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Metabolic dysregulation in Alzheimer's disease: A brain metabolomics approach.


ABSTRACT:

Introduction

This study aimed to identify specific biological pathways and molecules involved in Alzheimer's disease (AD) neuropathology.

Methods

We conducted cutting-edge high-resolution metabolomics profiling of 162 human frontal cortex samples from the Emory Alzheimer's Disease Research Center (ADRC) brain bank with comprehensive neuropathological evaluations.

Results

We identified 155 unique metabolic features and 36 pathways associated with three well-established AD neuropathology markers. Of these, 18 novel metabolites were confirmed with level 1 evidence, implicating their involvement in amino acid metabolism, lipid metabolism, carbohydrate metabolism, nucleotide metabolism, and metabolism of cofactors and vitamins in AD neuropathology. Genetic variability influenced these associations, with non-carriers of the apolipoprotein E (APOE) ε4 allele showing stronger perturbations in metabolites including glucose and adenosine 5'-diphosphoribose.

Discussion

This study demonstrates the potential of high-resolution metabolomic profiling in brain tissues to elucidate molecular mechanisms underlying AD pathology. Our findings provide critical insights into metabolic dysregulation in AD and its interplay with genetic factors.

Highlights

This is one of the largest untargeted metabolomics studies of human brain tissue. 155 metabolic features, and 36 metabolic pathways were linked to Alzheimer's disease (AD) neuropathology. Of these, 18 unique metabolites were confirmed with level 1 evidence. Glucose and adenosine 5'-diphosphoribose identified as key metabolic alterations in AD.

SUBMITTER: Huls A 

PROVIDER: S-EPMC12423944 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature

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Publications

Metabolic dysregulation in Alzheimer's disease: A brain metabolomics approach.

Hüls Anke A   Tan Youran Y   Casey Emma E   Li Zhenjiang Z   Gearing Marla M   Levey Allan I AI   Lah James J JJ   Wingo Aliza P AP   Jones Dean P DP   Walker Douglas I DI   Wingo Thomas S TS   Liang Donghai D  

Alzheimer's & dementia : the journal of the Alzheimer's Association 20250901 9


<h4>Introduction</h4>This study aimed to identify specific biological pathways and molecules involved in Alzheimer's disease (AD) neuropathology.<h4>Methods</h4>We conducted cutting-edge high-resolution metabolomics profiling of 162 human frontal cortex samples from the Emory Alzheimer's Disease Research Center (ADRC) brain bank with comprehensive neuropathological evaluations.<h4>Results</h4>We identified 155 unique metabolic features and 36 pathways associated with three well-established AD ne  ...[more]

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