Alzheimer's disease genetic pathways impact cerebrospinal fluid biomarkers and imaging endophenotypes in non‐demented individuals
Alzheimer s & Dementia,
Год журнала:
2024,
Номер
20(9), С. 6146 - 6160
Опубликована: Июль 29, 2024
Abstract
INTRODUCTION
Unraveling
how
Alzheimer's
disease
(AD)
genetic
risk
is
related
to
neuropathological
heterogeneity,
and
whether
this
occurs
through
specific
biological
pathways,
a
key
step
toward
precision
medicine.
METHODS
We
computed
pathway‐specific
scores
(GRSs)
in
non‐demented
individuals
investigated
AD
variants
predict
cerebrospinal
fluid
(CSF)
imaging
biomarkers
reflecting
pathology,
cardiovascular,
white
matter
integrity,
brain
connectivity.
RESULTS
CSF
amyloidbeta
phosphorylated
tau
were
most
GRSs.
Inflammatory
pathways
associated
with
cerebrovascular
disease,
whereas
quantitative
measures
of
lesion
microstructure
integrity
predicted
by
clearance
migration
pathways.
Functional
connectivity
alterations
involved
signal
transduction
synaptic
communication.
DISCUSSION
This
study
reveals
distinct
profiles
association
pathophysiological
aspects
predementia
stages
AD,
unraveling
the
substrates
heterogeneity
AD‐associated
endophenotypes
promoting
forward
understanding
development
personalized
therapies.
Highlights
Polygenic
for
encompasses
six
that
can
be
quantified
scores,
differentially
relate
biomarkers.
are
mostly
burden.
White
health
membrane
functional
communication
Язык: Английский
Compositional brain scores capture Alzheimer's disease–specific structural brain patterns along the disease continuum
Alzheimer s & Dementia,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 27, 2025
Abstract
INTRODUCTION
Traditional
multivariate
methods
for
neuroimaging
studies
overlook
the
interdependent
relationship
between
brain
features.
This
study
addresses
this
gap
by
analyzing
relative
volumetric
patterns
to
capture
how
Alzheimer's
disease
(AD)
and
genetics
influence
structure
along
continuum.
METHODS
analyzed
data
from
participants
across
AD
continuum
Families
(ALFA)
Disease
Neuroimaging
Initiative
(ADNI)
studies.
Compositional
analysis
(CoDA)
was
exploited
examine
variations
that
(1)
were
linked
different
stages
compared
cognitively
unimpaired
amyloid‐β–negative
(CU
A−)
individuals
(2)
varied
genetic
risk.
RESULTS
stage–specific
compositional
scores
identified,
differentiating
CU
A−
those
in
more
advanced
stages.
Genetic
risk–stratified
models
revealed
a
broader
landscape
affecting
morphology
AD,
beyond
well‐known
apolipoprotein
E
ε4
allele.
DISCUSSION
CoDA
emerges
as
an
alternative
framework
deepen
understanding
of
AD‐related
structural
changes
support
targeted
interventions
at
higher
Highlights
variation
region
volumes,
captured
scores,
capable
discerning
subjects
within
other
disease‐stage
groups
also
uncovered
vulnerability
specific
regions
each
stage
is
integrating
magnetic
resonance
imaging
two
cohorts
without
stringent
requirements
harmonization.
translates
advantage,
traditional
methods,
strengthens
reliability
cross‐study
comparisons
standardizing
despite
labeling
agreements,
facilitating
collaborative
large‐scale
research.
The
algorithm
sensitive
AD‐specific
effects,
main
display
little
overlap
with
age‐specific
score.
provides
accurate
addressing
its
nature,
which
can
development
approaches,
opening
new
avenues
enhancing
health.
Язык: Английский
White‐Matter Structural Connectivity and Alzheimer's Disease: A Mendelian Randomization Study
Brain and Behavior,
Год журнала:
2025,
Номер
15(2)
Опубликована: Фев. 1, 2025
ABSTRACT
Background
Alzheimer's
disease
(AD)
and
white‐matter
structural
connectivity
have
been
linked
in
some
observational
studies,
although
it
is
unknown
if
this
a
causal
relationship.
The
purpose
of
study
was
to
examine
the
impact
various
on
AD
via
two‐sample
multivariate
Mendelian
randomization
(MR)
approach.
Methods
genome‐wide
association
(GWAS)
Wainberg
et
al.
provided
summary
data
connectivity,
Bellenguez
al.’s
GWAS
aggregated
for
AD.
MR
methods
included
inverse
variance
weighted,
Egger,
simple
mode,
weighted
median,
mode.
Heterogeneity,
horizontal
pleiotropy,
“leave‐one‐out”
analysis
guaranteed
robustness
causation.
Finally,
reverse
conducted
that
showed
positive
results
forward
analysis.
Results
Among
206
connections,
we
identified
10
connections
were
strongly
correlated
with
genetic
susceptibility
Right‐hemisphere
limbic
network
thalamus
salience_ventral
attention
accumbens
positively
likelihood
AD,
while
remaining
8
negatively
related
None
above
relationship
Conclusion
Our
reveals
certain
degree
between
which
may
provide
support
future
diagnosis
treatment
Язык: Английский
Towards cascading genetic risk in Alzheimer’s disease
Brain,
Год журнала:
2024,
Номер
147(8), С. 2680 - 2690
Опубликована: Май 30, 2024
Abstract
Alzheimer’s
disease
typically
progresses
in
stages,
which
have
been
defined
by
the
presence
of
disease-specific
biomarkers:
amyloid
(A),
tau
(T)
and
neurodegeneration
(N).
This
progression
biomarkers
has
condensed
into
ATN
framework,
each
can
be
either
positive
(+)
or
negative
(−).
Over
past
decades,
genome-wide
association
studies
implicated
∼90
different
loci
involved
with
development
late-onset
disease.
Here,
we
investigate
whether
genetic
risk
for
contributes
equally
to
stages
it
exhibits
a
stage-dependent
effect.
Amyloid
(A)
status
was
using
combination
available
PET
CSF
Disease
Neuroimaging
Initiative
cohort.
In
312
participants
biomarker-confirmed
A−T−
status,
used
Cox
proportional
hazards
models
estimate
contribution
APOE
polygenic
scores
(beyond
APOE)
convert
A+T−
(65
conversions).
Furthermore,
repeated
analysis
290
investigated
conversion
A+T+
(45
Both
survival
analyses
were
adjusted
age,
sex
years
education.
For
from
A+T−,
APOE-e4
burden
showed
significant
effect
[hazard
ratio
(HR)
=
2.88;
95%
confidence
interval
(CI):
1.70–4.89;
P
<
0.001],
whereas
did
not
(HR
1.09;
CI:
0.84–1.42;
0.53).
Conversely,
transition
A+T+,
reduced
1.62;
1.05–2.51;
0.031),
an
increased
1.73;
1.27–2.36;
0.001).
The
marginal
driven
e4
homozygotes
2.58;
1.05–6.35;
0.039)
as
opposed
heterozygotes
1.74;
0.87–3.49;
0.12).
unfolds
fashion.
A
better
understanding
interplay
between
stage
lead
more
mechanistic
molecular
processes
leading
disease,
addition
opening
therapeutic
windows
targeted
interventions.
Язык: Английский
Non‐APOE variants predominately expressed in smooth muscle cells contribute to the influence of Alzheimer's disease genetic risk on white matter hyperintensities
Alzheimer s & Dementia,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 31, 2024
White
matter
hyperintensity
volumes
(WMHVs)
are
disproportionally
prevalent
in
individuals
with
Alzheimer's
disease
(AD),
potentially
reflecting
neurovascular
injury.
We
quantify
the
association
between
AD
polygenic
risk
score
(AD-PRS)
and
WMHV,
exploring
single-nucleotide
polymorphisms
(SNPs)
that
proximal
to
genes
overexpressed
cerebrovascular
cell
species.
Язык: Английский