Analysis of Mitochondrial Genetics, Family History and Brain Imaging data in Lead Investigator: Robyn Honea Institution : University of Kansas E-Mail : rhonea@kumc.edu Proposal ID : 1610 Proposal Description: Individuals with a maternal family history of Alzheimer???s disease (AD) have a substantially (3-9 times higher) increased risk of AD compared to individuals with a paternal or no family history of AD, however we still do not understand why a maternal family history imparts more risk. First, we will use family history of AD to investigate the role of mitochondrial genetic variation in AD, and second, we will use brain imaging phenotypes that have been identified as risk markers for AD. Previous work supports our choice of family history of AD and AD-specific brain imaging phenotypes as proxy-phenotypes. Aim 1: Conduct association studies within the mitochondrial genome using family history of AD as a proxy-phenotype. Aim 2: Conduct association studies within the mitochondrial genome using brain structural/metabolic changes as a proxy-phenotype for AD. Our proposal is designed to determine if mitochondrial genetic variation is contributing to familial transmission of AD and identify if these variations result in changes in the brain detectable by imaging. The variants we anticipate identifying are different than previously reported mitochondrial genomic variants and may illuminate the role of mitochondrial genomics in AD and provide insights into the etiology of AD. Therapeutic treatments to restore mitochondrial function and metabolism (e.g. mitochondrial gene therapy, embryonic mitochondrial DNA transplantation, stem cell therapies, pharmacological intervention, etc.) have been applied in numerous complex human diseases, but treatments that specifically target the mitochondria have not been developed for AD. The results from our analyses will identify novel therapeutic targets for AD, thus providing the foundation for successful intervention in AD.