PMID- 36048437 OWN - NLM STAT- MEDLINE DCOM- 20230331 LR - 20230613 IS - 1758-535X (Electronic) IS - 1079-5006 (Linking) VI - 78 IP - 4 DP - 2023 Mar 30 TI - Identification of 5 Potential Predictive Biomarkers for Alzheimer's Disease by Integrating the Unified Test for Molecular Signatures and Weighted Gene Coexpression Network Analysis. PG - 653-658 LID - 10.1093/gerona/glac179 [doi] AB - BACKGROUND: Previous transcriptome-wide association study (TWAS) has documented 21 genes associated with Alzheimer's disease (AD) risk, but the predictive biomarkers remain unexplored. METHODS: TWAS leveraging the unified test for molecular signatures (UTMOST) was performed in 75,000 cases and 420,000 controls with 10 brain tissue gene expression references. Weighted gene coexpression network analysis (WGCNA) was conducted in GSE5281 and GSE48350 data sets containing 167 AD samples and 247 controls. Random forest (RF) analysis was applied to screen the potential predictive biomarkers based on overlapping genes identified by TWAS and WGCNA, followed by comprehensive bioinformatic analyses with differential gene expression, functional enrichment, and correlation with immune cells. A nomogram was established to verify the predictive power of the identified biomarkers. RESULTS: TWAS revealed 78 candidate genes (p < 2.89 x 10-6). In WGCNA turquoise module, 3 718 AD-related genes were screened. RF identified 5 predictive biomarkers (FAM71E1, DDB2, AP4M1, GPR4, DOC2A), which are enriched in the global genome nucleotide excision repair pathway and associated with immune cell designations "Natural.killer.T.cell," "Memory.B.cell," "T.follicular.helper.cell," "Neutrophil," and "MDSC." The nomogram based on the 5 markers showed a high predictive power. CONCLUSION: Five potential predictive biomarkers for AD were identified, providing new insights into the pathogenesis and etiology of AD. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Zhou, Siquan AU - Zhou S AD - Healthy Food Evaluation Research Center, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. AD - Laboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China. FAU - Ma, Guochen AU - Ma G AD - Healthy Food Evaluation Research Center, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. FAU - Luo, Hang AU - Luo H AD - Healthy Food Evaluation Research Center, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. FAU - Shan, Shufang AU - Shan S AD - Laboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China. FAU - Xiong, Jingyuan AU - Xiong J AUID- ORCID: 0000-0001-9354-862X AD - Healthy Food Evaluation Research Center, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. FAU - Cheng, Guo AU - Cheng G AD - Laboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Gerontol A Biol Sci Med Sci JT - The journals of gerontology. Series A, Biological sciences and medical sciences JID - 9502837 RN - 0 (Biomarkers) SB - IM CIN - J Gerontol A Biol Sci Med Sci. 2023 Mar 30;78(4):659-662. PMID: 36995007 MH - Humans MH - *Gene Expression Profiling MH - *Alzheimer Disease/diagnosis/genetics MH - Transcriptome MH - Gene Regulatory Networks MH - Biomarkers OTO - NOTNLM OT - AD OT - Random forests OT - TWAS OT - UTMOST OT - WGCNA EDAT- 2022/09/02 06:00 MHDA- 2023/03/31 06:42 CRDT- 2022/09/01 11:32 PHST- 2022/05/11 00:00 [received] PHST- 2023/03/31 06:42 [medline] PHST- 2022/09/02 06:00 [pubmed] PHST- 2022/09/01 11:32 [entrez] AID - 6681126 [pii] AID - 10.1093/gerona/glac179 [doi] PST - ppublish SO - J Gerontol A Biol Sci Med Sci. 2023 Mar 30;78(4):653-658. doi: 10.1093/gerona/glac179.