- July 15, 2025
- Carlos Cruchaga, et al., Washington University School of Medicine, St. Louis
Topic/Product:
CNS Disease Panel 120
Disease Area:
Alzheimer's Disease, Frontal Temporal Dementia (FTD)
Sample Type:
Plasma
Abstract
Neurodegenerative diseases (NDs), such as Alzheimer’s disease (AD), Parkinson’s disease (PD) and frontotemporal dementia (FTD), exhibit distinct yet overlapping pathological mechanisms. Leveraging large-scale plasma proteomics data from the Global Neurodegeneration Proteomics Consortium, we analyzed 10,527 plasma samples (1,936 AD, 525 PD, 163 FTD, 1,638 dementia and 6,265 controls) to identify disease-specific and shared proteins across NDs. We identified 5,187 proteins significantly associated with AD, 3,748 with PD and 2,380 with FTD that revealed both common and divergent proteomic signatures, which were confirmed by multiple analytical approaches and orthogonal validation. PD and FTD showed the highest overlap (r2 = 0.44) and AD and PD the least (r2 = 0.04). Immune system, glycolysis, and matrisome-related pathways were enriched across all NDs, while disease-specific pathways included apoptotic processes in AD, endoplasmic reticulum–phagosome impairment in PD and platelet dysregulation in FTD. Network analysis identified key upstream regulators (RPS27A in AD, IRAK4 in PD and MAPK1 in FTD) potentially driving these proteomic changes. These findings reveal distinct and shared mechanisms across NDs, highlighting potential regulatory proteins and pathways for diagnostic and therapeutic strategies in neurodegeneration.
Authors & Affiliations
Muhammad Ali¹²¹³, Buddhiprabha Erabadda³¹³, Yike Chen¹², Ying Xu¹², Katherine Gong¹², Menghan Liu¹², Alexa Pichet Binette⁴, Jigyasha Timsina¹², Daniel Western¹², Chengran Yang¹², Gyujin Heo¹², Jacob W. Vogel⁵, Betty M. Tijms⁶⁷, Varsha Krish⁸, Farhad Imam⁸, The Global Neurodegeneration Proteomics Consortium (GNPC)*, Oskar Hansson⁴⁹, Laura Winchester³¹³, and Carlos Cruchaga¹²¹⁰¹¹¹²¹³
¹ Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA
² NeuroGenomics and Informatics Center, Washington University School of Medicine, St. Louis, MO, USA
³ Department of Psychiatry, University of Oxford, Oxford, UK
⁴ Clinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden
⁵ Department of Clinical Sciences Malmö, SciLifeLab, Lund University, Lund, Sweden
⁶ Alzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC location VUmc, Amsterdam, The Netherlands
⁷ Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands
⁸ Gates Ventures, Seattle, WA, USA
⁹ Eli Lilly, Stockholm, Sweden
¹⁰ Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA
¹¹ Hope Center for Neurological Disorders, Washington University, St. Louis, MO, USA
¹² Department of Genetics, Washington University School of Medicine, St. Louis, MO, USA
¹³ Consortia: The Global Neurodegeneration Proteomics Consortium (GNPC)
