Publications by authors named "Mathew J Koretsky"

Article Synopsis
  • - The study highlights the complexity of Alzheimer's disease and related dementias, emphasizing the need to understand genetic and environmental factors that vary across different ancestries for personalized treatment approaches.
  • - Utilizing large-scale biobank data, the research characterized genetic variants associated with Alzheimer's across 11 ancestries, identifying 116 potentially linked variants, including 18 known pathogenic ones and 98 new variants.
  • - The findings revealed significant ancestry-driven differences in disease risk, including a higher presence of ε4/ε4 carriers in African ancestries, suggesting the importance of considering genetics in diverse populations to enhance understanding and treatment of AD/ADRDs.
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  • Latin America's genetic diversity offers a unique opportunity to study Alzheimer's disease (AD) and frontotemporal dementia (FTD), with a focus on identifying related genetic variations.
  • The study involved 2,162 participants from six countries who underwent extensive genomic sequencing and analysis to detect genetic factors linked to these dementias.
  • Results highlighted a mix of American, African, and European ancestries, discovered 17 pathogenic variants, and revealed specific genetic variations tied to AD and FTD inheritance patterns in affected families.
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  • - The paper explores using Large Language Models (LLMs) to streamline data wrangling and automate tasks in data discovery and harmonization, crucial for making biomedical data AI-ready by developing Common Data Elements (CDEs).
  • - A human-in-the-loop approach was utilized to ensure the accuracy of generated CDEs from various studies and databases, achieving a high accuracy rate where 94.0% of fields required no manual changes, with an interoperability mapping rate of 32.4%.
  • - The resulting CDEs are designed to improve dataset compatibility by measuring how well different data sources align with these standards, ultimately enhancing the efficiency and scalability of biomedical research efforts.
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Background: Commercial genome-wide genotyping arrays have historically neglected coverage of genetic variation across populations.

Objective: We aimed to create a multi-ancestry genome-wide array that would include a wide range of neuro-specific genetic content to facilitate genetic research in neurological disorders across multiple ancestral groups, fostering diversity and inclusivity in research studies.

Methods: We developed the Illumina NeuroBooster Array (NBA), a custom high-throughput and cost-effective platform on a backbone of 1,914,934 variants from the Infinium Global Diversity Array and added custom content comprising 95,273 variants associated with more than 70 neurological conditions or traits, and we further tested its performance on more than 2000 patient samples.

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Genotyping single nucleotide polymorphisms (SNPs) is fundamental to disease research, as researchers seek to establish links between genetic variation and disease. Although significant advances in genome technology have been made with the development of bead-based SNP genotyping and Genome Studio software, some SNPs still fail to be genotyped, resulting in "no-calls" that impede downstream analyses. To recover these genotypes, we introduce Cluster Buster, a genotyping neural network and visual inspection system designed to improve the quality of neurodegenerative disease (NDD) research.

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Article Synopsis
  • Recent FDA approvals for Alzheimer treatments like lecanemab and aducanumab emphasize the need for understanding biological mechanisms to develop effective therapies for neurodegenerative disorders.
  • The study utilizes genetic data to identify 116 genes associated with Alzheimer and other neurodegenerative diseases, classifying them based on their potential for drug development.
  • A new web platform is introduced to help researchers easily explore therapeutic targets, encouraging further investigation and collaboration in tackling these challenging diseases.
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Genome-wide genotyping platforms have the capacity to capture genetic variation across different populations, but there have been disparities in the representation of population-dependent genetic diversity. The motivation for pursuing this endeavor was to create a comprehensive genome-wide array capable of encompassing a wide range of neuro-specific content for the Global Parkinson's Genetics Program (GP2) and the Center for Alzheimer's and Related Dementias (CARD). CARD aims to increase diversity in genetic studies, using this array as a tool to foster inclusivity.

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Article Synopsis
  • The study analyzes over one million electronic health records to explore the link between sleep disorders and the development of neurodegenerative diseases (NDDs) like Alzheimer's and Parkinson's later in life.
  • Findings indicate that severe sleep disorders, such as sleep apnea, significantly increase the risk of various NDDs, potentially up to 15 years before symptoms appear.
  • The research suggests that addressing modifiable sleep-related risk factors may help mitigate neurodegeneration risk, particularly in individuals with lower genetic predispositions to these diseases.*
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Background: An understanding of the genetic mechanisms underlying diseases in ancestrally diverse populations is an important step towards development of targeted treatments. Research in African and African admixed populations can enable mapping of complex traits, because of their genetic diversity, extensive population substructure, and distinct linkage disequilibrium patterns. We aimed to do a comprehensive genome-wide assessment in African and African admixed individuals to better understand the genetic architecture of Parkinson's disease in these underserved populations.

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High-dimensional data analysis starts with projecting the data to low dimensions to visualize and understand the underlying data structure. Several methods have been developed for dimensionality reduction, but they are limited to cross-sectional datasets. The recently proposed Aligned-UMAP, an extension of the uniform manifold approximation and projection (UMAP) algorithm, can visualize high-dimensional longitudinal datasets.

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Article Synopsis
  • The study focuses on understanding genetic factors contributing to Parkinson's disease (PD) within African and African admixed populations to advance precision medicine.
  • A genome-wide assessment involving nearly 200,000 individuals identified a significant risk factor linked to the gene at locus rs3115534-G, with a strong correlation to PD onset and a mechanism related to gene expression rather than coding mutations.
  • The findings suggest this genetic variant is uniquely prevalent among African ancestries, highlighting the importance of diverse populations in researching complex diseases like PD.
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  • Neurodegenerative diseases (NDDs) often share similar symptoms and genetic risk factors, indicating a possible interconnectedness among them.
  • This study clusters patients with five major NDDs using genetic data, revealing significant overlaps in genetic causes and supporting the idea of neurodegeneration as a spectrum.
  • The findings suggest that some patients lack common genetic risk factors, hinting at other influences like environmental factors, and emphasize the need for further research to understand how these variants affect disease development and treatment.
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  • Recent FDA approvals like Lecanemab and Aducanumab for Alzheimer's Disease stress the need for better treatments for neurodegenerative disorders, especially as the global population ages.
  • This study presents a comprehensive framework to identify therapeutic targets using genetic data and provides insights into the mechanisms of disease, identifying numerous target genes for various conditions including Alzheimer's and Parkinson's disease.
  • A user-friendly web platform is also created to allow researchers and the community to easily explore these therapeutic targets, facilitating future drug discovery and development.
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Background: Biallelic pathogenic variants in GBA1 are the cause of Gaucher disease (GD) type 1 (GD1), a lysosomal storage disorder resulting from deficient glucocerebrosidase. Heterozygous GBA1 variants are also a common genetic risk factor for Parkinson's disease (PD). GD manifests with considerable clinical heterogeneity and is also associated with an increased risk for PD.

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Accurate estimation of surgical risks is important for informing the process of shared decision making and informed consent. Postoperative reintubation (POR) is a severe complication that is associated with postoperative morbidity. Previous studies have divided POR into early POR (within 72 h of surgery) and late POR (within 30 days of surgery).

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