Background
Methods
In silico discovery of candidate biomarkers
Scope of the intelligence network
Assertion generation
Alzheimer's Disease sub-types | Pathological observations in AD | Brain regions affected in AD |
---|---|---|
Alzheimer's Disease | Acute-Phase Reaction | Amygdala |
Early Onset Alzheimer's Disease | Amyloid Deposition | Anterior Thalamic Nucleus |
Early Onset Familial Alzheimer's Disease | Amyloid Fibril Formation | Basal Nucleus of Meynert |
Familial Alzheimer's Disease | Amyloidosis | CA1 region |
Incipient Alzheimer's Disease | Asymmetric Cortical Atrophy | CA2 region |
Late Onset Alzheimer's Disease | Blood Brain Barrier Dysfunction | CA3 region |
Late Onset Sporadic Alzheimer's Disease | Central Nervous System Inflammation | Cholinergic Neuron |
Mid-Stage Alzheimer's Disease | Cerebral Atrophy | Diagonal Band of Broca |
Mild-to-Moderate Alzheimer's Disease | Cholinergic Dysfunction | Entorhinal Cortex |
Moderate Alzheimer's Disease | Corpus Callosum Atrophy | Frontal Lobe |
Moderate-to-Severe Alzheimer's Disease | Dystrophic Neuronal Growth | Hippocampus |
Sporadic Alzheimer's Disease | Glial Inflammation | Inferior Temporal Gyrus |
Severe Alzheimer's Disease | Gliosis | Left Thalamus |
Glucose Hypometabolism | Locus Coeruleus | |
Granulovacuolar Degeneration | Medial Temporal Cortex | |
Hippocampal Neurodegeneration | Parahippocampal Gyrus | |
Inflammation | Parietal Lobe | |
Locus Coeruleus Neuronal Loss | Prefrontal Cortex | |
Mitochondrial Failure | Septal Nucleus | |
Nerve Degeneration | Subiculum | |
Neuritic Plaque Formation | Substantia Innominata | |
Neurofibrillary Degeneration | Superior Temporal Gyrus | |
Neurofibrillary Lesion | Synapse | |
Neurofibrillary Tangle Formation | Temporal Isocortex | |
Neuroinflammation | Temporal Lobe | |
Neuronal Degeneration | Thalamus | |
Neuronal Dysfunction | ||
Neuronal Dystrophy | ||
Neuronal Inclusion Bodies | ||
Neuronal Lesion | ||
Neuronal Loss | ||
Neuronal Necrosis | ||
Neuronal Shrinkage | ||
Occipital Atrophy | ||
Oxidative Damage | ||
Oxidative Stress | ||
Perivascular Amyloidosis | ||
Synapse Dysfunction | ||
Synaptic Degeneration | ||
Synaptic Loss | ||
Synapse Enlargement | ||
Tau Deposition | ||
Tau Phosphorylation | ||
Tau-Mediated Cytotoxicity |
Databases | Description |
---|---|
Alzheimer Disease & Frontotemporal Dementia Mutation Database (http://www.molgen.ua.ac.be/ADMutations/Default.cfm) | The Alzheimer Disease & Frontotemporal Dementia Mutation Database (AD&FTDMDB) aims at collecting all known mutations and non-pathogenic coding variations in the genes related to Alzheimer disease (AD) and frontotemporal dementia (FTD). All data were exported and loaded into Sofia, to create gene-disease assertions. |
Diseases Database (http://www.diseasesdatabase.com) | The Diseases database is a cross-referenced medical dictionary of diseases, medications, symptoms, signs and investigations, which was loaded into Sofia and provided assertions linking Alzheimers disease to symptoms and signs, histopathological abnormalities, risk factors etc. |
Gene Ontology (http://www.geneontology.org) | The Gene Ontology project provides an ontology of defined terms representing gene product properties. The ontology covers three domains for the gene products: cellular component, molecular function, & biological process. All of GO was processed and loaded into Sofia, and the relevant assertions were then exported into the IN. |
Genetic Association Database (http://geneticassociationdb.nih.gov) | The Genetic Association Database is an archive of human genetic association studies of complex diseases and disorders. All the data linking genes to diseases were processed and downloaded into Sofia, and the relevant assertions were then exported into the IN. |
Gensat Brain Atlas (http://www.gensat.org) | GENSAT is a gene expression atlas of the developing and adult central nervous system of the mouse. After AD-related brain areas were identified from literature reviews, the relevant genes were exported from GENSAT, and assertions linking gene to anatomical area created and loaded into Sofia. |
KEGG (Kyoto Encyclopedia of Genes and Genomes) is a bioinformatics resource for linking genomes to life and the environment. Pathways relevant to AD were reviewed, and relevant protein-pathway assertions were generated using Sofia. | |
NCBI Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo) | Gene Expression Omnibus (GEO) is a database repository of high throughput gene expression data and hybridization arrays, chips, microarrays. GEO was searched for AD-relevant expression data, which were downloaded from the NCBI site and loaded into Sofia. |
OMIM (http://www.omim.org/) | Online Mendelian Inheritance in Man (OMIM) is a database that catalogues all the known diseases with a genetic component, and if possible, links them to the relevant genes in the human genome and provides references for further research and tools for genomic analysis of a catalogued gene. All of OMIM Genemap was exported and loaded into Sofia; relevant AD records were used to create gene-disease assertions. |
Telemakus knowledgebase (http://www.telemakus.net/AD/) | Telemakus Biomarkers in Alzheimer's Disease & Mild Cognitive Impairment Knowledgebase contains information from AD and MCI biomarker studies. All of the Knowledgebase was exported and loaded into Sofia as protein-disease assertions. |
Textual Data
|
Description
|
PubMed is a service of the U.S. National Library of Medicine that includes over 18 million citations from MEDLINE and other life science journals for biomedical articles back to the 1950s. PubMed contains a rich set of biomedical literature abstracts relevant to many areas. AD-relevant vocabularies within Sofia were used to build a "corpus" of AD-relevant abstracts, which were then used in assertion-generation processes to create disease-protein and disease-process links. | |
Full text papers and reports | Various full text reviews from journals, and reports from AD websites (Alzheimer Research Forum; http://www.alzforum.org/ and Essential Science Indicators; http://www.esi-topics.com/alzheimer/) were downloaded, and text versions were loaded into Sofia for assertion generation using key AD-related vocabularies. |
Derivation of candidates from intelligence network
In vitro assessment of candidate biomarkers
Samples
Imaging
Protein quantization in plasma
Statistical analysis
Results
In silico discovery of candidate biomarkers
-
5,257 proteins and/or mRNAs expressed in AD tissue
-
of these, 67 reported evidence for upregulation in AD
-
of these, 25 have known associations with a pathological process in AD
STANDARD PROTEIN SYMBOL | COMMON ALIASES | |
---|---|---|
Alpha 1-antichymotrypsin | SERPINA3 | serpin peptidase inhibitor clade A, AACT, ACT |
Amyloid beta (A4) precursor protein (protease nexin-II, Alzheimer disease amyloid protein) | APP | AD1 (Alzheimer disease), ABETA (amyloid beta A4 protein) |
Apolipoprotein D | APOD | |
Apolipoprotein E | apoE | AD2 (Alzheimer disease 2) |
B-cell leukemia/lymphoma 2 | BCL2 | |
Beta-site APP-Cleaving Enzyme 1 | BACE1 | |
Butyrylcholinesterase | BCHE | |
C-reactive protein, pentraxin-related | CRP | |
Choline Acetyltransferase | CHAT | CHOACTase |
Clusterin | CLU | APOJ (Apolipoprotein J) |
Complement component 1, q subcomponent, beta polypeptide | C1QB | |
Estrogen Receptor 1 (alpha) | ESR1 | |
Glial fibrillary acidic protein | GFAP | |
Heat shock 70kD protein 5 (glucose-regulated protein) | HSPA5 | |
Interleukin 1 beta | IL1B | |
Interleukin 6 | IL6 | IFNB2 (Interferon beta-2) |
Matrix Metallopeptidase 9 | MMP9 | CLG4B (92 kDa gelatinase, 92 kDa type IV collagenase) |
Nerve Growth Factor | NGF | NGFB |
Nitric Oxide Synthase 2A | NOS2 | NOS2A, INOS (Inducible NOS), HEP-NOS (Hepatocyte NOS) |
PRKC, apoptosis, WT1, regulator | PAWR | PAR4 (Prostate apoptosis response 4 protein) |
Prostaglandin-Endoperoxide Synthase 2 | PTGS2 | PGHS2, COX2 (Cyclooxygenase 2b) |
Transforming Growth Factor, Beta 1 | TGFB1 | |
Transthyretin | TTR | |
Tumor Necrosis Factor (TNF superfamily, member 2) | TNF | TNFA, TNF-alfa |
Urokinase Plasminogen Activator Receptor | PLAUR | uPAR |
In vitro assessment of candidate biomarkers
PLAUR correlation with whole brain volume | ChAt correlation with whole brain volume | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
N | Gender (% F) | Age mean (SD) | MMSE* mean (SD) | PLAUR mean (SD) ** | R | p | ChAt mean (SD) ** | R | p | |
Controls | 82 | 58 | 72.8 (7.0) | 29 (1.1) | 1.63 (0.9) | −0.35 | <0.005 | 0.78 (0.3) | 0.34 | <0.01 |
MCI | 80 | 57 | 74.7 (6.2) | 27 (2.2) | 0.98 (0.7) | 0.14 | NS | 0.75 (0.3) | 0.01 | NS |
AD | 78 | 69 | 76.2 (6.4) | 21 (4.5) | 0.85 (0.3) | −0.2 | NS | 0.71 (0.3) | 0.23 | 0.06 |