et al., 2018).

This variant also was identified in a subject from the French National Reference Center for Young Alzheimer Patients (Centre National de Référence Malades Alzheimer Jeunes, CNR-MAJ) (Schramm et al., 2022). The carrier was diagnosed with probable AD with symptom onset at 60 years; their APOE genotype is E3/E4. There is a family history of AD: the proband’s sibling (age of onset 54), a parent (age of onset 60), and both a maternal and paternal grandparent (both ages of onset 74 years) were reportedly affected. Genotype information is available from only one other family member—a child of the proband’s affected sibling—who was unaffected at age 34 and does not carry the variant.

Functional Consequences

Introduces a premature stop codon.

Last Updated: 18 Jul 2024

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References

Paper Citations

  1. . Exome sequencing identifies rare damaging variants in ATP8B4 and ABCA1 as risk factors for Alzheimer's disease. Nat Genet. 2022 Dec;54(12):1786-1794. Epub 2022 Nov 21 PubMed.
  2. . Whole-exome sequencing in 20,197 persons for rare variants in Alzheimer's disease. Ann Clin Transl Neurol. 2018 Jul;5(7):832-842. Epub 2018 May 24 PubMed.
  3. . Penetrance estimation of Alzheimer disease in SORL1 loss-of-function variant carriers using a family-based strategy and stratification by APOE genotypes. Genome Med. 2022 Jun 28;14(1):69. PubMed. Correction.

Further Reading

No Available Further Reading

Protein Diagram

Primary Papers

  1. . Whole-exome sequencing in 20,197 persons for rare variants in Alzheimer's disease. Ann Clin Transl Neurol. 2018 Jul;5(7):832-842. Epub 2018 May 24 PubMed.

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