Abstract

AbstractBackgroundThe diagnosis of Alzheimer’s disease (AD) has been greatly improved due to the fundamental role of positron emission tomography (PET) imaging. Also, predicting PET brain imaging alterations using blood‐based biomarkers is of high interest. This way, integrating PET and omics data can provide new insights into AD pathophysiology. Here, we aimed to develop a framework that combines blood transcriptomics with PET data. We hypothesized that integrating omics and PET data will help advance our understanding of AD neurobiology and may reveal relevant new peripheral biomarkers.Method[18F]Fluorodeoxyglucose ([18F]FDG)‐PET imaging and transcriptomics data were acquired from the Alzheimer’s Disease Neuroimaging Initiative (ADNI). Microarray gene expression profiling from blood samples of 99 Cognitively Unimpaired (CU) and 218 Cognitively Impaired (CI) individuals were submitted to differential expression (DE) analysis. Differentially expressed genes (DEGs) were submitted to Gene Ontology (GO) analysis. The GO terms were clustered by semantic similarity using the GOSemSim method for biological processes ontology. All computations analyses were performed in the R statistical environment. Gene clusters obtained in the previous step were selected to undergo integration with [18F]FDG‐PET images using voxel‐wise generalized linear regression (GLR) models adjusted for age, gender, years of education, and APOEε4 (RMINC package).ResultThe GO semantic similarity resulted in 16 GO clusters. The voxel‐wise correlation between [18F]FDG‐PET and GO clusters resulted in t‐statistical maps. Afterwards, only statistically significant correlated voxels (uncorrected t‐value > 2.0) were retained (Fig. 1A). A cluster related to the regulation of protein serine/threonine kinase activity showed a strong correlation with the [18F]FDG‐PET signal in the brain. At the voxel level, this cluster has a positive correlation in the precuneus’ gray matter (95.7% left, 81.1% right) as well in the medial frontal gyrus (79.6% left, 44.66% right) and cingulate region (76.9% left, 56.4% right) (Fig. 1B).ConclusionWe identified several peripheral biological processes associated with [18F]FDG‐PET metabolism in the brain of CU and CI individuals. Furthermore, the prominent enrichment of protein serine/threonine kinase activity‐related genes highlights its potential as novel AD biomarkers and as a proxy of [18F]FDG‐PET metabolism.

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