Epigenome-wide meta-analysis of DNA methylation differences in prefrontal cortex implicates the immune processes in Alzheimer’s disease
Open accessAbstract
DNA methylation differences in Alzheimer’s disease (AD) have been reported. Here, we conducted a meta-analysis of more than 1000 prefrontal cortex brain samples to prioritize the most consistent methylation differences in multiple cohorts. Using a uniform analysis pipeline, we identified 3751 CpGs and 119 differentially methylated regions (DMRs) significantly associated with Braak stage. Our analysis identified differentially methylated genes such as MAMSTR,AGAP2, and AZU1. The most significant DMR identified is located on the MAMSTR gene, which encodes a cofactor that stimulates MEF2C. Notably, MEF2C cooperates with another transcription factor, PU.1, a central hub in the AD gene network. Our enrichment analysis highlighted the potential roles of the immune system and polycomb repressive complex 2 in pathological AD. These results may help facilitate future mechanistic and biomarker discovery studies in AD.
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Alterations in DNA methylation levels are involved in many diseases, including AD.
“Alterations of DNA methylation levels have been shown to be involved in many diseases, including AD [19–24].”
From Distinct sex-specific DNA methylation differences in Alzheimer’s disease (2022) · cites this paper as [21]
The Results report DNA methylation differences in people with pathological AD, and the Discussion describes their potential roles in AD. The paper does not establish the broader claim about many diseases; its findings concern AD. It also reports associations rather than demonstrating that the methylation changes cause disease. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAlterations of DNA methylation levels have been implicated in multiple neurological disorders including AD.
“Importantly, alterations of DNA methylation levels have also been implicated in multiple neurological disorders including AD [18–22]”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
The Introduction states that there is growing evidence for a role of DNA methylation in AD, and the Discussion reports methylation differences in pathological AD. This supports the AD example, but the paper does not establish the broader claim about multiple neurological disorders. (LLM, conf=0.86)
Experimental — accuracy not yet measuredSimilarly, in the analysis of male samples, among FDR significant differences, 58 (76%) CpGs and 15 DMRs (56%), mapped to genes such as MAMSTR, RHBDF2, and AGAP2, overlapped with significant hits from sex-combined meta-analysis.
“Similarly, in the analysis of male samples, among FDR significant differences, 58 (76%) CpGs and 15 DMRs (56%), mapped to genes such as MAMSTR, RHBDF2, and AGAP2, overlapped with significant hits from sex-combined meta-analysis [22]”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
The Results section on sample matching reports overlap with the main analysis and names MAMSTR and AGAP2 among genes significant in both analyses. But that analysis matched cases and controls by sex and age; it does not report a male-only analysis or the claimed overlaps of 58 (76%) CpGs and 15 (56%) DMRs. No page number is available in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredThe authors previously meta-analyzed four brain sample datasets and identified CpGs and DMRs, many involved in immune processes, significantly associated with AD neuropathology.
“We previously meta-analyzed these four brain sample datasets and identified a number of CpGs and DMRs, many involved in immune processes, that are significantly associated with AD neuropathology [21, 36].”
From Distinct sex-specific DNA methylation differences in Alzheimer’s disease (2022) · cites this paper as [21]
DNA methylation is an important epigenetic modification that regulates gene transcription and is involved in Alzheimer's disease.
“DNA methylation is an important epigenetic modification that regulates gene transcription and is known to be involved in AD”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
The enrichment of hypermethylated differences in repressed polycomb regions in both female and male samples is consistent with our previous sex-combined meta-analysis, which also highlighted the enrichment of hyper-methylated Braak-associated DNA methylation differences in polycomb repressed regions.
“Notably, the enrichment of hypermethylated differences in repressed polycomb regions in both female and male samples is consistent with our previous sex-combined meta-analysis, which also highlighted the enrichment of hyper-methylated Braak-associated DNA methylation differences in polycomb repressed regions [22].”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
Among FDR significant methylation differences in females, 325 CpGs (85%) and 40 DMRs (56%), mapped to genes such as HOXA3, AZU1, and MBP, were also previously identified in our sex-combined meta-analysis.
“Among FDR significant methylation differences in females, 325 CpGs (85%) and 40 DMRs (56%), mapped to genes such as HOXA3, AZU1, and MBP were also previously identified in our sex-combined meta-analysis [22]”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
None of the 14 CpGs detected in our interaction analysis was identified in previous large-scale DNA methylation studies.
“Notably, none of the 14 CpGs detected in our interaction analysis was identified in previous large-scale DNA methylation studies [18–22]”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
Therefore, it is not surprising that many of these significant CpGs were identified previously in sex-combined meta-analysis.
“Therefore, it is not surprising that many of these significant CpGs were identified previously in sex-combined meta-analysis [22].”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
Our sex-specific analysis also uncovered novel methylation differences at 84 CpGs and 42 DMRs that were not identified previously by sex-combined analyses.
“our sex-specific analysis also uncovered novel methylation differences at 84 CpGs and 42 DMRs that were not identified previously by sex-combined analyses [22]”
From Sex-specific DNA methylation differences in Alzheimer’s disease pathology (2021) · cites this paper as [22]
The Results section on sample matching reports 151 CpGs and 32 DMRs after matching cases and controls by sex and age; it does not report a sex-specific analysis. Searches for 84 CpGs, 42 DMRs, and a comparison with sex-combined analyses found no passage supporting the attributed result. (LLM, conf=0.75)
Experimental — accuracy not yet measured
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References 98 · Cited by 139
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- Authors
- Zhang, L., Silva, T. C., Young, J. I., Gomez, L., Schmidt, M. A., Hamilton-Nelson, K. L., Kunkle, B. W., Chen, X., Martin, E. R., & Wang, L.
- Affiliations
- University of Miami (US)
- Corresponding author
- Wang, Lily
- ORCID
- Venue
- Nature Communications
- Published
- 2020-11-30
- Volume
- 11
- Issue
- 1
- Pages
- 6114-6114
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC7704686
- OpenAlex
- W3107160482
- Cited by
- 139
- References
- 98
- Citations by year
- 2026: 13 · 2025: 29 · 2024: 20 · 2023: 29 · 2022: 19 · 2021: 26 · 2020: 3
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Health & Human Services | NIH | National Institute on Aging (R21AG060459, R01AG061127, R01AG062634, R01AG060472)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- Alzheimer's disease, DNA methylation, prefrontal cortex, differentially methylated regions, Braak stages, MEF2C, PU.1, immune processes, polycomb repressive complex 2, biomarkers
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Brain, Carrier Proteins, Female, Humans, Immunity, Transcription Factors, Prefrontal Cortex, DNA Methylation, GTP-Binding Proteins, GTPase-Activating Proteins, Tumor Suppressor Proteins, Epigenesis, Genetic, Gene Regulatory Networks, Genome-Wide Association Study, MEF2 Transcription Factors
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