RT Journal Article SR Electronic T1 Variation at the TRIM11 locus modifies Progressive Supranuclear Palsy phenotype JF bioRxiv FD Cold Spring Harbor Laboratory SP 333195 DO 10.1101/333195 A1 E Jabbari A1 J Woodside A1 MMX Tan A1 M Shoai A1 A Pittman A1 R Ferrari A1 KY Mok A1 D Zhang A1 RH Reynolds A1 R de Silva A1 MJ Grimm A1 G Respondek A1 U Müller A1 S Al-Sarraj A1 SM Gentleman A1 AJ Lees A1 TT Warner A1 J Hardy A1 T Revesz A1 PROSPECT-UK consortium A1 GU Höglinger A1 JL Holton A1 M Ryten A1 HR Morris A1 PROSPECT-UK consortium: A1 E Jabbari A1 J Woodside A1 HR Morris A1 JB Rowe A1 PN Leigh A1 A Church A1 MTM Hu A1 C Kobylecki A1 N Pavese A1 G Carey A1 A Misbahuddin A1 S Molloy A1 O Bandmann A1 NK Archibald A1 BCP Ghosh A1 LA Massey A1 C Mann A1 DC Paviour A1 U Nath A1 E Capps A1 JC Sharma A1 P Critchley A1 K Amar YR 2018 UL http://biorxiv.org/content/early/2018/06/05/333195.abstract AB Objective The basis for clinical variation related to underlying Progressive Supranuclear Palsy (PSP) pathology is unknown. We performed a genome wide association study (GWAS) to identify genetic determinants of PSP phenotype.Methods Two independent pathological and clinically diagnosed PSP cohorts were genotyped and phenotyped to create Richardson’s syndrome (RS) and non-RS groups. We carried out separate logistic regression GWAS to compare RS and non-RS groups and then combined datasets to carry out a whole cohort analysis (n=497). We validated our findings in a third cohort by referring to data from 100 deeply phenotyped cases from the original PSP case-control GWAS. We assessed the expression/co-expression patterns of our identified genes and used our data to carry out gene-based association testing.Results Our lead single nucleotide polymorphism (SNP), rs564309, showed an association signal in both cohorts, reaching genome wide significance in our whole cohort analysis – OR 5.55, p-value 1.7×10−9. rs564309 is an intronic variant of the tripartite motif-containing protein 11 (TRIM11) gene, a component of the ubiquitin proteasome system (UPS). In our third cohort, minor allele frequencies of surrogate SNPs in high LD with rs564309 replicated our findings. Gene based association testing confirmed an association signal at TRIM11. We found that TRIM11 is predominantly expressed in neurons of the cerebellum and basal ganglia.Interpretation Our study suggests that the TRIM11 locus is a genetic modifier of PSP phenotype and potentially adds further evidence for the UPS having a key role in tau pathology, therefore representing a target for disease modifying therapies.