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Alzheimer's & dementia : the journal of the Alzheimer's Association
Published

Herpesvirus genome integration in whole-genome sequences of dementia and control cohorts

Authors

Stacey L Piotrowski, Mary Alice Allnutt, Kory Johnson, Toshiko Tanaka, Luigi Ferrucci, Huw Morris, John Hardy, PROSPECT Consortium, Mina Ryten, United Kingdom Brain Expression Consortium (UKBEC), Giancarlo Logroscino, Juan Troncoso, Thomas G Beach, Geidy E Serrano, Carlos Cruchaga, Dennis W Dickson, Owen A Ross, Adriano Chiò, International LBD Genomics Consortium, International ALS Genomics Consortium, Henry Houlden, American Genome Center, Clifton L Dalgard, Jinhui Ding, J Raphael Gibbs, Bryan J Traynor, Sonja W Scholz, Steven Jacobson

Abstract

Alzheimers Dement. 2026 Mar;22(3):e71047. doi: 10.1002/alz.71047.

ABSTRACT

INTRODUCTION: The infectious hypothesis suggests that microbes like herpesviruses may play a role in the pathogenesis of Alzheimer's disease (AD) and other related dementias through methods that may include viral genome integration. The occurrence of herpesvirus genome integration in dementia patients has not been thoroughly characterized.

METHODS: Over 7500 total whole-genome sequences from control, frontotemporal dementia/amyotrophic lateral sclerosis spectrum, Lewy body dementia (LBD), multiple system atrophy (MSA), and AD cohorts were screened for the integration of pathogen genomes using the PathSeq computational tool.

RESULTS: Low PathSeq scores for human herpesvirus 6 (HHV-6) were consistent with the suspected integration of viral genome segments. The LBD and MSA cohorts had a significantly higher prevalence of this partial HHV-6 genome integration.

DISCUSSION: This higher prevalence in both synucleinopathies was not noted in other herpesviruses, suggesting that the integration of HHV-6 may play a role in a subset of these patients.

HIGHLIGHTS: Over 7500 whole-genome sequences from controls and dementia patients were analyzed. Sequences consistent with integrated herpesviruses were identified using PathSeq. Prevalence of partial HHV-6 integration was higher in synucleinopathies. Herpesviruses genome integration may play a role in subsets of dementia patients.

PMID:41853978 | DOI:10.1002/alz.71047

UK DRI Authors

Prof Huw Morris

UK DRI Affiliate Member

Professor of Neurology and Neurogenetics, UCL Queen Square Institute of Neurology

Prof Huw Morris
John Hardy

Prof Sir John Hardy

Group Leader

Harnessing genetics to build a better understanding of dementia

Prof Sir John Hardy
Mina Ryten

Prof Mina Ryten

Centre Director & Research Division Lead

Leveraging brain transcriptomics to understand the pathophysiology of Lewy body diseases

Prof Mina Ryten
Prof Henry Houlden

Prof Henry Houlden

Group Leader

Investigating Parkinson’s and degenerative movement disorders across the full spectrum of patient populations

Prof Henry Houlden