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Microglia protein profiles in CSF across Alzheimer's disease clinical stages

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Item Type:Article
Title:Microglia protein profiles in CSF across Alzheimer's disease clinical stages
Creators: Blujdea, Elena-Raluca ORCID logoORCID: https://orcid.org/0009-0001-7305-2122, van Bokhoven, Pieter, Martino-Adami, Pamela V. ORCID logoORCID: https://orcid.org/0000-0002-1067-1495, Marshe, Victoria S., Vromen, Ellen M., Hok-A-Hin, Yanaika S. ORCID logoORCID: https://orcid.org/0000-0001-9713-116X, Boiten, Walter A., Irwin, David J. ORCID logoORCID: https://orcid.org/0000-0002-5599-5098, Chen-Plotkin, Alice S. ORCID logoORCID: https://orcid.org/0000-0002-3387-2038, Lemstra, Afina W., Pijnenburg, Yolande, van der Flier, Wiesje M. ORCID logoORCID: https://orcid.org/0000-0001-8766-6224, Peters, Oliver ORCID logoORCID: https://orcid.org/0000-0003-0568-2998, Hellmann-Regen, Julian ORCID logoORCID: https://orcid.org/0000-0003-0411-9204, Priller, Josef ORCID logoORCID: https://orcid.org/0000-0001-7596-0979, Schneider, Anja ORCID logoORCID: https://orcid.org/0000-0001-9540-8700, Wiltfang, Jens ORCID logoORCID: https://orcid.org/0000-0003-1492-5330, Jessen, Frank, Düzel, Emrah, Buerger, Katharina, Perneczky, Robert ORCID logoORCID: https://orcid.org/0000-0003-1981-7435, Teipel, Stefan, Laske, Christoph, Brosseron, Frederic ORCID logoORCID: https://orcid.org/0000-0003-3137-7516, Del Campo, Marta ORCID logoORCID: https://orcid.org/0000-0003-2808-3699, Wijdeven, Ruud, Visser, Pieter-Jelle ORCID logoORCID: https://orcid.org/0000-0001-8008-9727, Tijms, Betty M. ORCID logoORCID: https://orcid.org/0000-0002-2612-1797, De Jager, Philip L. ORCID logoORCID: https://orcid.org/0000-0002-8057-2505, Ramirez, Alfredo ORCID logoORCID: https://orcid.org/0000-0003-4991-763X, Teunissen, Charlotte E. ORCID logoORCID: https://orcid.org/0000-0002-4061-0837 and Vermunt, Lisa ORCID logoORCID: https://orcid.org/0000-0001-7420-6384
Abstract:Microglia are implicated in the progression of Alzheimer’s disease (AD) pathology from its earliest stages, suggesting that cerebrospinal fluid (CSF) microglia profiling across clinical AD stages can aid in treatment development and monitoring. We analyzed two CSF cohorts (n = 834) that span from unimpaired controls to preclinical and dementia AD stages, identifying 109 dysregulated microglia-related proteins. Enrichment analyses revealed innate immune processes and cellular recruitment in preclinical AD, whereas AD dementia revealed adaptive immunity and macrophage responses. Next, we aligned the in vivo microglia protein profiles with ex vivo-derived microglial transcriptomic signatures, such as disease-associated microglia phenotypes. Transcriptomic signatures were not specific to either clinical stage but spanned both. We classified an 18-protein panel highlighting distinct changes between the preclinical and dementia stages. Our findings underscore the potential of microglia-based biomarker research for AD staging, offering insights into microglia dynamics in clinical AD stages and how transcriptomic signatures translate to proteomic profiles.
Keywords:Alzheimer Disease, Biomarkers, Disease Progression, Microglia, Proteomics, Transcriptome
Source:Nature Aging
ISSN:2662-8465
Publisher:Springer Nature
Volume:6
Number:3
Page Range:520-533
Date:March 2026
Official Publication:https://doi.org/10.1038/s43587-026-01088-0
PubMed:View item in PubMed
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