Genetics of CD33 in Alzheimer's disease and acute myeloid leukemia

Manasi Malik, Joe Chiles, Hualin S. Xi, Christopher Medway, James Simpson, Shobha Potluri, Dianna Howard, Ying Liang, Christian M. Paumi, Shubhabrata Mukherjee, Paul Crane, Steven Younkin, David W. Fardo, Steven Estus

Research output: Contribution to journalArticlepeer-review

59 Scopus citations


The CD33 single-nucleotide polymorphism (SNP) rs3865444 has been associated with the risk of Alzheimer's disease (AD). Rs3865444 is in linkage disequilibrium with rs12459419 which has been associated with efficacy of an acute myeloid leukemia (AML) chemotherapeutic agent based on a CD33 antibody.We seek to evaluate the extent towhich CD33 genetics inADandAMLcan inform one another and advance human disease therapy.We have previously shown that these SNPs are associated with skipping of CD33 exon 2 in brain mRNA.Here,we report that these CD33 SNPs are associated with exon 2 skipping in leukocytes fromAMLpatients and with a novel CD33 splice variant that retains CD33 intron 1. Each copy of the minor rs12459419Tallele decreases prototypic full-length CD33 expression by ~25% and decreases the AD odds ratio by ~0.10. These results suggest that CD33 antagonists may be useful in reducingADrisk. CD33 inhibitorsmay include humanized CD33 antibodies such as lintuzumabwhichwas safe but ineffective inAML clinical trials. Here, we report that lintuzumab downregulates cell-surface CD33 by 80% in phorbol-ester differentiated U937 cells, at concentrations as lowas 10 ng/ml. Overall, we propose amodel wherein a modest effect on RNA splicing is sufficient tomediate the CD33 association with AD risk and suggest the potential for an anti-CD33 antibody as an AD-relevant pharmacologic agent.

Original languageEnglish
Article numberddv092
Pages (from-to)3557-3570
Number of pages14
JournalHuman Molecular Genetics
Issue number12
StatePublished - Jan 18 2015

Bibliographical note

Publisher Copyright:
© The Author 2015. Published by Oxford University Press. All rights reserved.

ASJC Scopus subject areas

  • Molecular Biology
  • Genetics
  • Genetics(clinical)


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