Large-scale network analysis of the cerebrospinal fluid proteome identifies molecular signatures of frontotemporal lobar degeneration

Author:

Saloner Rowan1ORCID,Staffaroni Adam1ORCID,Dammer Eric2ORCID,Johnson Erik C.B.3ORCID,Paolillo Emily1,Wise Amy1,Heuer Hilary1,Forsberg Leah4,Lago Argentina Lario1,Webb Julia1,Vogel Jacob5,Santillo Alexander5,Hansson Oskar5ORCID,Kramer Joel1,Miller Bruce6,Li Jingyao7,Loureiro Joseph,Sivasankaran Rajeev8ORCID,Worringer Kathleen9,Seyfried Nicholas3ORCID,Yokoyama Jennifer10ORCID,Seeley William11,Spina Salvatore1ORCID,Grinberg Lea11ORCID,VandeVrede Lawren1ORCID,Ljubenkov Peter1,Bayram Ece12,Bozoki Andrea13,Brushaber Danielle4ORCID,Considine Ciaran14,Day Gregory15ORCID,Dickerson Bradford16ORCID,Domoto-Reilly Kimiko17ORCID,Faber Kelley18,Galasko Douglas19ORCID,Geschwind Daniel20ORCID,Ghoshal Nupur21ORCID,Graff-Radford Neill4,Hales Chadwick2,Honig Lawrence22ORCID,Hsiung Ging-Yuek23ORCID,Huey Edward22,Kornak John1,Kremers Walter4,Lapid Maria4ORCID,Lee Suzee1,Litvan Irene24ORCID,McMillan Corey25,Mendez MarioORCID,Miyagawa Toji4,Pantelyat Alexander26,Pascual Belen27ORCID,Paulson Henry28,Petrucelli Leonard4,Pressman Peter29,Ramos Eliana30,Rascovsky Katya1,Roberson Erik31ORCID,Savica Rodolfo4,Snyder Allison32ORCID,Sullivan A. Campbell33,Tartaglia Carmela34ORCID,Vandebergh Marijne35ORCID,Boeve Bradley4ORCID,Rosen Howie1,Rojas Julio1,Boxer Adam36,Casaletto Kaitlin1

Affiliation:

1. University of California, San Francisco

2. Emory University

3. Emory University School of Medicine

4. Mayo Clinic

5. Lund University

6. University of California San Francisco

7. Novartis Institutes for Biomedical Research, Inc.

8. Novartis Institutes for Biomedical Research

9. Novartis (United States)

10. UCSF

11. University of California at San Francisco

12. University of California, San Diego

13. University of North Carolina

14. Vanderbilt University

15. Mayo Clinic in Florida

16. Harvard University

17. University of Washington

18. Indiana University

19. UC San Diego

20. UCLA Health System and David Geffen School of Medicine

21. Washington University

22. Columbia University

23. University of British Columbia

24. UCSD

25. Department of Neurology, University of Pennsylvania, Philadelphia, USA

26. Johns Hopkins University

27. Houston Methodist

28. University of Michigan–Ann Arbor

29. University of Colorado

30. University of California, Los Angeles

31. University of Alabama at Birmingham

32. National Institutes of Health

33. University of Texas Health San Antonio

34. University of Toronto

35. University of Antwerp

36. Memory and Aging Center, Department of Neurology, University of California, San Francisco

Abstract

Abstract The pathophysiological mechanisms driving disease progression of frontotemporal lobar degeneration (FTLD) and corresponding biomarkers are not fully understood. We leveraged aptamer-based proteomics (> 4,000 proteins) to identify dysregulated communities of co-expressed cerebrospinal fluid proteins in 116 adults carrying autosomal dominant FTLD mutations (C9orf72, GRN, MAPT) compared to 39 noncarrier controls. Network analysis identified 31 protein co-expression modules. Proteomic signatures of genetic FTLD clinical severity included increased abundance of RNA splicing (particularly in C9orf72 and GRN) and extracellular matrix (particularly in MAPT) modules, as well as decreased abundance of synaptic/neuronal and autophagy modules. The generalizability of genetic FTLD proteomic signatures was tested and confirmed in independent cohorts of 1) sporadic progressive supranuclear palsy-Richardson syndrome and 2) frontotemporal dementia spectrum syndromes. Network-based proteomics hold promise for identifying replicable molecular pathways in adults living with FTLD. ‘Hub’ proteins driving co-expression of affected modules warrant further attention as candidate biomarkers and therapeutic targets.

Publisher

Research Square Platform LLC

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