RT Journal Article T1 Mendelian Randomisation Confirms the Role of Y-Chromosome Loss in Alzheimer’s Disease Aetiopathogenesis in Men A1 García-González, Pablo A1 Rojas, Itziar de A1 Moreno-Grau, Sonia A1 Montrreal, Laura A1 Puerta, Raquel A1 Alarcón-Martín, Emilio A1 Quintela, Inés A1 Orellana, Adela A1 Andrade, Victor A1 Martino Adami, Pamela V. A1 Heilmann-Heimbach, Stefanie A1 Gómez-Garre, Pilar A1 Periñán, María Teresa A1 Alvarez, Ignacio A1 Díez-Fairen, Mónica A1 Nuñez Llaves, Raul A1 Olivé Roig, Claudia A1 García-Ribas, Guillermo A1 Menéndez-González, Manuel A1 Martínez, Carmen A1 Aguilar, Miquel A1 Buongiorno, Mariateresa A1 Franco-Macías, Emilio A1 Saez, Maria Eugenia A1 Cano, Amanda A1 Bullido Gómez-Heras, Maria Jesús A1 Real-Navarrete, Luis Miguel A1 Rodríguez-Rodríguez, Eloy A1 Royo-Sánchez-Palencia, José Luis A1 Álvarez, Victoria A1 Pastor, Pau A1 Piñol-Ripoll, Gerard A1 Mir, Pablo A1 Calero Lara, Miguel A1 Medina Padilla, Miguel A1 Sánchez-Juan, Pascual A1 Carracedo Álvarez, Ángel María A1 Valero, Sergi A1 Hernández, Isabel A1 Tàrraga, Lluis A1 Ramirez, Alfredo A1 Boada, Mercé A1 Ruiz Laza, Agustín K1 Alzheimer, Enfermedad de AB Mosaic loss of chromosome Y (mLOY) is a common ageing-related somatic event and has been previously associated with Alzheimer’s disease (AD). However, mLOY estimation from genotype microarray data only reflects the mLOY degree of subjects at the moment of DNA sampling. Therefore, mLOY phenotype associations with AD can be severely age-confounded in the context of genome-wide association studies. Here, we applied Mendelian randomisation to construct an age-independent mLOY polygenic risk score (mloy-PRS) using 114 autosomal variants. The mloy-PRS instrument was associated with an 80% increase in mLOY risk per standard deviation unit (p = 4.22 × 10−20) and was orthogonal with age. We found that a higher genetic risk for mLOY was associated with faster progression to AD in men with mild cognitive impairment (hazard ratio (HR) = 1.23, p = 0.01). Importantly, mloy-PRS had no effect on AD conversion or risk in the female group, suggesting that these associations are caused by the inherent loss of the Y chromosome. Additionally, the blood mLOY phenotype in men was associated with increased cerebrospinal fluid levels of total tau and phosphorylated tau181 in subjects with mild cognitive impairment and dementia. Our results strongly suggest that mLOY is involved in AD pathogenesis. PB IOAP-MDPI YR 2023 FD 2023-01-04 LK https://hdl.handle.net/10630/25996 UL https://hdl.handle.net/10630/25996 LA eng NO García-González P, de Rojas I, Moreno-Grau S, Montrreal L, Puerta R, Alarcón-Martín E, Quintela I, Orellana A, Andrade V, Adami PVM, Heilmann-Heimbach S, Gomez-Garre P, Periñán MT, Alvarez I, Diez-Fairen M, Nuñez Llaves R, Olivé Roig C, Garcia-Ribas G, Menéndez-González M, Martínez C, Aguilar M, Buongiorno M, Franco-Macías E, Saez ME, Cano A, Bullido MJ, Real LM, Rodríguez-Rodríguez E, Royo JL, Álvarez V, Pastor P, Piñol-Ripoll G, Mir P, Lara MC, Padilla MM, Sánchez-Juan P, Carracedo A, Valero S, Hernandez I, Tàrraga L, Ramirez A, Boada M, Ruiz A. Mendelian Randomisation Confirms the Role of Y-Chromosome Loss in Alzheimer’s Disease Aetiopathogenesis in Men. International Journal of Molecular Sciences. 2023; 24(2):898. https://doi.org/10.3390/ijms24020898 NO P.G.-G. (Pablo García-González) is supported by CIBERNED employment plan CNV-304-PRF-866. CIBERNED is integrated into ISCIII (Instituto de Salud Carlos III). I.d.R is supported by a national grant from the Instituto de Salud Carlos III FI20/00215. A.C. (Amanda Cano) acknowledges the support of the Spanish Ministry of Science, Innovation, and Universities under the grant Juan de la Cierva (FJC2018-036012-I). M.B. (Mercé Boada) and A.R. (Agustín Ruiz) are also supported by national grants PI13/02434, PI16/01861, PI17/01474, PI19/01240, and PI19/01301. The Genome Research @ Fundació ACE project (GR@ACE) is supported by Grifols SA, Fundación bancaria “La Caixa”, Fundació ACE, and CIBERNED. Acción Estratégica en Salud is integrated into the Spanish National R + D + I Plan and funded by ISCIII (Instituto de Salud Carlos III)—Subdirección General de Evaluación—and the Fondo Europeo de Desarrollo Regional (FEDER—“Una manera de hacer Europa”). Genotyping of the ACE MCI-EADB samples was performed in the context of EADB (European Alzheimer DNA biobank) funded by the JPco-fuND FP-829-029 (ZonMW project number 733051061). This work was supported by a grant (European Alzheimer DNA BioBank, EADB) from the EU Joint Program—Neurodegenerative Disease Research (JPND). Partial funding for open access charge: Universidad de Málaga DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 19 ene 2026