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Serum metabolic signatures for Alzheimer's Disease reveal alterations in amino acid composition: a validation study.


ABSTRACT:

Introduction

Alzheimer's Disease (AD) is complex and novel approaches are urgently needed to aid in diagnosis. Blood is frequently used as a source for biomarkers; however, its complexity prevents proper detection. The analytical power of metabolomics, coupled with statistical tools, can assist in reducing this complexity.

Objectives

Thus, we sought to validate a previously proposed panel of metabolic blood-based biomarkers for AD and expand our understanding of the pathological mechanisms involved in AD that are reflected in the blood.

Methods

In the validation cohort serum and plasma were collected from 25 AD patients and 25 healthy controls. Serum was analysed for metabolites using nuclear magnetic resonance (NMR) spectroscopy, while plasma was tested for markers of neuronal damage and AD hallmark proteins using single molecule array (SIMOA).

Results

The diagnostic performance of the metabolite biomarker panel was confirmed using sparse-partial least squares discriminant analysis (sPLS-DA) with an area under the curve (AUC) of 0.73 (95% confidence interval: 0.59-0.87). Pyruvic acid and valine were consistently reduced in the discovery and validation cohorts. Pathway analysis of significantly altered metabolites in the validation set revealed that they are involved in branched-chain amino acids (BCAAs) and energy metabolism (glycolysis and gluconeogenesis). Additionally, strong positive correlations were observed for valine and isoleucine between cerebrospinal fluid p-tau and t-tau.

Conclusions

Our proposed panel of metabolites was successfully validated using a combined approach of NMR and sPLS-DA. It was discovered that cognitive-impairment-related metabolites belong to BCAAs and are involved in energy metabolism.

SUBMITTER: Nielsen JE 

PROVIDER: S-EPMC10770204 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature

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Serum metabolic signatures for Alzheimer's Disease reveal alterations in amino acid composition: a validation study.

Nielsen Jonas Ellegaard JE   Andreassen Trygve T   Gotfredsen Charlotte Held CH   Olsen Dorte Aalund DA   Vestergaard Karsten K   Madsen Jonna Skov JS   Kristensen Søren Risom SR   Pedersen Shona S  

Metabolomics : Official journal of the Metabolomic Society 20240105 1


<h4>Introduction</h4>Alzheimer's Disease (AD) is complex and novel approaches are urgently needed to aid in diagnosis. Blood is frequently used as a source for biomarkers; however, its complexity prevents proper detection. The analytical power of metabolomics, coupled with statistical tools, can assist in reducing this complexity.<h4>Objectives</h4>Thus, we sought to validate a previously proposed panel of metabolic blood-based biomarkers for AD and expand our understanding of the pathological m  ...[more]

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