A molecular network of the aging human brain provides insights into the pathology and cognitive decline of Alzheimer’s disease
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Abstract
There is a need for new therapeutic targets with which to prevent Alzheimer’s disease (AD), a major contributor to aging-related cognitive decline. Here we report the construction and validation of a molecular network of the aging human frontal cortex. Using RNA sequence data from 478 individuals, we first build a molecular network using modules of coexpressed genes and then relate these modules to AD and its neuropathologic and cognitive endophenotypes. We confirm these associations in two independent AD datasets. We also illustrate the use of the network in prioritizing amyloid- and cognition-associated genes for in vitro validation in human neurons and astrocytes. These analyses based on unique cohorts enable us to resolve the role of distinct cortical modules that have a direct effect on the accumulation of AD pathology from those that have a direct effect on cognitive decline, exemplifying a network approach to complex diseases. The authors constructed and validated a molecular network of the aging human cortex from RNA sequencing data from 478 individuals and identified genes that affect cognitive decline or neuropathology in Alzheimer’s disease.
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- Findingown data
Using the π1 statistic, 55-90% of associated genes are shared among correlated Alzheimer's disease-related traits.
“Overall, using the π1 statistic20, we estimated that 55–90% of the associated genes are shared amongst these correlated AD-related (Figure S2).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Gaiteri, C. et al. Identifying robust communities and multi-community nodes by combining top-down and bottom-up approaches to clustering. Sci. Rep. 5, 16361 (2015). source
Not checked in the free run.
- Findingown data
Expression levels of thousands of genes associate with Alzheimer's disease-related traits at FDR<0.05.
“We found that the expression levels of thousands of genes associate (FDR<0.05) with these traits (Table S2; Figure 2A).”
Quote in the paperSubstantial claim - Findingown data
Applying SpeakEasy consensus clustering to the RNA-Seq data identified 47 mutually exclusive modules ranging in size from 20 to 556 gene members.
“we applied the SpeakEasy consensus clustering algorithm21 to our RNA-Seq data and identified 47 mutually exclusive modules ranging in size between 20 and 556 gene members (Table S3; Figure S3; Supplementary methods).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [21] Langfelder, P. & Horvath, S. WGCNA: an R package for weighted correlation network analysis. BMC Bioinformatics 9, 559 (2008). source
Not checked in the free run.
- Findingown data
29 (62%) of the 47 modules were enriched for at least one GO functional category (Bonferroni p<0.01).
“we find that 29 (62%) of the modules were enriched for at least one GO functional category (Bonferroni p<0.01, Table S5)”
Quote in the paperNot a substantial claim - Findingown data
45 of 47 modules showed significant preservation in an independent DLPFC microarray dataset of 229 persons with pathologic and clinical Alzheimer's disease.
“we observed significant evidence for preservation in 45 of the 47 modules in the independent microarray dataset”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [12] Zhang, B. et al. Integrated systems approach identifies genetic nodes and networks in late-onset Alzheimer’s disease. Cell 153, 707–720 (2013). source
Not checked in the free run.
- Findingown data
APOE ε4 is strongly associated with ClinAD in these subjects.
“we see the expected strong association of APOE ε4 with ClinAD (p=5.55×10−16; used logistic regression to model the number of ε4 while accounting for age and sex)”
Quote in the paperNot a substantial claim - Findingown data
In the ROSMAP subjects, 46% of individuals with pathologic Alzheimer's disease were clinically non-demented.
“However, 46% of these individuals with pathologic AD are clinically non-demented, illustrating the well-described divergence of pathologic and clinical diagnoses of AD dementia (Table S1).”
Quote in the paperNot a substantial claim - Findingown data
Cognitive decline was associated with the largest number of genes (3,025 at FDR<0.05) compared to other Alzheimer's disease traits.
“we observed that cognitive decline was associated with the largest number of genes (3,025 genes at FDR<0.05), compared to the other AD traits.”
Quote in the paperSubstantial claim - Findingown data
Module 109 (m109) is the module most strongly associated with cognitive decline, conditioned on all other correlated modules and cell type proportion modules.
“module 109 (m109) is the module most strongly associated with cognitive decline, conditioned on all other correlated modules and modules that represent cell type proportions.”
Quote in the paperSubstantial claim - Findingown data
31% of the modules are significantly preserved in gene expression data from cortex of several pathology-based mouse models of Alzheimer's disease.
“we also found that 31% of the modules are significantly preserved (Bonferroni adjustment) in gene expression data derived from the cortex of several pathology-based mouse models of AD25 (Figure S4A)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [25] Mancarci, B. O. et al. Cross-laboratory analysis of brain cell type transcriptomes with applications to interpretation of bulk tissue data. eNeuro 4. ENEURO. 0212-17, 2017 (2017).
Not checked in the free run.
- Findingown data
m109 is associated with β-amyloid pathology (p<0.0001).
“In addition to cognitive decline, m109 is associated with β-amyloid pathology (p<0.0001) (Figure 3A and D, Table S7)”
Quote in the paperSubstantial claim - Findingown data
m109 has a strong direct association with cognitive decline (p<10^-9).
“Because of m109’s strong direct association with cognitive decline (p<10−9) (Figure 3B and 3C)”
Quote in the paperSubstantial claim - Findingown data
INPPL1 and PLXNB1 are predicted to be upstream of other tested genes in the BN model.
“Notably, these two genes are predicted to be upstream of the other tested genes in our BN model (Figure 4A)”
Quote in the paperSubstantial claim - Findingown data
m109 is enriched for functions related to regulation of the cell cycle and chromatin modification.
“Prominent functions that are enriched in this module relate to the regulation of the cell cycle and chromatin modification (Table S5).”
Quote in the paperNot a substantial claim - Findingown data
Astrocytes expressing INPPL1 and PLXNB1 are found in the vicinity of β-amyloid deposits.
“The astrocytes expressing these two genes are found in the vicinity of β-amyloid deposits (data not shown).”
Quote in the paperNot a substantial claim - Findingown data
All 47 modules showed significant preservation in separately processed RNA-Seq data from an independent set of 82 ROSMAP subjects.
“and all 47 modules in the separately-processed ROSMAP subjects (Figure S4A).”
Quote in the paperSubstantial claim - Findingown data
No significant associations were found between the 21 common AD susceptibility alleles and the 47 modules after multiple testing correction.
“Finally, for completeness, we tested the association between the 21 common AD susceptibility alleles4 and the 47 modules (i.e., a module-QTL analysis) and found no significant associations after multiple testing correction”
Quote in the paperNot a substantial claim - Findingown data
Validated AD SNPs other than APOE explain <1% of variance in β-amyloid load.
“This compares to <1% variance of this trait explained by validated AD SNPs other than APOE.”
Quote in the paperSubstantial claim - Findingown data
Two additional constructs for INPPL1 and PLXNB1 met a suggestive threshold (p<0.024).
“Two additional constructs for these genes were found to meet a suggestive threshold (p<0.024, defined as one over the number of tests).”
Quote in the paperNot a substantial claim - Findingown data
In neurons, extracellular Aβ42 levels were not altered by shRNA knockdown.
“In neurons, this outcome measure was not altered.”
Quote in the paperNot a substantial claim - Findingown data
After accounting for APOE ε4, m109 remains strongly associated with cognitive decline (effect magnitude reduced by 7.4%, adjusted p=5.03×10−10).
“and cognitive decline (effect magnitude reduced by 7.4%, adjusted p=5.03×10−10)”
Quote in the paperSubstantial claim - Findingown data
11 modules were associated with cognitive decline, Alzheimer's disease dementia, or Alzheimer's disease pathology traits at Bonferroni adjusted p<10−3.
“Overall, 11 modules were associated (Bonferroni adjusted at module level, p<10−3) with cognitive decline, AD dementia, or AD pathology traits (Figure 2C, Table S7).”
Quote in the paperSubstantial claim - Findingown data
Coacetylation was detected for 32 of the 47 RNA-Seq-defined modules in H3K9Ac ChIP-Seq data from the same DLPFC samples.
“In our data, we detected coacetylation for 32 of the 47 RNA-Seq-defined modules, indicating that the modules reflect, in part, the underlying epigenomic architecture (Figure S4A).”
Quote in the paperNot a substantial claim - Findingown data
Both INPPL1 and PLXNB1 were expressed at the protein level in astrocytes in frontal cortex from subjects with pathologic AD.
“We also immunostained frontal cortex from subjects with pathologic AD and showed that both INPPL1 and PLXNB1 were expressed at the protein level in astrocytes (Figure 5C)”
Quote in the paperSubstantial claim - Findingown data
After accounting for APOE ε4, m109 remains strongly associated with pathological Alzheimer's disease (effect magnitude reduced by 13%, adjusted p=0.0027).
“after accounting for the APOE ε4 haplotype, m109 remains strongly associated with both pathological AD (effect magnitude reduced by 13%, adjusted p=0.0027)”
Quote in the paperSubstantial claim - Findingown data
The central finding is the existence of a robust set of coexpressed genes, supported by multiple other datasets, related to both β-amyloid burden and the slope of cognitive decline in older individuals.
“The central finding of this project is the existence of a robust set of coexpressed genes, supported by multiple other datasets, which is related to both β-amyloid burden and to the slope of cognitive decline in older individuals.”
Quote in the paperSubstantial claim - Findingown data
Module-level trait associations were more similar between ROSMAP and Zhang datasets than univariate gene-level trait associations.
“Notably, we observed that the module-level trait associations were more similar between these two datasets than were the univariate gene-level trait associations, further reinforcing the utility of the module-level approach (Figure S4B).”
Quote in the paperSubstantial claim - Findingown data
The CR1 susceptibility allele explains 0.39% of variance in β-amyloid load in our data.
“For example, the CR1 susceptibility allele explains 0.39% of variance in β-amyloid load in our data34.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [34] Perälä, N., Sariola, H. & Immonen, T. More than nervous: the emerging roles of plexins. Differentiation 83, 77–91 (2012). source
Not checked in the free run.
- Findingown data
Two shRNA constructs targeting INPPL1 and PLXNB1 exceeded the Bonferroni threshold (p<0.0012) in astrocytes in the discovery screen.
“we identified two shRNA constructs targeting different genes, INPPL1 and PLXNB1, that exceeded the Bonferroni threshold of significance (p< 0.0012) in astrocytes (Figure 5A; Table S11) in our discovery screen.”
Quote in the paperSubstantial claim - Findingown data
Knockdown of INPPL1 and PLXNB1 led to reduced extracellular Aβ42 in astrocyte cultures (p=2e-4 and 9e-6).
“knockdown of both genes led to reduced extracellular levels of Aβ42 in astrocyte cultures (pINPPL1 = 2×10−4 and pPLXNB1 = 9×10−6) (Figure 5B).”
Quote in the paperSubstantial claim - Findingown data
The 21 common Alzheimer's disease susceptibility variants did not associate with m109 in trans-eQTL analysis.
“The 21 common AD variants did not associate with m109 (i.e., trans-eQTL analysis), consistent with the observed sparsity of trans-associations (trans-eQTLs) reported in studies with larger sample sizes32.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [32] Lee, P. H., O’Dushlaine, C., Thomas, B. & Purcell, S. M. INRICH: interval-based enrichment analysis for genome-wide association studies. Bioinformatics 28, 1797–1799 (2012). source
Not checked in the free run.
- Findingown data
m116 is associated with age (p=0.003).
“But it is associated with age (p=0.003)”
Quote in the paperNot a substantial claim - Findingown data
Module-pathologic Alzheimer's disease associations defined in ROSMAP showed strong concordance in strength and direction in the Zhang study.
“we observed a strong concordance in both the strength and direction of the module-pathologic AD associations that we defined in ROSMAP subjects (Figure 2D).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [12] Zhang, B. et al. Integrated systems approach identifies genetic nodes and networks in late-onset Alzheimer’s disease. Cell 153, 707–720 (2013). source
Not checked in the free run.
- Findingcitation
13 modules are strongly enriched for cell-type specific genes from microglia, astrocytes, oligodendrocytes, and two neuronal subtypes.
“we find that 13 modules are strongly enriched for cell-type specific genes, including those from microglia, astrocytes, oligodendrocytes and two neuronal subtypes (GABAergic and pyramidal neurons) (Figure 2B, Table S6)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [26] Koller, D. & Friedman, N. ProbabilisticGraphical Models: Principles and Techniques. (MIT Press, Cambridge, MA, USA, 2009).
Not checked in the free run.
- Findingown data
The association of m109 with cognitive decline replicates in the independently processed set of 82 ROSMAP subjects (p=0.006).
“The association of m109 with cognitive decline replicates in the independently processed set of 82 ROSMAP subjects (p=0.006).”
Quote in the paperSubstantial claim - Findingown data
APOE ε4 has a modest association with higher m109 expression (nominal p=0.03, Wilcoxon test).
“we evaluated its effect on m109 and found that APOE ε4 has a modest association with higher m109 expression (nominal p=0.03, Wilcoxon test, Figure S6)”
Quote in the paperNot a substantial claim - Findingown data
β-amyloid accumulation does not fully mediate m109's effect on cognitive decline.
“a conditional correlation analysis indicated that the effect of m109 on cognitive decline is not fully mediated by the accumulation of β-amyloid.”
Quote in the paperSubstantial claim - Findingown data
Cognitive decline was associated with the greatest number of modules.
“Consistent with the gene-level results, cognitive decline was associated with the greatest number of modules.”
Quote in the paperNot a substantial claim - Interpretationown data
Distinct cortical modules have direct effects on the accumulation of Alzheimer's disease pathology versus direct effects on cognitive decline.
“These analyses based on unique cohorts enable us to resolve the role of distinct cortical modules that have a direct effect on the accumulation of AD pathology from those that have a direct effect on cognitive decline, exemplifying a network approach to complex diseases.”
Quote in the paperSubstantial claim - Interpretationown data
Cognitive decline may implicate additional molecular mechanisms beyond those found by neuropathological markers of Alzheimer's disease.
“Accordingly, the key clinical variable of cognitive decline may implicate additional molecular mechanisms in AD, beyond those found by neuropathological markers of AD.”
Quote in the paperSubstantial claim - Premisecitation
A majority of age-related cognitive decline cannot be accounted for by current measures of Alzheimer's disease or other age-related pathologies.
“Indeed a majority of age-related cognitive decline cannot be accounted for by current measures of AD or other age-related pathologies19.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [19] Storey, J. D. & Tibshirani, R. Statistical significance for genomewide studies. Proc. Natl. Acad. Sci. USA 100, 9440–9445 (2003). source
Not checked in the free run.
- Interpretationown data
Advancing age plays an important role in AD susceptibility.
“highlighting the important role of advancing age in AD susceptibility”
Quote in the paperSubstantial claim - Interpretationown data
Additional driver genes for m109 are likely driven by non-β-amyloid processes.
“suggesting that additional validation work will be needed to identify additional driver genes for m109 and that they are likely driven by non-β-amyloid processes.”
Quote in the paperNot a substantial claim - Study design and conductnone given
The two ROSMAP studies share clinical and neuropathological standards, allowing joint analyses.
“The two studies (collectively referred to as ROSMAP) share clinical and neuropathological standards, allowing for joint analyses of the data.”
Quote in the paperSubstantial claim - Interpretationreasoning
Some module-trait associations may be due to changes in cell type proportions that occur over the course of the disease.
“some module-trait associations may be due to changes in cell type proportions that occur over the course of the disease (Figure S5A–B).”
Quote in the paperSubstantial claim - Interpretationown data
The effect of m109 is largely independent of the APOE ε4 haplotype.
“implying that the effect of m109 is largely independent of this susceptibility haplotype.”
Quote in the paperSubstantial claim - Interpretationown data
m109 affects cognitive decline via both β-amyloid-dependent and β-amyloid-independent pathways.
“That is, m109 influences cognitive decline through both β-amyloid and non-β-amyloid processes.”
Quote in the paperSubstantial claim - Interpretationown data
INPPL1 and PLXNB1 are expressed in vivo in the human cell type used in the validation experiments.
“confirming that these two genes were expressed in vivo in the human cell type used in the validation experiments.”
Quote in the paperSubstantial claim - Interpretationown data
INPPL1 and PLXNB1 play an important role in m109.
“Thus, while INPPL1 and PLXNB1 play an important role in m109”
Quote in the paperSubstantial claim - Premisecitation
APOE ε4 has a unique role in Alzheimer's disease given its large effect size (OR>3 for one copy) and substantial frequency.
“The APOE ε4 haplotype has a unique role in the disease given its large effect size (odds ratio > 3 for one copy of the APOE ε4 haplotype) and substantial frequency in human populations28.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [28] Yu, L., Boyle, P. A., Leurgans, S., Schneider, J. A. & Bennett, D. A. Disentangling the effects of age and APOE on neuropathology and late life cognitive decline. Neurobiol. Aging 35, 819–826 (2014). source
Not checked in the free run.
- Interpretationown data
INPPL1 and PLXNB1 do not account for the effects of the entire m109 module.
“they do not appear to account for the effects of the entire module”
Quote in the paperSubstantial claim - Interpretationown data
Some modules capture previously identified cell-specific gene sets.
“Thus, some of the modules capture previously identified cell-specific gene sets.”
Quote in the paperNot a substantial claim - Interpretationown data
The study identified cellular processes in the human cortex that directly relate to cognitive decline, separate from genes that directly influence accumulation of AD pathology.
“This framework and our data allowed us to identify cellular processes in the human cortex that directly relate to cognitive decline, separate from those genes that directly influence the accumulation of AD pathology.”
Quote in the paperSubstantial claim - Premisecitation
Administration of an INPPL1 inhibitor to a mouse model of diabetes rescued synaptic plasticity and memory defects.
“Further, administration of an INPPL1 inhibitor to a mouse model of diabetes was able to rescue the synaptic plasticity and memory defects observed in this model.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [37] Talbot, K. et al. Demonstrated brain insulin resistance in Alzheimer’s disease patients is associated with IGF-1 resistance, IRS-1 dysregulation, and cognitive decline. J. Clin. Invest. 122, 1316–1338 (2012). source
Not checked in the free run.
- Interpretationown data
The modules reflect, in part, the underlying epigenomic architecture.
“indicating that the modules reflect, in part, the underlying epigenomic architecture”
Quote in the paperNot a substantial claim - Study design and conductreasoning
Functionally screening m109 genes for effects on in vitro β-amyloid extracellular levels, when their strongest effects were on cognitive function, is a biological limitation.
“an important “biological” limitation is functionally screening m109 genes for effects on in vitro β-amyloid extracellular levels, when their strongest effects were on cognitive function.”
Quote in the paperNot a substantial claim - Interpretationreasoning
This study interrogates only part of m109's function.
“This study thus interrogates only part of m109’s function.”
Quote in the paperNot a substantial claim
- Classified as probably not a substantial claim. 18
- May combine two claims. 22
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe clustering assignment from SpeakEasy overlapped significantly with WGCNA.
“We note that the clustering assignment identified by the SpeakEasy algorithm overlapped significantly with those proposed by the frequently used WGCNA algorithm22 (Supplementary methods; Table S4)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [22] Langfelder, P., Luo, R., Oldham, M. C. & Horvath, S. Is my network module preserved and reproducible? PLOS Comput. Biol. 7, e1001057 (2011). source
Not checked in the free run.
May combine two claims.
Findingown dataThe module-trait associations were confirmed in two independent Alzheimer's disease datasets and in epigenomic data.
“We confirm these associations in two independent AD datasets as well as in epigenomic data.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe other 21 Alzheimer's disease susceptibility variants together explain 2.1% of ClinAD and 7.6% of cognitive decline.
“Subsequent inclusion of the other 21 AD susceptibility variants to represent the known genetic architecture of AD only explains 2.1% of ClinAD and 7.6% of cognitive decline.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAPOE ε4 explains only 2.2% of variance in ClinAD and 5.1% of variance in cognitive decline.
“but even this unique genetic risk factor explains little of the variance in ClinAD (2.2% variance explained) or cognitive decline (5.1% variance explained).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAfter accounting for INPPL1 and PLXNB1, some effect of m109 remains for β-amyloid (0.95% variance, p=0.029) and more of the effect on cognitive decline persists (3.5% variance, p=2.7e-5).
“after accounting for INPPL1 and PLXNB1, we see that some of the effect of m109 remains for β-amyloid (0.95% variance, p=0.029), and more of the effect on cognitive decline persists (3.5% variance, p=2.7×10−5).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown datam109 consists of 390 genes with diverse functions.
“It consists of 390 genes with diverse functions.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataAKT is a member of the m109 module.
“and AKT is also a member of the m109 module.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataINPPL1 explains 5.5% of variance in cognitive decline; PLXNB1 explains 4.4%; together they explain 5.4% (adjusted R2).
“The effect of INPPL1 and PLXNB1 is somewhat stronger on cognitive decline: 5.5% of variance is explained by INPPL1, 4.4% for PLXNB1, and 5.4% (adjusted R2) for both.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataModule m116 is enriched for genes near AD variants (p=0.0018 by INRICH) and mostly contains microglial genes.
“We also assessed whether any of the modules are enriched for genes found in the vicinity of AD variants (nearest genes, as previously reported4) and found one enriched module, m116, (p=0.0018 using the INRICH algorithm33) which mostly contains microglial genes (Table S6).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33] Chibnik, L. B. et al. CR1 is associated with amyloid plaque burden and age-related cognitive decline. Ann. Neurol. 69, 560–569 (2011). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenINPPL1 and PLXNB1 are also expressed in other cell types, such as neurons.
“These genes also are expressed in other cell types, such as neurons”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataModules enriched for immunity, mitochondria, cell cycle, and transcriptional regulation show positive correlation with β-amyloid, Alzheimer's disease, and cognitive decline, while neuronal or synaptic modules show negative correlation.
“In general, modules enriched for GO categories related to immunity, mitochondria, cell cycle and transcriptional regulation show a positive correlation with β-amyloid, AD and cognitive decline, while modules for neuronal or synaptic function showed a negative correlation.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe m109 meta-feature explains 4.3% of variance in β-amyloid burden and 8.5% of variance in cognitive decline.
“The m109 meta-feature explains 4.3% variance in β-amyloid burden and 8.5% variance in cognitive decline”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataINPPL1 accounts for 2.8% of variance in β-amyloid load; PLXNB1 accounts for 3.1%; together they explain 3.1% (adjusted R2).
“Separately, they each account for a small proportion of the variance in β-amyloid load - 2.8% for INPPL1 and 3.1% for PLXNB1 – and, as is anticipated from the network model, are largely redundant as, together, they explain 3.1% (adjusted R2) of the variance in β-amyloid load (Figure 5D).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataINPPL1 and PLXNB1 are directly connected to one another and are two major hubs in the m109 coexpression network.
“are directly connected to one another and are two of the major hubs in the m109 coexpression network (Figure 4B).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn this dataset, m116 shows no direct association with cognitive decline, AD pathology, or AD dementia.
“However, m116 is not directly associated with cognitive decline, AD pathology, or AD dementia in this dataset (Table S7).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCoexpressed gene sets represent the outcome of transcriptional regulatory mechanisms including transcription factors, chromatin conformation, and latent factors such as cell type proportions.
“Coexpressed gene sets represent the outcome of transcriptional regulatory mechanisms that include transcription factors, chromatin conformation and latent factors that generate correlations, such as the proportion of different cell types present in the sampled tissue10.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [10] Gaiteri, C., Ding, Y., French, B., Tseng, G. C. & Sibille, E. Beyond modules and hubs: the potential of gene coexpression networks for investigating molecular mechanisms of complex brain disorders. Genes Brain Behav. 13, 13–24 (2014). source
Not checked in the free run.
May combine two claims.
Interpretationown dataKnown Alzheimer's disease susceptibility variants capture only a small fraction of the disease biology, much of which may be influenced by non-genetic risk factors.
“Thus, while these robustly validated susceptibility variants provide important insights into risk factors that contribute to AD, they capture only a small fraction of the biology of the disease, much of which may be influenced by non-genetic risk factors.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductown dataRNA-Seq data were normalized to account for many known biological and technical confounding factors.
“RNA-Seq data were then normalized to account for the effect of a large number of known biological and technical confounding factors (Supplementary Methods; Figure S1).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationPLXNB1 is a member of a family of proteins that mediate Semaphorin signalling, which plays a role in neuronal processes including neurite outgrowth, remodelling and synaptic plasticity.
“PLXNB1 is a member of a family of proteins that mediate Semaphorin signalling, which plays a role in a number of neuronal processes including neurite outgrowth, remodelling and synaptic plasticity35.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [35] Suwa, A., Kurama, T. & Shimokawa, T. SHIP2 and its involvement in various diseases. Expert Opin. Ther. Targets 14, 727–737 (2010). source
Not checked in the free run.
May combine two claims.
PremisecitationTransgenic mice overexpressing INPPL1 show disruption in insulin/IGF1 signalling via AKT in cultured neurons, and these mice show impaired memory.
“Transgenic mice overexpressing INPPL1 show a disruption in insulin/IGF1 signalling mediated via AKT in cultured neurons, and these mice show impaired memory37.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [37] Talbot, K. et al. Demonstrated brain insulin resistance in Alzheimer’s disease patients is associated with IGF-1 resistance, IRS-1 dysregulation, and cognitive decline. J. Clin. Invest. 122, 1316–1338 (2012). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAPOE ε4 is known to associate with accumulation of β-amyloid pathology and cognitive decline.
“consistent with this haplotype’s known associations with accumulation of β-amyloid pathology and cognitive decline29.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [29] Beecham, G. W. et al. Genome-wide association meta-analysis of neuropathologic features of Alzheimer’s disease and related dementias. PLoS Genet. 10, e1004606 (2014). source
Not checked in the free run.
May combine two claims.
Interpretationown dataThe five validations indicate that gene membership of the modules is reproducible and biologically meaningful.
“Each of these 5 validations in parallel and orthogonal datasets indicates that gene membership of these modules is reproducible and biologically meaningful.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThe identified processes differ from and complement those from GWAS-derived genes, because GWAS-derived SNPs have limited effects on gene expression here.
“These processes are different and complementary to those identified by GWAS-derived genes, as the effect of GWAS-derived SNPs on gene expression in this case is limited.”
Quote in the paperSubstantial claim- Rests on an assumption: GWAS-derived SNPs have limited effects on gene expression in this case.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationLevels of posttranslationally modified IGF1 receptor were positively related to β-amyloid and negatively related to episodic and working memory, after adjusting for AD pathology.
“Specifically, levels of postranslationally modified forms of the IGF1 receptor were positively related to β-amyloid and negatively related to episodic and working memory, after adjusting for AD pathology.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [38] Schneider, J. A. et al. Cognitive impairment, decline and fluctuations in older community-dwelling subjects with Lewy bodies. Brain 135, 3005–3014 (2012). source
Not checked in the free run.
May combine two claims.
Study design and conductreasoningThe identification of cell type-specific modules enabled the authors to guide functional validation and to model and account for changes in cell type composition.
“the identification of “cell type-specific modules” enabled us to guide functional validation efforts and to comprehensively model and account for changes in cell type composition that may drive large-scale transcriptomic changes in AD at the bulk tissue level.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe H3K9Ac histone mark is found near active transcription start sites and enhancers.
“The H3K9Ac histone mark is found near active transcription start sites and enhancers24”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] Matarin, M. et al. A genome-wide gene-expression analysis and database in transgenic mice during development of amyloid or tau pathology. Cell Rep. 10, 633–644 (2015). source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataThe Bayesian network included four modules representing proportions of four major brain cell types to account for effects of changes in cell population frequencies.
“We also included four modules representing the proportions of four major brain cell types - microglia, astrocytes, oligodendrocytes, and neurons – to account for the effects of changes in cell population frequencies (Supplementary methods).”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationPrior work found decreased response to IGF1 in brains from persons with MCI and AD dementia relative to controls, regardless of diabetes status.
“In prior work, we found evidence of decreased response to insulin growth factor 1 (IGF1) in brains from persons with mild cognitive impairment and AD dementia relative to controls, regardless of diabetes status.38”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [38] Schneider, J. A. et al. Cognitive impairment, decline and fluctuations in older community-dwelling subjects with Lewy bodies. Brain 135, 3005–3014 (2012). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe 21 common Alzheimer's disease variants displayed very little or no association with neuropathologic features of Alzheimer's disease in earlier studies.
“which, in earlier studies, displayed very little or no association with neuropathologic features of AD30,31.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [30] Farfel, J. M. et al. Relation of genomic variants for Alzheimer disease dementia to common neuropathologies. Neurology 87, 489–496 (2016). source
Not checked in the free run.
- cites [31] Battle, A. et al. Characterizing the genetic basis of transcriptome diversity through RNA-sequencing of 922 individuals. Genome Res. 24, 14–24 (2014). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPolymorphisms in INPPL1 are associated with type 2 diabetes mellitus.
“polymorphisms in the INPPL1 gene are associated with type 2 diabetes mellitus (T2D)36.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36] Soeda, Y. et al. The inositol phosphatase SHIP2 negatively regulates insulin/IGF-I actions implicated in neuroprotection and memory function in mouse brain. Mol. Endocrinol. 24, 1965–1977 (2010). source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationThe SpeakEasy algorithm has state-of-the-art performance on benchmark and real-world datasets.
“we chose to use SpeakEasy because of its state-of-the-art performance on benchmark and real-world datasets21.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [21] Langfelder, P. & Horvath, S. WGCNA: an R package for weighted correlation network analysis. BMC Bioinformatics 9, 559 (2008). source
Not checked in the free run.
Classified as probably not a substantial claim.
InterpretationreasoningCoacetylation would be expected for genes coexpressed at the RNA level.
“and so coacetylation would be expected for genes that are coexpressed at the RNA level.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown data12 genes (37 shRNA constructs) met the >50% knockdown criterion in neurons; 14 genes (41 constructs) met it in astrocytes; 11 genes were tested in both cell types.
“12 genes (with 37 shRNA constructs) met this criterion in neurons and 14 genes (with 41 shRNA constructs) met this criterion in astrocytes, 11 genes were tested in both cell types (Table S10).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationTrans-eQTL associations are sparse, as reported in larger studies.
“consistent with the observed sparsity of trans-associations (trans-eQTLs) reported in studies with larger sample sizes32.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [32] Lee, P. H., O’Dushlaine, C., Thomas, B. & Purcell, S. M. INRICH: interval-based enrichment analysis for genome-wide association studies. Bioinformatics 28, 1797–1799 (2012). source
Not checked in the free run.
Probably not a substantial claim: may not pass S4 (based).
Premisenone givenVariation in cell type proportions across individuals can drive coexpression patterns between genes.
“Because variation in cell type proportions across individuals can drive coexpression patterns between genes, some module-trait associations may be due to changes in cell type proportions that occur over the course of the disease (Figure S5A–B).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe 21 common AD susceptibility alleles are strong risk factors yet explain only a minor portion of variance in AD-related traits.
“consistent with the observation noted earlier that, while these susceptibility alleles are robust risk factors, they capture only a small fraction of the variance in these AD-related traits.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [4] Lambert, J.-C. et al. Meta-analysis of 74,046 individuals identifies 11 new susceptibility loci for Alzheimer’s disease. Nat. Genet. 45, 1452–1458 (2013). source
Not checked in the free run.
May combine two claims.
Study design and conductreasoningThe MTN framework models networks at two resolutions, increasing accuracy but including only a subset of modules, resulting in potential loss of information.
“the MTN framework acts to increase network accuracy by modeling networks at two resolutions (a zoomed-out module/trait network and a zoomed-in gene network within selected modules), but increased accuracy comes at the price of including only a subset of modules in the inference process, resulting in potential loss of information.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataOur study provides evidence that INPPL1 plays a role in cognitive decline and β-amyloid accumulation.
“our study provides evidence that the INPPL1 gene plays a role in cognitive decline and β-amyloid accumulation”
Quote in the paperSubstantial claim
The paper relies on this without support.
Previous coexpression approaches have never been applied to large cohorts with quantitative measurements of both Alzheimer's disease neuropathology and cognitive decline.
“However, these approaches have never been applied to large cohorts with quantitative measurements of both AD neuropathology and cognitive decline.”
The paper relies on this without support.
It has been difficult to transition from mostly non-coding susceptibility variants to molecular mechanisms that lead to Alzheimer's disease pathology and cognitive decline.
“However, it has been difficult to transition from mostly non-coding susceptibility variants to molecular mechanisms that lead to the characteristic accumulation of β-amyloid and helical filament tau (PHFtau) pathology as well as the subsequent cognitive decline of AD.”
The paper relies on this without support.
There is no cellular model of cognitive decline.
“Due to the absence of a cellular model of cognitive decline, we focused our validation effort on m109’s association with β-amyloid load.”
The paper relies on this without support.
Extracellular Aβ42 levels can be readily assayed in vitro and are related to the defining pathologic lesion in AD.
“we measured extracellular levels of the pathogenic β-amyloid Aβ42 peptide, that can be readily assayed in vitro and is related to the defining pathologic lesion in AD”
The paper relies on this without support.
Little is known about PLXNB1's potential contribution to cognitive decline and AD.
“However, little is known about its potential contribution to cognitive decline and AD.”
The paper relies on this without support.
GWAS-derived SNPs have limited effects on gene expression in this case.
“as the effect of GWAS-derived SNPs on gene expression in this case is limited.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The two bulk RNA-seq studies used AD samples and controls from the same patient cohorts but took unique approaches for co-expression network analysis.
“These studies both used AD samples and controls from the same patient cohorts (Religious Orders Study and Memory and Aging Project, Mayo Clinic, Mount Sinai School of Medicine),64,65,66 but they took unique approaches for co-expression network analysis.”
From hdWGCNA identifies co-expression networks in high-dimensional transcriptomics data (2023) · cites this paper as [64]
The Results section, “Data origin and phenotypes” (page unavailable), identifies this study’s participants as coming from the Religious Orders Study and Rush Memory and Aging Project; the RNA-Seq results describe analysis of 478 participants. The Introduction and “Constructing the nodes of our module-trait network” describe its co-expression network approach and how it differs from prior approaches. Our copy does not establish that both studies used the same cohorts, including Mayo Clinic and Mount Sinai, so that comparison is not supported by this source. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe overlap of m109 with four clusters suggests it may represent a coordinated brain transcriptional response involving multiple cell types.
“Interestingly, m109 showed significant overlap with four of the five consensus clusters (Figure 1C), suggesting that it may represent a coordinated brain transcriptional response involving multiple cell types.”
From Meta-Analysis of the Alzheimer’s Disease Human Brain Transcriptome and Functional Dissection in Mouse Models (2020) · cites this paper as Mostafavi et al., 2018
The Results sections identify m109 as a gene-expression module and report that selected m109 genes were studied in astrocytes and neurons. Our copy does not report m109 overlapping four of five consensus clusters or interpret that overlap as a coordinated response across cell types; those appear to be the citing authors’ analysis and interpretation. Page numbers are unavailable in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measuredMany human brain gene expression changes associated with AD, including neuronal- and microglial-enriched modules, may represent common transcriptional programs activated by the aging process itself.
“This result suggests that many human brain gene expression changes associated with AD, including neuronal- and microglial-enriched modules reported in other studies (Conway et al., 2018; Mostafavi et al., 2018; Zhang et al., 2013), may represent common transcriptional programs activated by the aging process itself.”
From Meta-Analysis of the Alzheimer’s Disease Human Brain Transcriptome and Functional Dissection in Mouse Models (2020) · cites this paper as Mostafavi et al., 2018
The Results (‘Constructing the nodes of our module-trait network’; page not provided) identify neuronal-function modules associated with AD traits. The Results (‘Relation of RNA derived modules to the genetic architecture of AD’; page not provided) identify an age-associated, mostly microglial module enriched near AD risk variants, but explicitly say it is not directly associated with AD pathology, dementia, or cognitive decline. The paper does not establish that many AD-associated expression changes are common transcriptional programs activated by aging itself. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPLXNB1 was identified as a key node in a gene module highly associated with cognitive decline in AD patients of the ROS-MAP cohort.
“PLXNB1 was identified as a key node in a gene module highly associated with cognitive decline in AD patients of the ROS-MAP cohort26.”
From Regulation of cell distancing in peri-plaque glial nets by Plexin-B1 affects glial activation and amyloid compaction in Alzheimer’s disease (2024) · cites this paper as [26]
The Results sections on module 109 identify PLXNB1 as a major hub in a module strongly associated with cognitive decline in ROSMAP. But the Data origin and phenotypes section says the analysis included participants with and without AD dementia, so describing the finding as specifically being in “AD patients” narrows the study population inaccurately. Page numbers were not provided in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredSome studies have identified selected overlaps in expression changes between AD mouse models and human brains.
“Although some studies have identified selected overlaps in expression changes between AD mouse models and human brains (Bennett et al., 2018; Castillo et al., 2017; Mostafavi et al., 2018; Neuner et al., 2019; Rojo et al., 2017), other studies have questioned the overall degree of conservation (Burns et al., 2015; Galatro et al., 2017; Hargis and Blalock, 2017).”
From Meta-Analysis of the Alzheimer’s Disease Human Brain Transcriptome and Functional Dissection in Mouse Models (2020) · cites this paper as Mostafavi et al., 2018
Module m109 showed significant overlap with four of five consensus clusters.
“Interestingly, m109 showed significant overlap with four of the five consensus clusters (Figure 1C), suggesting that it may represent a coordinated brain transcriptional response involving multiple cell types.”
From Meta-Analysis of the Alzheimer’s Disease Human Brain Transcriptome and Functional Dissection in Mouse Models (2020) · cites this paper as Mostafavi et al., 2018
The Results sections on constructing the module-trait network and identifying disease-associated modules describe 47 modules and identify m109, but do not report m109 overlapping four of five consensus clusters. Searches for “five consensus clusters” and “m109 overlap four clusters” found no passage addressing that specific overlap. (LLM, conf=0.75)
Experimental — accuracy not yet measuredCapZ family proteins are important for endosome maturation.
“which are important for endosome maturation”
From INPP5D/SHIP1 regulates endo-lysosomal function and cargo-selective phagocytosis in human microglia (2025) · cites this paper as [23]
The Discussion discusses PLXNB1 and INPPL1, and the Results examine their effects on extracellular β-amyloid; neither passage addresses CapZ proteins or endosome maturation. Searches for CapZ family members and endosome maturation found no passage in our copy supporting the claim. (LLM, conf=0.76)
Experimental — accuracy not yet measuredCapZ mediates early endosome maturation by regulating the F-actin density around endosomes and recruiting Rab5 effectors to early endosomes.
“CapZ, was recently shown to mediate early endosome maturation by regulating the F-actin density around endosomes and recruiting Rab5 effectors to early endosomes23.”
From INPP5D/SHIP1 regulates endo-lysosomal function and cargo-selective phagocytosis in human microglia (2025) · cites this paper as [23]
The Results section on module 109 and the Discussion address Alzheimer’s disease, β-amyloid, INPPL1, and PLXNB1, not CapZ-mediated endosome maturation. Searches for CapZ, Rab5, F-actin, and endocytic trafficking found no passage in our copy addressing the claimed mechanism. (LLM, conf=0.76)
Experimental — accuracy not yet measuredMostafavi et al. compared five phenotypes related to AD, including Aβ burden.
“Mostafavi et al. compared five phenotypes related to AD, including Aβ burden.”
From Spatial Transcriptomics and In Situ Sequencing to Study Alzheimer’s Disease (2020) · cites this paper as Mostafavi et al., 2018
The most correlated module with Aβ burden 'm109' is strongly enriched with neuronal genes and strongly associated with cognitive decline.
“The most correlated module with Aβ burden 'm109' is strongly enriched with neuronal genes and strongly associated with cognitive decline.”
From Spatial Transcriptomics and In Situ Sequencing to Study Alzheimer’s Disease (2020) · cites this paper as Mostafavi et al., 2018
Previous network analyses in Alzheimer's disease were limited to larger brain regions and thus could not address cell type-specific vulnerability.
“Previous work examining whole brain lysates from AD patients and non-demented individuals (Miller et al., 2008; Mostafavi et al., 2018; Zhang et al., 2013) demonstrated the promise of network analyses in AD, but these studies were limited to larger brain regions and thus could not address cell type-specific vulnerability.”
From Selective Neuronal Vulnerability in Alzheimer’s Disease: A Network-Based Analysis (2020) · cites this paper as Mostafavi et al., 2018
The citation lists haven’t been fetched yet
References 94 · Cited by 509
Research works printed but not linked: 1
- Koller, D. & Friedman, N. ProbabilisticGraphical Models: Principles and Techniques. (MIT Press, Cambridge, MA, USA, 2009).
- Authors
- Mostafavi, S., Gaiteri, C., Sullivan, S. E., White, C. C., Tasaki, S., Xu, J., Taga, M., Klein, H.-U., Patrick, E., Komashko, V., McCabe, C., Smith, R., Bradshaw, E. M., Root, D. E., Regev, A., Yu, L., Chibnik, L. B., Schneider, J. A., Young-Pearse, T. L., Bennett, D. A., & De Jager, P. L.
- Affiliations
- Canadian Institute for Advanced Research (CA)
- Rush University Medical Center (US)
- Brigham and Women's Hospital (US)
- Broad Institute (US)
- The University of Sydney (AU)
- Corresponding author
- Bennett, David A.
- ORCID
- Venue
- Nature Neuroscience
- Published
- 2018-05-25
- Volume
- 21
- Issue
- 6
- Pages
- 811-819
- ISSN
- 1097-6256 (ISSN-L)
- 1546-1726
- PMC
- PMC6599633
- OpenAlex
- W2804633924
- Semantic Scholar
- ea95fe35016fc8176c21ee88ba4bd14d2fab7468
- Cited by
- 509
- References
- 94
- Citations by year
- 2026: 32 · 2025: 53 · 2024: 64 · 2023: 68 · 2022: 74 · 2021: 82 · 2020: 62 · 2019: 51 · 2018: 19 · 2017: 2 · 2012: 1
- FWCI
- 39.02
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- public-domain
- www.springer.com/tdm (tdm)
- Locations
- Nature Neuroscience (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, public-domain)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01AG03-6836)
- National Institute on Aging (R01AG017917, R01AG036836, U01AG046152, R01AG057911, R01AG015819, P30AG010161, RC2AG036547)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Keywords
- Alzheimer's disease, brain aging, frontal cortex, gene co-expression modules, molecular networks, cognitive decline, amyloid pathology, neuropathology, therapeutic target, human neurons, astrocytes, gene prioritization
- MeSH terms
- Aged, Aged, 80 and over, Aging, Alzheimer Disease, Astrocytes, Female, Gene Expression Regulation, Humans, Male, Neurons, Databases, Factual, Amyloid beta-Peptides, tau Proteins, Metabolic Networks and Pathways, Genetic Association Studies, Neural Stem Cells, Transcriptome, Cognitive Dysfunction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.
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