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NCRAD Update. Tatiana Foroud, Ph.D. Indiana University. Identify Appropriate Families Send Columbia a Preliminary Pedigree Obtain samples/complete study visits Transfer Minimal Datatset to NCRAD Send Columbia the Sampled Pedigree. Identify Appropriate Families.
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NCRAD Update Tatiana Foroud, Ph.D. Indiana University
Identify Appropriate Families Send Columbia a Preliminary Pedigree Obtain samples/complete study visits Transfer Minimal Datatset to NCRAD Send Columbia the Sampled Pedigree
Appropriate Families for Study • At least 2 living siblings with LOAD (onset > 60 years) • At least 1 other living related family member who : • Has AD (onset > 50 years) Or • Is unaffected (> 60 years)
Who to collect? • Genetic analysis seeks to study the transmission of marker alleles throughout the family. • When we can determine the inheritance of all marker alleles unambiguously, we have the greatest power to find genes for disease! • Unaffected individuals may be very important for collection.
Which are the best families? • Families with the largest number of affected individuals. • Strong family history suggests more genetic effects. • Unaffected individuals in families with many affected individuals are also very important, particularly if they are examined clinically.
Who to Collect • Collect the parents in generation I, if available • Collect all siblings in generation II (affected and unaffected) • Collect any individuals in generation III with memory loss • Collect any individuals in generation III > 50 years • Query for any other affected cousins, half siblings, aunts, uncles?? I II III
Unaffected Individuals • We focus the collection of unaffected individuals on those: • Over the age of 50 years • Willing to undergo a cognitive evaluation (telephone or in person) • Siblings and offspring of affected individuals • Some others very much want to participate – use judgment!
The Preliminary Pedigree • Is sent to the Coordinating Center at Columbia and should include: • Diagnosis • Current age • Age at onset • Who will likely be sampled • It is highly recommended to include the family and individual number.
Study Visit/Data Collection • Based on recommendations from the Coordinating Center • Samples and study visits are collected from all targeted individuals who are willing to participate
Minimal Dataset • A minimal dataset must be completed for all individuals from whom a biological sample has been sent to NCRAD • Includes deceased individuals when an autopsy specimen is being sent
Minimal Dataset • The minimal dataset is transferred each quarter to Indiana University. The contact person is: • Michael Daubs, Database Manager • email: mdaubs@iupui.edu • tel: 317-278-2608
The Sampled Pedigree • Is sent to the Coordinating Center at Columbia and should include: • All individuals identified by their family and individual number. • Who was sampled. • Who had a minimal dataset collected. • Who had neuropsychological testing
Sampled Families • A family cannot be considered ‘completed’ or ‘sampled’ until the minimal dataset is transferred to NCRAD for all biologically sampled individuals • This is essential, since without the minimal dataset, we can determine whether the family meets the study criteria
Pedigree Sample Reports • NCRAD sends out this report after receiving a copy of the sampled pedigree. • This report highlights missing data that is required for a family to be considered sampled or complete. • Important for sites to respond and submit missing information
Qualified Families Based on Submitted Data • 205 families have a minimal dataset submitted to NCRAD for at least one family member • Only 90 families consist of: • At least 2 siblings with a minimal dataset supporting AD • At least one other biologically related family member meeting the age requirements and with a minimal dataset
Qualified Families Based on Submitted Data • In the majority of families who do not qualify, the problems are: • A minimal dataset has not been submitted for the critical individuals • Missing variables in the minimal dataset preclude the family from qualifying • There are a small number of families who will never qualify. NCRAD and Columbia should be informed when the ‘sampled’ pedigree is submitted
Samples to Researchers • Researchers can request LOAD samples • At this time, with only limited MDS data, no requests have been processed • MTA out would be required • Requests for samples should include: • IRB approval for proposed analyses • Investigator CV • Short description of proposed studies
Minimal Dataset and Sampled Pedigree • These are both critical elements that the site must submit. • Without both of these elements, NCRAD and Columbia can not determine if a family meets LOAD criteria. • Without both of these elements, the family will not be as useful to researchers!