Prognostic polypeptide blood plasma biomarkers of Alzheimer's disease progression

Hongqian Yang1, Yaroslav Lyutvinskiy1, Sanna-Kaisa Herukka2

  • 1Division of Physiological Chemistry I, Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden.

Abstract

Insights

Blood protein biomarkers can predict Alzheimer's disease progression in mild cognitive impairment patients with 79% accuracy. Sex-specific models are crucial, as some biomarkers like alpha-2-macroglobulin differ between sexes.

Area of Science:

  • Neuroscience
  • Biomarker Discovery
  • Proteomics

Background:

  • Mild cognitive impairment (MCI) presents variable risks for progression to Alzheimer's disease (AD).
  • Accurate prediction of AD progression is vital for timely intervention.

Purpose of the Study:

  • To evaluate blood plasma polypeptide levels as predictors of AD progression in MCI patients.
  • To identify potential protein biomarkers for assessing AD risk.

Main Methods:

  • 119 MCI patient plasma samples analyzed using untargeted, label-free shotgun proteomics.
  • Multivariate analysis and cross-validation employed to select predictive biomarkers for progressive MCI.

Main Results:

  • A predictive model achieved approximately 79% accuracy in identifying progressive MCI.
  • Sex-specific protein biomarkers were identified, including alpha-2-macroglobulin (A2M), which showed a strong correlation with AD progression in females but not males.

Conclusions:

  • Sex bias in AD biomarkers necessitates sex-balanced cohorts or sex-specific models in research.
  • Blood protein biomarkers show promise for predicting AD progression in clinical settings.

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