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Li W, Zhou Y, Luo Z, Tang R, Sun Y, He Q, Xia B, Lu K, Hou Q, Yuan J. Lipidomic markers for the prediction of progression from mild cognitive impairment to Alzheimer's disease. FASEB J 2023; 37:e22998. [PMID: 37289136 DOI: 10.1096/fj.202201584rr] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 04/18/2023] [Accepted: 05/12/2023] [Indexed: 06/09/2023]
Abstract
Dementia is a well-known syndrome and Alzheimer's disease (AD) is the main cause of dementia. Lipids play a key role in the pathogenesis of AD, however, the prediction value of serum lipidomics on AD remains unclear. This study aims to construct a lipid score system to predict the risk of progression from mild cognitive impairment (MCI) to AD. First, we used the least absolute shrinkage and selection operator (LASSO) Cox regression model to select the lipids that can signify the progression from MCI to AD based on 310 older adults with MCI. Then we constructed a lipid score based on 14 single lipids using Cox regression and estimated the association between the lipid score and progression from MCI to AD. The prevalence of AD in the low-, intermediate- and high-score groups was 42.3%, 59.8%, and 79.8%, respectively. The participants in the intermediate- and high-score group had a 1.65-fold (95% CI 1.10 to 2.47) and 3.55-fold (95% CI 2.40 to 5.26) higher risk of AD, respectively, as compared to those with low lipid scores. The lipid score showed moderate prediction efficacy (c-statistics > 0.72). These results suggested that the score system based on serum lipidomics is useful for the prediction of progression from MCI to AD.
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Affiliation(s)
- Wenjing Li
- Department of Epidemiology and Biostatistics, Clinical Big Data Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
| | - Yinhua Zhou
- Center for Clinical Medical Humanities, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
| | - Zhaofan Luo
- Department of Clinical Laboratory, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
| | - Rixin Tang
- Department of Epidemiology and Biostatistics, Clinical Big Data Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
| | - Yuxuan Sun
- Department of Epidemiology and Biostatistics, Clinical Big Data Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
- Chinese Health Risk Management Collaboration (CHRIMAC), Shenzhen, Guangdong, China
| | - Qiangsheng He
- Department of Epidemiology and Biostatistics, Clinical Big Data Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
- Chinese Health Risk Management Collaboration (CHRIMAC), Shenzhen, Guangdong, China
| | - Bin Xia
- Department of Epidemiology and Biostatistics, Clinical Big Data Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
- Chinese Health Risk Management Collaboration (CHRIMAC), Shenzhen, Guangdong, China
| | - Kuiqing Lu
- Chinese Health Risk Management Collaboration (CHRIMAC), Shenzhen, Guangdong, China
| | - Qinghua Hou
- Clinical Neuroscience Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
| | - Jinqiu Yuan
- Department of Epidemiology and Biostatistics, Clinical Big Data Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
- Chinese Health Risk Management Collaboration (CHRIMAC), Shenzhen, Guangdong, China
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He S, Granot-Hershkovitz E, Zhang Y, Bressler J, Tarraf W, Yu B, Huang T, Zeng D, Wassertheil-Smoller S, Lamar M, Daviglus M, Marquine MJ, Cai J, Mosley T, Kaplan R, Boerwinkle E, Fornage M, DeCarli C, Kristal B, Gonzalez HM, Sofer T. Blood metabolites predicting mild cognitive impairment in the study of Latinos-investigation of neurocognitive aging (HCHS/SOL). ALZHEIMER'S & DEMENTIA (AMSTERDAM, NETHERLANDS) 2022; 14:e12259. [PMID: 35229015 PMCID: PMC8865745 DOI: 10.1002/dad2.12259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 09/17/2021] [Accepted: 09/21/2021] [Indexed: 11/19/2022]
Abstract
Introduction Blood metabolomics‐based biomarkers may be useful to predict measures of neurocognitive aging. Methods We tested the association between 707 blood metabolites measured in 1451 participants from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), with mild cognitive impairment (MCI) and global cognitive change assessed 7 years later. We further used Lasso penalized regression to construct a metabolomics risk score (MRS) that predicts MCI, potentially identifying a different set of metabolites than those discovered in individual‐metabolite analysis. Results We identified 20 metabolites predicting prevalent MCI and/or global cognitive change. Six of them were novel and 14 were previously reported as associated with neurocognitive aging outcomes. The MCI MRS comprised 61 metabolites and improved prediction accuracy from 84% (minimally adjusted model) to 89% in the entire dataset and from 75% to 87% among apolipoprotein E ε4 carriers. Discussion Blood metabolites may serve as biomarkers identifying individuals at risk for MCI among US Hispanics/Latinos.
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Affiliation(s)
- Shan He
- Department of Biostatistics Harvard T.H Chan School of Public Health Boston Massachusetts USA.,Division of Sleep and Circadian Disorders Brigham and Women's Hospital Boston Massachusetts USA
| | - Einat Granot-Hershkovitz
- Division of Sleep and Circadian Disorders Brigham and Women's Hospital Boston Massachusetts USA.,Department of Medicine Harvard Medical School Boston Massachusetts USA
| | - Ying Zhang
- Division of Sleep and Circadian Disorders Brigham and Women's Hospital Boston Massachusetts USA
| | - Jan Bressler
- Human Genetics Center School of Public Health, University of Texas Health Science Center at Houston Houston Texas USA
| | - Wassim Tarraf
- Institute of Gerontology Wayne State University Detroit Michigan USA
| | - Bing Yu
- Human Genetics Center School of Public Health, University of Texas Health Science Center at Houston Houston Texas USA
| | - Tianyi Huang
- Channing Division of Network Medicine Brigham and Women's Hospital Boston Massachusetts USA
| | - Donglin Zeng
- Department of Biostatistics Gillings School of Global Public Health University of North Carolina Chapel Hill North Carolina USA
| | - Sylvia Wassertheil-Smoller
- Department of Epidemiology & Population Health Department of Pediatrics Albert Einstein College of Medicine Bronx New York USA
| | - Melissa Lamar
- Department of Medicine Institute for Minority Health Research University of Illinois at Chicago Chicago Illinois USA.,Rush Alzheimer's Disease Research Center Rush University Medical Center Chicago Illinois USA
| | - Martha Daviglus
- Department of Medicine Institute for Minority Health Research University of Illinois at Chicago Chicago Illinois USA
| | - Maria J Marquine
- Department of Psychiatry University of California, San Diego San Diego California USA
| | - Jianwen Cai
- Department of Biostatistics Gillings School of Global Public Health University of North Carolina Chapel Hill North Carolina USA
| | - Thomas Mosley
- Department of Medicine University of Mississippi Medical Center Jackson Mississippi USA
| | - Robert Kaplan
- Department of Epidemiology & Population Health Department of Pediatrics Albert Einstein College of Medicine Bronx New York USA.,Division of Public Health Sciences Fred Hutchinson Cancer Research Center Seattle Washington USA
| | - Eric Boerwinkle
- Human Genetics Center School of Public Health, University of Texas Health Science Center at Houston Houston Texas USA.,Human Genome Sequencing Center Baylor College of Medicine Houston Texas USA
| | - Myriam Fornage
- Brown Foundation Institute of Molecular Medicine McGovern Medical School The University of Texas Health Science Center at Houston Houston Texas USA
| | - Charles DeCarli
- Department of Neurology, Alzheimer's Disease Center University of California, Davis Sacramento California USA
| | - Bruce Kristal
- Burke Medical Research Institute, White Plains New York USA.,Departments of Biochemistry and Neuroscience Weill Medical College of Cornell University New York New York USA
| | - Hector M Gonzalez
- Department of Neurosciences and Shiley-Marcos Alzheimer's Disease Center University of California, San Diego La Jolla California USA
| | - Tamar Sofer
- Department of Biostatistics Harvard T.H Chan School of Public Health Boston Massachusetts USA.,Division of Sleep and Circadian Disorders Brigham and Women's Hospital Boston Massachusetts USA.,Department of Medicine Harvard Medical School Boston Massachusetts USA
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