后扣带皮层microRNA失调可区分认知弹性、轻度认知障碍和阿尔茨海默病

IF 11.1 1区 医学 Q1 CLINICAL NEUROLOGY Alzheimer's & Dementia Pub Date : 2025-02-26 DOI:10.1002/alz.70019
Scott E. Counts, John S. Beck, Bryan Maloney, Michael Malek-Ahmadi, Stephen D. Ginsberg, Elliott J. Mufson, Debomoy K. Lahiri
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引用次数: 0

摘要

MicroRNA (miRNA)活性越来越被认为是阿尔茨海默病(AD)病理生理通路的关键调节因子。然而,mirna在AD进展过程中的作用,包括恢复力和前驱综合征,如轻度认知障碍(MCI),仍未得到充分研究。方法:我们对死前被诊断为无认知障碍(NCI)、MCI或AD的拉什宗教秩序研究参与者的后扣带皮层(PCC)样本进行了mirna测序。NCI受试者被细分为低病理(Braak阶段I/II)或高病理(Braak阶段III/IV),提示恢复力。生物信息学方法包括差异表达、信使RNA (mRNA)靶标预测、相互作用组建模、功能富集和AD风险建模。结果:我们确定了区分AD、MCI、恢复力、死前神经心理测试表现、死后神经病理负担和AD风险的特定miRNA组、mRNA靶点和信号通路。这些发现强调了利用miRNA活性来操纵AD疾病修饰途径的潜力,这对精准医学具有重要意义。MicroRNA (MiRNA)失调是阿尔茨海默病(AD)的一个公认特征。新的mirna也可以区分轻度认知障碍和假定的恢复能力。mirna与认知能力和神经病理负担相关。选择的mirna与AD风险相关,年龄是一个重要的协变量。MiRNA通路包括胰岛素、催乳素、激酶和神经突可塑性。
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Posterior cingulate cortex microRNA dysregulation differentiates cognitive resilience, mild cognitive impairment, and Alzheimer's disease

INTRODUCTION

MicroRNA (miRNA) activity is increasingly appreciated as a key regulator of pathophysiologic pathways in Alzheimer's disease (AD). However, the role of miRNAs during the progression of AD, including resilience and prodromal syndromes such as mild cognitive impairment (MCI), remains underexplored.

METHODS

We performed miRNA-sequencing on samples of posterior cingulate cortex (PCC) obtained post mortem from Rush Religious Orders Study participants diagnosed ante mortem with no cognitive impairment (NCI), MCI, or AD. NCI subjects were subdivided as low pathology (Braak stage I/II) or high pathology (Braak stage III/IV), suggestive of resilience. Bioinformatics approaches included differential expression, messenger RNA (mRNA) target prediction, interactome modeling, functional enrichment, and AD risk modeling.

RESULTS

We identified specific miRNA groups, mRNA targets, and signaling pathways distinguishing AD, MCI, resilience, ante mortem neuropsychological test performance, post mortem neuropathological burden, and AD risk.

DISCUSSION

These findings highlight the potential of harnessing miRNA activity to manipulate disease-modifying pathways in AD, with implications for precision medicine.

Highlights

  • MicroRNA (MiRNA) dysregulation is a well-established feature of Alzheimer's disease (AD).
  • Novel miRNAs also distinguish subjects with mild cognitive impairment and putative resilience.
  • MiRNAs correlate with cognitive performance and neuropathological burden.
  • Select miRNAs are associated with AD risk with age as a significant covariate.
  • MiRNA pathways include insulin, prolactin, kinases, and neurite plasticity.
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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