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Integrative Multimodal Metabolomics to Early Predict Cognitive Decline Among Amyloid Positive Community-Dwelling Older Adults

Title: Integrative Multimodal Metabolomics to Early Predict Cognitive Decline Among Amyloid Positive Community-Dwelling Older Adults
Authors: Tremblay-Franco, Marie; Canlet, Cécile; Carriere, Audrey; Nakhle, Jean; Galinier, Anne; Portais, Jean-Charles; Yart, Armelle; Dray, Cédric; Lu, Wan-Hsuan; Bertrand Michel, Justine; Guyonnet, Sophie; Rolland, Yves; Vellas, Bruno; Delrieu, Julien; Barreto, Philippe de Souto; Pénicaud, Luc; Casteilla, Louis; Ader, Isabelle
Contributors: Duque, Gustavo; INSERM; Région Occitanie Pyrénées-Méditerranée; European Regional Development Fund; Gérontopôle of Toulouse; French Ministry of Health; European Lead Factory; ExonHit Therapeutics SA; Avid Radiopharmaceuticals Inc; Centre Hospitalier Universitaire de Toulouse; Association Monegasque pour la Recherche sur la maladie d’Alzheimer; the INSERM-University of Toulouse III UMR 1295 Research Unit
Source: The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences ; volume 79, issue 5 ; ISSN 1079-5006 1758-535X
Publisher Information: Oxford University Press (OUP)
Publication Year: 2024
Description: Alzheimer’s disease is strongly linked to metabolic abnormalities. We aimed to distinguish amyloid-positive people who progressed to cognitive decline from those who remained cognitively intact. We performed untargeted metabolomics of blood samples from amyloid-positive individuals, before any sign of cognitive decline, to distinguish individuals who progressed to cognitive decline from those who remained cognitively intact. A plasma-derived metabolite signature was developed from Supercritical Fluid chromatography coupled with high-resolution mass spectrometry (SFC-HRMS) and nuclear magnetic resonance (NMR) metabolomics. The 2 metabolomics data sets were analyzed by Data Integration Analysis for Biomarker discovery using Latent approaches for Omics studies (DIABLO), to identify a minimum set of metabolites that could describe cognitive decline status. NMR or SFC-HRMS data alone cannot predict cognitive decline. However, among the 320 metabolites identified, a statistical method that integrated the 2 data sets enabled the identification of a minimal signature of 9 metabolites (3-hydroxybutyrate, citrate, succinate, acetone, methionine, glucose, serine, sphingomyelin d18:1/C26:0 and triglyceride C48:3) with a statistically significant ability to predict cognitive decline more than 3 years before decline. This metabolic fingerprint obtained during this exploratory study may help to predict amyloid-positive individuals who will develop cognitive decline. Due to the high prevalence of brain amyloid-positivity in older adults, identifying adults who will have cognitive decline will enable the development of personalized and early interventions.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/gerona/glae077
DOI: 10.1093/gerona/glae077/56902185/glae077.pdf
Availability: https://doi.org/10.1093/gerona/glae077; https://academic.oup.com/biomedgerontology/advance-article-pdf/doi/10.1093/gerona/glae077/56902185/glae077.pdf; https://academic.oup.com/biomedgerontology/article-pdf/79/5/glae077/57180825/glae077.pdf
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.84AC9AF2
Database: BASE