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Programmed cell death signatures-driven microglial transformation in Alzheimer's disease: single-cell transcriptomics
Mi-Mi Li1, Ying-Xia Yang1, Ya-Li Huang1
1Department of Neurology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Frontiers in Immunology
|August 11, 2025
Summary
This study developed a programmed cell death signature (PCDS) to predict Alzheimer's disease (AD) and identified S100A4 as a potential therapeutic target. The PCDS model shows promise for early AD diagnosis and intervention strategies.
Area of Science:
- Neuroscience
- Genomics
- Computational Biology
Background:
- Alzheimer's disease (AD) pathogenesis involves complex cellular processes, including programmed cell death (PCD).
- Microglia play a critical role in neuroinflammation and AD progression.
- Identifying reliable biomarkers for AD is crucial for early diagnosis and treatment.
Purpose of the Study:
- To develop and validate a novel programmed cell death signature (PCDS) for predicting and classifying Alzheimer's disease (AD).
- To explore the specific role of the S100A4 protein in AD pathogenesis, particularly within microglia.
- To establish a machine learning framework for robust AD biomarker discovery.
Main Methods:
- Integrated analysis of single-cell and bulk RNA sequencing data from multiple cohorts.
- Weighted Gene Co-expression Network Analysis (WGCNA) to identify PCD-related genes.
- Development and validation of a PCDS model using an ensemble of 12 machine learning algorithms.
- In vitro validation of S100A4 function in BV2 microglia using siRNA, Western blot, qRT-PCR, and functional assays.
Main Results:
- A PCDS model, combining Stepglm and Random Forest algorithms, achieved an average AUC of 0.832 across five independent cohorts.
- High PCDS scores correlated with upregulated inflammatory and immune response pathways in AD microglia.
- S100A4 knockdown in microglia reduced apoptosis, inflammation, and oxidative stress, suggesting a protective role.
Conclusions:
- A robust PCDS model was successfully developed for AD prediction, offering potential for early diagnosis.
- S100A4 emerged as a significant factor in AD pathogenesis and a potential therapeutic target.
- These findings underscore the importance of PCD pathways in AD and provide novel insights for therapeutic interventions.

