Tracking neuroinflammatory biomarkers in Alzheimer’s disease: a strategy for individualized therapeutic approaches?
Simone Lista,
No information about this author
Bruno P. Imbimbo,
No information about this author
Margherita Grasso
No information about this author
et al.
Journal of Neuroinflammation,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: July 30, 2024
Abstract
Background
Recent
trials
of
anti-amyloid-β
(Aβ)
monoclonal
antibodies,
including
lecanemab
and
donanemab,
in
early
Alzheimer
disease
(AD)
showed
that
these
drugs
have
limited
clinical
benefits
their
use
comes
with
a
significant
risk
serious
adverse
events.
Thus,
it
seems
crucial
to
explore
complementary
therapeutic
approaches.
Genome-wide
association
studies
identified
robust
associations
between
AD
several
genes
related
immune
response,
but
not
restricted
CD33
TREM2
.
Here,
we
critically
reviewed
the
current
knowledge
on
candidate
neuroinflammatory
biomarkers
role
characterizing
pathophysiology
AD.
Main
body
Neuroinflammation
is
recognized
be
contributing
component
pathogenesis.
The
fact
neuroinflammation
most
likely
present
from
earliest
pre-stages
co-occurs
deposition
Aβ
reinforces
need
precisely
define
sequence
nature
Numerous
involving
anti-inflammatory
previously
yielded
unfavorable
outcomes
mild-to-moderate
Although
reasons
behind
failures
remain
unclear,
may
include
time
target
selected
for
intervention.
Indeed,
our
review,
observed
stage-dependent
process
brain.
While
initial
activation
glial
cells
counteracts
brain
deposition,
downregulation
functional
state
microglia
occurs
at
more
advanced
stages.
To
address
this
issue,
personalized
modulation
therapy
required.
emergence
reliable
blood-based
biomarkers,
particularly
fibrillary
acidic
protein,
marker
reactive
astrocytes,
facilitate
classification
patients
based
ATI(N)
biomarker
framework.
This
expands
upon
traditional
(“A”),
tau
(“T”),
neurodegeneration
(“N”),
by
incorporating
novel
inflammatory
(“I”).
Conclusions
review
outlines
potential
and,
importantly,
emphasizes
longitudinal
analyses,
which
are
needed
accurately
monitor
dynamics
cerebral
inflammation.
Such
precise
information
place
will
required
before
interventions
can
considered
evaluation.
We
propose
an
effective
anti-neuroinflammatory
should
specifically
while
considering
individual
status
patients.
Language: Английский
Fluid-based biomarkers for neurodegenerative diseases
Ageing Research Reviews,
Journal Year:
2025,
Volume and Issue:
unknown, P. 102739 - 102739
Published: March 1, 2025
Language: Английский
APOE ε4–associated downregulation of the IL‐7/IL‐7R pathway in effector memory T cells: Implications for Alzheimer's disease
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(9), P. 6441 - 6455
Published: Aug. 11, 2024
Abstract
INTRODUCTION
The
apolipoprotein
E
(
APOE
)
ε4
allele
exerts
a
significant
influence
on
peripheral
inflammation
and
neuroinflammation,
yet
the
underlying
mechanisms
remain
elusive.
METHODS
present
study
enrolled
54
patients
diagnosed
with
late‐onset
Alzheimer's
disease
(AD;
including
28
carriers
26
non‐carriers).
Plasma
inflammatory
cytokine
concentration
was
assessed,
alongside
bulk
RNA
sequencing
(RNA‐seq)
single‐cell
(scRNA‐seq)
analysis
of
blood
mononuclear
cells
(PBMCs).
RESULTS
tumor
necrosis
factor
α,
interferon
γ,
interleukin
(IL)‐33
levels
increased
in
but
IL‐7
expression
notably
decreased.
A
negative
correlation
observed
between
plasma
level
hippocampal
atrophy
degree.
Additionally,
IL‐7R
CD28
also
decreased
PBMCs
carriers.
ScRNA‐seq
data
results
indicated
that
changes
were
mainly
related
to
CD4+
Tem
(effector
memory)
CD8+
T
cells.
DISCUSSION
These
findings
shed
light
role
downregulated
IL‐7/IL‐7R
pathway
associated
modulating
neuroinflammation
atrophy.
Highlights
decreases
(IL)‐7
aggravates
disease.
is
negatively
degree
signaling
Dysregulation
signal
pathways
enriches
Language: Английский
Differential DNA methylation in blood as potential mediator of the association between ambient PM2.5 and cerebrospinal fluid biomarkers of Alzheimer's disease among a cognitively normal population-based cohort
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 16, 2025
Fine
particulate
matter
(PM
2.5
)
is
a
known
risk
factor
for
Alzheimer's
disease
(AD),
with
emerging
evidence
linking
PM
exposure
to
cerebrospinal
fluid
(CSF)
biomarkers
in
pre-clinical
stages.
However,
the
role
of
DNA
methylation
(DNAm)
as
potential
mediator
this
relationship
among
cognitively
normal
individuals
remains
largely
unexplored.
In
535
individuals,
we
assessed
genome-wide
blood
DNAm,
CSF
Aβ
42
concentrations,
and
residential
year
preceding
collection.
Multi-stage
comprehensive
mediation
analyses
were
conducted.
Nine
CpG
sites
mediated
-Aβ42
association,
significant
natural
indirect
effects
(NIEs)
eight
CpGs,
mediating
14-43%
effect.
The
joint
NIE
all
nine
CpGs
was
-0.115
(95%
CI:
-0.215,
-0.101)
per
1
ug/m
3
increase
exposure.
Six
are
annotated
genes
implicated
neuroinflammatory
pathways.
Our
findings
suggest
that
differential
particularly
neuroinflammation-related
genes,
mediates
toxicity
AD's
stage.
Language: Английский
Elevated plasma neurofilament light was associated with multi-modal neuroimaging features in Alzheimer’s disease signature regions and predicted future tau deposition
Qili Hu,
No information about this author
Mengqiu Shi,
No information about this author
Yunfei Li
No information about this author
et al.
BMC Neurology,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: July 6, 2024
Abstract
Background
Neurofilament
Light
(NfL)
is
a
biomarker
for
early
neurodegeneration
in
Alzheimer’s
disease
(AD).
This
study
aims
to
examine
the
association
between
plasma
NfL
and
multi-modal
neuroimaging
features
across
AD
spectrum
whether
predicts
future
tau
deposition.
Methods
The
present
recruited
517
participants
comprising
Aβ
negative
cognitively
normal
(CN-)
(n
=
135),
positive
(CN
+)
(
n
64),
individuals
with
amnestic
mild
cognitive
impairment
(aMCI)
212),
those
diagnosed
dementia
106).
All
underwent
examinations.
Cross-sectional
longitudinal
associations
neuro-imaging
were
evaluated
using
partial
correlation
analysis
linear
mixed
effects
models.
We
also
used
regression
investigate
of
baseline
PET
load.
Mediation
was
explore
effect
on
cognition
mediated
by
these
imaging
biomarkers.
Results
results
showed
that
levels
rate
change
associated
deposition,
brain
atrophy,
connectome,
glucose
metabolism,
perfusion
signature
regions
P
<0.05).
In
both
CN
MCI
participants,
significant
predictive
value
elevating
burden
left
medial
orbitofrontal
cortex
para-hippocampus
(β
0.336,
0.032;
β
0.313,
0.047).
Lastly,
performance.
Conclusions
supports
AD-vulnerable
its
Language: Английский
Neuronal apoE4 induces early hyperexcitability in select populations of hippocampal neurons by altering Nell2 expression
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Aug. 29, 2023
ABSTRACT
The
full
impact
of
apolipoprotein
E4
(APOE4),
the
strongest
genetic
risk
factor
for
Alzheimer’s
disease
(AD),
on
neuronal
and
network
function
remains
unclear.
We
found
hippocampal
region-specific
hyperexcitability
in
young
APOE4
knock-in
(E4-KI)
mice
which
predicted
cognitive
deficits
at
old
age.
Network
E4-KI
was
mediated
by
subpopulations
smaller
hyperexcitable
neurons
that
were
eliminated
selective
removal
APOE4.
Aged
exhibited
granule
cells,
a
progressive
inhibitory
deficit,
E/I
imbalance
dentate
gyrus,
exacerbating
hyperexcitability.
Single-nucleus
RNA-sequencing
revealed
cell
type-specific
age-dependent
transcriptomic
changes,
including
Nell2
overexpression
mice.
Reducing
expression
specific
types
with
CRISPRi
rescued
their
abnormal
excitability
phenotypes,
implicating
as
cause
APOE4-induced
These
findings
highlight
early
electrophysiological
alterations
underlying
dysfunction
its
contribution
to
AD
pathogenesis
aging.
Language: Английский
Changes in the Public IgM Repertoire and its Idiotypic Connectivity in Alzheimer's Disease and Frontotemporal Dementia
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 17, 2024
Abstract
Alzheimer’s
disease
(AD)
and
frontotemporal
dementia
(FTD)
are
prevalent
neurodegenerative
disorders.
Early
diagnosis
is
challenging
due
to
the
lack
of
definitive
biomarkers
reliance
on
invasive
procedures.
Immune
biomarkers,
particularly
those
reflecting
interaction
between
central
nervous
system
(CNS)
peripheral
immune
system,
have
shown
promise
for
non-invasive
detection
through
blood
samples.
This
study
investigates
reactivity
serum
IgM
IgG
from
AD
FTD
patients
against
a
library
mimotopes
representing
public
reactivities
in
healthy
donors.
Serum
samples
AD,
FTD,
other
dementias
(ND),
controls
were
tested
peptide
microarrays.
The
pooled
mitigate
individual
variability.
data
analyzed
using
graphs
represent
cross-reactivity
networks.
analysis
revealed
distinct
patterns
studied
groups.
Public
showed
significant
correlations
with
conditions,
exhibiting
loss
or
gain
specific
reactivities.
Graph
highlighted
differences
graph
density,
clustering,
assortativity
parameters
control
Idiotypic
reactivities,
IgM,
more
connected
compared
diseases.
Furthermore,
clusters
distinctions
providing
additional
differentiation.
A
number
self
proteins
related
neurodegeneration
proved
sequences
homologous
associated
mimotopes.
Thus,
repertoire,
characterized
by
its
broad
inherent
autoreactivity,
offers
valuable
insights
into
immunological
alterations
supports
potential
profiles
as
another
compartment
early
differentiation
FTD.
Language: Английский