amyloid; molecular connectome; positron emission tomography; tau; transcriptome; tau Proteins; Amyloid beta-Peptides; Humans; Positron-Emission Tomography; Male; Female; Aged; tau Proteins/metabolism; Amyloid beta-Peptides/metabolism; Disease Progression; Aged, 80 and over; Longitudinal Studies; Alzheimer Disease/diagnostic imaging; Alzheimer Disease/metabolism; Alzheimer Disease/genetics; Alzheimer Disease/pathology; Connectome/methods; Brain/diagnostic imaging; Brain/metabolism; Alzheimer Disease; Brain; Connectome; Epidemiology; Health Policy; Developmental Neuroscience; Neurology (clinical); Geriatrics and Gerontology; Cellular and Molecular Neuroscience; Psychiatry and Mental Health
Abstract :
[en] [en] INTRODUCTION: Mapping individual differences is crucial to improve personalized medicine approaches in Alzheimer's disease (AD), which is characterized by strong inter-individual variability in the accumulation patterns of tau and amyloid beta pathology.
METHODS: We assess the progression of AD across the disease continuum by building individual molecular connectomes using longitudinal positron emission tomography (PET) data.
RESULTS: We demonstrate that these connectomes constitute a unique fingerprint, capable of identifying a single individual from a large group of subjects. Alterations in the connectomes discriminate different diagnostic groups and predict cognitive decline to a higher extent than conventional PET measures. We introduce a novel gene-specific transcription network analysis that linked individual tau and amyloid connectomes to a common transcriptomic profile of apoptosis, with the tau connectome being specifically related to pyrimidine metabolism, and the amyloid connectome to histone acetylation.
DISCUSSION: Individual molecular connectome mapping provides a novel and sensitive framework to monitor AD progression.
Disciplines :
Radiology, nuclear medicine & imaging
Author, co-author :
Xu, Zhilei ; Department of Clinical Neuroscience, Division of Neuro, Karolinska Institutet, Solna, Sweden
Mijalkov, Mite; Department of Clinical Neuroscience, Division of Neuro, Karolinska Institutet, Solna, Sweden
Sun, Jiawei; Department of Clinical Neuroscience, Division of Neuro, Karolinska Institutet, Solna, Sweden
Chang, Yu-Wei; Department of Physics, University of Gothenburg, Gothenburg, Sweden
Sala, Arianna ; Université de Liège - ULiège > Département des sciences cliniques
Volpe, Giovanni; Department of Physics, University of Gothenburg, Gothenburg, Sweden
Severino, Mario; Department of Information Engineering, University of Padua, Padua, Italy
Veronese, Mattia; Department of Information Engineering, University of Padua, Padua, Italy ; Department of Neuroimaging, King's College London, Strand, London, UK
Garcia-Ptacek, Sara; Department of Neurobiology, Division of Clinical Geriatrics, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden ; Theme Inflammation and Aging, Karolinska University Hospital, Solna, Sweden
Pereira, Joana B; Department of Clinical Neuroscience, Division of Neuro, Karolinska Institutet, Solna, Sweden
Alzheimer's Disease Neuroimaging Initiative
Language :
English
Title :
Mapping individual molecular connectomes in Alzheimer's disease.
Publication date :
March 2026
Journal title :
Alzheimer's and Dementia: the Journal of the Alzheimer's Association
USDOD - United States Department of Defense Gun och Bertil Stohnes Stiftelse Sverige Vetenskapsrådet Hjärnfonden Stiftelsen Lars Hiertas Minne
Funding text :
Data collection and sharing for this project was funded by ADNI and DOD ADNI. ADNI is funded by the National Institute on Aging, the National Institute of Biomedical Imaging and Bioengineering, and through generous contributions from the following: AbbVie; Alzheimer's Association; Alzheimer's Drug Discovery Foundation; Araclon Biotech; BioClinica, Inc.; Biogen; Bristol-Myers Squibb Company; CereSpir, Inc.; Cogstate; Eisai Inc.; Elan Pharmaceuticals, Inc.; Eli Lilly and Company; EuroImmun; F. Hoffmann-La Roche Ltd and its affiliated company Genentech, Inc.; Fujirebio; GE Healthcare; IXICO Ltd.; Janssen Alzheimer Immunotherapy Research & Development, LLC; Johnson & Johnson Pharmaceutical Research & Development LLC; Lumosity; Lundbeck; Merck & Co., Inc.; Meso Scale Diagnostics, LLC; NeuroRx Research; Neurotrack Technologies; Novartis Pharmaceuticals Corporation; Pfizer Inc.; Piramal Imaging; Servier; Takeda Pharmaceutical Company; and Transition Therapeutics. The Canadian Institutes of Health Research is providing funds to support ADNI clinical sites in Canada. Private sector contributions are facilitated by the Foundation for the National Institutes of Health (www.fnih.org). The grantee organization is the Northern California Institute for Research and Education, and the study is coordinated by the Alzheimer's Therapeutic Research Institute at the University of Southern California. ADNI data are disseminated by the Laboratory for Neuro Imaging at the University of Southern California. The HABS study was launched in 2010, funded by the National Institute on Aging, and is led by principal investigators Reisa A. Sperling MD and Keith A. Johnson MD at Massachusetts General Hospital/Harvard Medical School in Boston, MA. The computations of this article were enabled by resources provided by the National Academic Infrastructure for Supercomputing in Sweden (NAISS) in projects sens2023024 and NAISS 2023/22-769. This research was supported by several funding bodies, including the KI Research Incubator, Swedish Research Council (grant no. 2022-01108, 2025-03210), the Alzheimer Foundation (grant no. AF-1032782), Blomqvist Foundation (grant no. 2-3980/2025), the Swedish Brain Foundation (grant no. FO2025-0059), and the Romanian Government through Romania's National Recovery and Resilience Plan (contract no. 760250/28.12.2023, code PNRR-C9-I8-CF109/31.07.2023), administered by the Romanian Ministry of Research, Innovation and Digitalization under Component 9, Investment 8. Further funding was received from StratNeuro, KI Consolidator Grant, KID funding, the King Gustaf V and Queen Victoria's Foundation, Gamla Tj\u00E4narinnor, Gun och Bertil Stohnes Stiftelse, Dementia Foundation and the Lars Hierta Memorial Foundation.Data collection and sharing for this project was funded by ADNI and DOD ADNI. ADNI is funded by the National Institute on Aging, the National Institute of Biomedical Imaging and Bioengineering, and through generous contributions from the following: AbbVie; Alzheimer's Association; Alzheimer's Drug Discovery Foundation; Araclon Biotech; BioClinica, Inc.; Biogen; Bristol\u2010Myers Squibb Company; CereSpir, Inc.; Cogstate; Eisai Inc.; Elan Pharmaceuticals, Inc.; Eli Lilly and Company; EuroImmun; F. Hoffmann\u2010La Roche Ltd and its affiliated company Genentech, Inc.; Fujirebio; GE Healthcare; IXICO Ltd.; Janssen Alzheimer Immunotherapy Research & Development, LLC; Johnson & Johnson Pharmaceutical Research & Development LLC; Lumosity; Lundbeck; Merck & Co., Inc.; Meso Scale Diagnostics, LLC; NeuroRx Research; Neurotrack Technologies; Novartis Pharmaceuticals Corporation; Pfizer Inc.; Piramal Imaging; Servier; Takeda Pharmaceutical Company; and Transition Therapeutics. The Canadian Institutes of Health Research is providing funds to support ADNI clinical sites in Canada. Private sector contributions are facilitated by the Foundation for the National Institutes of Health ( www.fnih.org ). The grantee organization is the Northern California Institute for Research and Education, and the study is coordinated by the Alzheimer's Therapeutic Research Institute at the University of Southern California. ADNI data are disseminated by the Laboratory for Neuro Imaging at the University of Southern California. The HABS study was launched in 2010, funded by the National Institute on Aging, and is led by principal investigators Reisa A. Sperling MD and Keith A. Johnson MD at Massachusetts General Hospital/Harvard Medical School in Boston, MA. The computations of this article were enabled by resources provided by the National Academic Infrastructure for Supercomputing in Sweden (NAISS) in projects sens2023024 and NAISS 2023/22\u2010769. This research was supported by several funding bodies, including the KI Research Incubator, Swedish Research Council (grant no. 2022\u201001108, 2025\u201003210), the Alzheimer Foundation (grant no. AF\u20101032782), Blomqvist Foundation (grant no. 2\u20103980/2025), the Swedish Brain Foundation (grant no. FO2025\u20100059), and the Romanian Government through Romania's National Recovery and Resilience Plan (contract no. 760250/28.12.2023, code PNRR\u2010C9\u2010I8\u2010CF109/31.07.2023), administered by the Romanian Ministry of Research, Innovation and Digitalization under Component 9, Investment 8. Further funding was received from StratNeuro, KI Consolidator Grant, KID funding, the King Gustaf V and Queen Victoria's Foundation, Gamla Tj\u00E4narinnor, Gun och Bertil Stohnes Stiftelse, Dementia Foundation and the Lars Hierta Memorial Foundation.
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