A genome-wide association study of Alzheimer's disease with psychosis Lead Investigator: Deborah Blacker Institution : Mass General E-Mail : blacker@psych.mgh.harvard.edu Proposal ID : 125 Proposal Description: The following proposal, entitled A genome-wide association study of Alzheimers disease with psychosis (AD+P) aims to identify genetic contributors to Alzheimer???s disease with psychosis (AD+P) utilizing genomewide association (GWA) methods. The proposed project aims at extending the Alzheimers Disease Genetic Consortium (ADGC) goal to identify Alzheimers disease (AD) genes using GWA to identify genetic contributors of AD+P ??? which is a potentially distinct phenotype with a genetic basis.1 It addresses the issue of phenotypic heterogeneity, which is one of the target areas of the current ADGC Request for Special Analysis Group (SAG) Proposals (RFP). This project proposes to utilize the clinical and GWAS data from the AD cases in the UDS Clinical case-control sample???, for which the NIA-funded Alzheimer's Disease Centers have collected extensive clinical phenotype data ??? including on psychotic symptoms. If particular AD+P genes are identified, it would enhance our understanding of psychosis in AD and potentially in other disorders, and might lead to key therapeutic targets for a prevalent condition with significant morbidity. The project is led by Dr. Deborah Blacker at Massachusetts General Hospital (MGH), in collaboration with Dr. Alan Fung, her doctoral student at the Harvard School of Public Health (HSPH), and Dr. Debby Tsuang at the University of Washington: this multi-institutional team brings extensive experience in geriatric psychiatry, AD phenomenology and genetics, and genetic epidemiology. The specific aims are as follows: Specific Aim 1: To identify genetic contributors to Alzheimers disease with psychosis (AD+P) by analyzing the GWA data collected for the AD cases only in the well-phenotyped clinical cases-controls series with uniform dataset (UDS) information (UDS sample) in the ADGC. Comparison will be made between AD cases with psychosis (AD+P) and AD cases without psychosis (AD-P), controlling for stage of