JAMA Network Open,
Journal Year:
2025,
Volume and Issue:
8(3), P. e250562 - e250562
Published: March 11, 2025
Importance
Age,
sex,
and
apolipoprotein
E
(
APOE
)
are
the
strongest
risk
factors
for
late-onset
Alzheimer
disease
(AD).
The
role
of
in
AD
varies
with
sex
ancestry.
While
association
biomarkers
also
across
ancestry,
no
study
has
systematically
investigated
both
sex-specific
ancestry
differences
on
cerebrospinal
fluid
(CSF)
together,
resulting
limited
insights
generalizability.
Objective
To
investigate
-ε4
3
core
CSF
ancestries.
Design,
Setting,
Participants
This
cohort
examined
(amyloid
β1-42
[Aβ42],
phosphorylated
tau
181
[p-tau],
total
tau,
participants
from
20
cohorts
July
1,
1985,
to
March
31,
2020.
These
individuals
were
grouped
into
African,
Asian,
European
ancestries
based
genetic
data.
Data
analyses
conducted
June
2023,
November
10,
2024.
Exposure
Sex
(male
or
female)
-ε4.
Main
Outcomes
Measures
associations
biomarker
levels
assessed
within
each
group,
adjusting
age.
Meta-analyses
performed
identify
these
Sensitivity
exclude
potential
influence
-ε2
allele.
Results
included
4592
(mean
[SD]
age,
70.8
[10.2]
years;
2425
[52.8%]
female;
119
[2.6%]
52
[1.1%]
4421
[96.3%]
European).
Higher
dosage
scores
associated
lower
Aβ42
values
(β
[SE],
−0.58
[0.02],
P
<
.001),
indicating
more
severe
pathology;
seen
men
women
separately
jointly.
was
statistically
greater
−0.63
[0.03];
.001)
vs
−0.52
=
.01
interaction).
Women
had
higher
p-tau,
neurofibrillary
pathology.
between
p-tau
expected
direction
(higher
values)
sexes,
but
difference
sexes
significant
only
those
African
0.10
[0.18];
.57
men;
β
0.66
[0.17];
.001
women;
.03
neuronal
damage.
stronger
than
0.20
[0.22];
.36
0.65
[0.22],
.004
[
.16
interaction])
0.36
0.27
[0.03],
.053
interaction]);
found
Asian
cohort.
analysis
excluding
APOE-
ε2
carriers
yielded
similar
results.
Conclusions
Relevance
In
this
study,
allele
accumulation
men.
findings
underscore
importance
considering
-ε4’s
pathology
mechanisms
AD.
Although
provides
robust
evidence
complex
interplay
further
research
is
needed
fully
understand
other
differences.
Biomarker Research,
Journal Year:
2024,
Volume and Issue:
12(1)
Published: Sept. 27, 2024
Abstract
Cells,
as
the
fundamental
units
of
life,
contain
multidimensional
spatiotemporal
information.
Single-cell
RNA
sequencing
(scRNA-seq)
is
revolutionizing
biomedical
science
by
analyzing
cellular
state
and
intercellular
heterogeneity.
Undoubtedly,
single-cell
transcriptomics
has
emerged
one
most
vibrant
research
fields
today.
With
optimization
innovation
technologies,
intricate
details
concealed
within
cells
are
gradually
unveiled.
The
combination
scRNA-seq
other
multi-omics
at
forefront
field.
This
involves
simultaneously
measuring
various
omics
data
individual
cells,
expanding
our
understanding
across
a
broader
spectrum
dimensions.
precisely
captures
aspects
transcriptomes,
immune
repertoire,
spatial
information,
temporal
epitopes,
in
diverse
contexts.
In
addition
to
depicting
cell
atlas
normal
or
diseased
tissues,
it
also
provides
cornerstone
for
studying
differentiation
development
patterns,
disease
heterogeneity,
drug
resistance
mechanisms,
treatment
strategies.
Herein,
we
review
traditional
technologies
outline
latest
advancements
multi-omics.
We
summarize
current
status
challenges
applying
biological
clinical
applications.
Finally,
discuss
limitations
potential
strategies
address
them.
Neuron,
Journal Year:
2024,
Volume and Issue:
112(23), P. 3877 - 3896.e8
Published: Sept. 30, 2024
The
strongest
risk
factors
for
late-onset
sporadic
Alzheimer's
disease
(AD)
include
the
ε4
allele
of
apolipoprotein
E
(APOE),
R47H
variant
triggering
receptor
expressed
on
myeloid
cells
2
(TREM2),
and
female
sex.
Here,
we
combine
APOE4
TREM2
Molecular Neurobiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 27, 2024
Alzheimer's
disease
(AD)
is
a
major
contributor
to
dementia
and
the
most
common
neurodegenerative
disorder.
In
AD
pathophysiology,
matrix
metalloproteinases
(MMPs)-proteolytic
enzymes,
best
known
be
responsible
for
remodeling
degradation
of
extracellular
matrix-were
suggested
play
an
important
role.
Due
diverse
nature
published
data
frequent
inconsistent
results
presented
in
available
papers,
it
was
considered
essential
analyze
all
aspects
MMP
literature
with
respect
pathophysiology
attempt
outline
unifying
concept
understanding
their
role
AD.
Thus,
main
contribution
this
review
article
summarize
recent
research
on
participation
obtained
using
cell
cultures
understand
molecular
principles
action.
Furthermore,
updated
comprehensive
view
regarding
topic
based
exclusively
papers
from
human
studies
provided
as
well.
It
can
concluded
that
determining
exact
any
particular
MMPs
holds
promise
establishing
potential
biomarkers
reflecting
severity
or
progression
developing
new
therapeutic
agents
targeting
processes
lead
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 14, 2025
Alzheimer’s
disease
(AD)
is
the
most
common
neurodegenerative
disorder,
accounting
for
approximately
70%
of
dementia
cases
worldwide.
Patients
gradually
exhibit
cognitive
decline,
such
as
memory
loss,
aphasia,
and
changes
in
personality
behavior.
Research
has
shown
that
mitochondrial
dysfunction
plays
a
critical
role
onset
progression
AD.
Mitochondrial
primarily
leads
to
increased
oxidative
stress,
imbalances
dynamics,
impaired
mitophagy,
genome
abnormalities.
These
abnormalities
are
closely
associated
with
amyloid-beta
tau
protein
pathology,
collectively
accelerating
process.
This
review
summarizes
mitochondria
development
AD,
latest
research
progress,
explores
potential
mitochondria-targeted
therapeutic
strategies
Targeting
mitochondria-related
pathways
may
significantly
improve
quality
life
AD
patients
future.
Journal of Neuroinflammation,
Journal Year:
2025,
Volume and Issue:
22(1)
Published: Jan. 24, 2025
The
brain
presents
various
structural
and
functional
sex
differences,
for
which
multiple
factors
are
attributed:
genetic,
epigenetic,
metabolic,
hormonal.
While
biological
is
determined
by
both
chromosomes
hormones,
little
known
about
how
these
two
interact
to
establish
this
dimorphism.
Sex
differences
in
the
also
affect
its
resident
immune
cells,
microglia,
actively
survey
parenchyma
with
hormones
throughout
life.
However,
microglial
density
distribution,
morphology
ultrastructural
patterns
physiological
conditions
during
adulthood
largely
unknown.
Here,
we
investigated
aforementioned
properties
of
microglia
using
Four
Core
Genotypes
(FCG)
model,
allows
an
independent
assessment
gonadal
chromosomal
effects
four
conditions:
FCG
XX
Tg
XY−
(both
ovaries);
XXSry
XYSry
testes).
We
compared
results
XY
wild-type
(WT)
mice.
In
adult
mice,
focused
our
investigation
on
ventral
hippocampus
across
different
layers:
CA1
stratum
radiatum
(Rad)
lacunosum-moleculare
(LMol),
as
well
dentate
gyrus
polymorphic
layer
(PoDG).
Double
immunostaining
Iba1
TMEM119
revealed
that
influenced
hormones.
show
Rad
LMol
denser
however,
were
densest
WT
PoDG,
ovarian
animals
had
increased
testes
animals.
Additionally,
was
modulated
a
complex
interaction
between
chromosomes,
affecting
their
cellular
soma
arborization
hippocampal
layers.
Moreover,
analysis
showed
make
overall
more
contacts
pre-
post-synaptic
elements
than
Lastly,
markers
stress,
including
mitochondrion
elongation,
dilation
endoplasmic
reticulum
Golgi
apparatus,
mostly
chromosomally
driven.
Overall,
characterized
aspects
normal
found
be
shaped
shading
light
onto
immunity
at
steady-state.
Science Advances,
Journal Year:
2025,
Volume and Issue:
11(10)
Published: March 5, 2025
Elucidating
the
downstream
impact
of
exogenous
hormones
on
aging
brain
will
have
far-reaching
consequences
for
understanding
why
Alzheimer's
disease
(AD)
predominates
in
women
almost
twofold
over
men.
We
tested
extent
to
which
menopausal
hormone
therapy
(HT)
use
is
associated
with
later-life
amyloid-β
(Aβ)
and
tau
accumulation
using
PET
N
=
146
baseline
clinically
normal
women,
aged
51
89
years.
Women
were
scanned
a
4.5-year
(SD,
2.1;
range,
1.3
10.4)
3.5-year
1.5;
1.2
8.1)
period
Aβ
tau,
respectively,
~14
years
after
initiation
HT.
In
older
(aged
>70
years),
HT
users
exhibited
faster
regional
relative
non-users,
localized
entorhinal
cortex
inferior
temporal
fusiform
gyri,
an
indirect
effect
cognitive
decline
through
accumulation.
younger
<70
associations
negligible.
Findings
are
relevant
optimizing
treatment
guidelines.
European Journal of Neurology,
Journal Year:
2025,
Volume and Issue:
32(3)
Published: March 1, 2025
ABSTRACT
Background
and
Purpose
Early‐onset
Alzheimer's
disease
other
dementias
(EOAD)
impose
significant
burdens
on
affected
individuals
their
families.
However,
the
global
burden
of
EOAD
has
not
been
fully
investigated.
We
aimed
to
assess
global,
regional,
national
using
data
from
Global
Burden
Diseases,
Injuries,
Risk
Factors
(GBD)
study
1990
2021.
Methods
Data
for
adults
aged
40–64
were
extracted
within
GBD
2021
framework.
Primary
outcomes
included
age‐standardized
prevalence,
incidence,
mortality,
disability‐adjusted
life
years
(DALYs)
EOAD,
as
well
average
annual
percentage
change
(AAPC)
across
21
regions
204
countries.
Results
In
2021,
cases
reached
7.75
million
(95%
uncertainty
interval
[UI]
5.82–10.08),
up
3.67
UI
2.75–4.76)
in
1990.
The
prevalence
rate
increased
341.2
per
100,000
255.89–442.79)
363.5
with
an
AAPC
0.26%
(
p
<
0.001).
was
higher
women
than
men
(4.28
million,
95%
3.24–5.56,
vs.
3.46
2.57–4.52).
associated
0.07
0.01–0.23)
deaths
3.77
1.69–8.88)
DALYs
Additionally,
1.06
0.07–3.03)
attributable
smoking,
elevated
fasting
plasma
glucose,
high
body
mass
index.
Conclusions
number
among
more
doubled
Targeted
strategies
interventions
are
urgently
needed
address
this
growing
public
health
issue.