A new ANMerge-based blood transcriptomic resource to support Alzheimer’s disease research

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Abstract

INTRODUCTION

Alzheimer’s disease (AD) has greater prevalence in women and lacks effective treatments. Integrating multimodal data using machine learning (ML) may help improve diagnostics and prognostics.

METHODS

We produced a large and updatable blood transcriptomic dataset (n=1021, with n=317 replicates). Technical robustness was assessed using sampling-at-random, batch adjustment and classification metrics. Transcriptomic and MRI features were concatenated to develop models for AD classification.

RESULTS

Reprofiling of blood transcriptomics resolved previous technical artefacts (sampling-at-random AUC; Legacy=0.732 vs. New=0.567). AD-associated molecular pathways were influenced by cell counts and sex, including unchanged mitochondrial DNA-encoded RNA and altered B-cell receptor biology. Several genes linked to AD-associated neuroinflammatory pathways, including BLNK , TREM2 , and MS4A1 , showed significant enrichment. Concatenation of transcriptomics and MRI models modestly improved classification performance (AUC; MRI=0.922 vs. transcriptomics-MRI=0.930).

DISCUSSION

We provide a new large-scale and technically robust blood AD transcriptomic dataset, highlighting details of molecular sexual dimorphism in AD and potential literature false positives, while providing a novel resource for future multimodal ML and genomic studies.

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