Multi-omic integration via similarity network fusion to detect molecular subtypes of ageing
Open accessAbstract
Molecular subtyping of brain tissue provides insights into the heterogeneity of common neurodegenerative conditions, such as Alzheimer’s disease. However, existing subtyping studies have mostly focused on single data modalities and only those individuals with severe cognitive impairment. To address these gaps, we applied similarity network fusion, a method capable of integrating multiple high-dimensional multi-omic data modalities simultaneously, to an elderly sample spanning the full spectrum of cognitive ageing trajectories. We analyzed human frontal cortex brain samples characterized by five omic modalities: bulk RNA sequencing (18 629 genes), DNA methylation (53 932 CpG sites), histone acetylation (26 384 peaks), proteomics (7737 proteins) and metabolomics (654 metabolites). Similarity network fusion followed by spectral clustering was used for subtype detection, and subtype numbers were determined by Eigen-gap and rotation cost statistics. Normalized mutual information determined the relative contribution of each modality to the fused network. Subtypes were characterized by associations with 13 age-related neuropathologies and cognitive decline. Fusion of all five data modalities (n = 111) yielded two subtypes (nS1 = 53, nS2 = 58), which were nominally associated with diffuse amyloid plaques; however, this effect was not significant after correction for multiple testing. Histone acetylation (normalized mutual information = 0.38), DNA methylation (normalized mutual information = 0.18) and RNA abundance (normalized mutual information = 0.15) contributed most strongly to this network. Secondary analysis integrating only these three modalities in a larger subsample (n = 513) indicated support for both three- and five-subtype solutions, which had significant overlap, but showed varying degrees of internal stability and external validity. One subtype showed marked cognitive decline, which remained significant even after correcting for tests across both three- and five-subtype solutions (pBonf = 5.9 × 10−3). Comparison to single-modality subtypes demonstrated that the three-modal subtypes were able to uniquely capture cognitive variability. Comprehensive sensitivity analyses explored influences of sample size and cluster number parameters. We identified highly integrative molecular subtypes of ageing derived from multiple high dimensional, multi-omic data modalities simultaneously. Fusing RNA abundance, DNA methylation, and histone acetylation measures generated subtypes that were associated with cognitive decline. This work highlights the potential value and challenges of multi-omic integration in unsupervised subtyping of post-mortem brain.
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Similarity network fusion analyses of brain tissue have identified clusters associated with immune activation, mitochondrial impairment, and lipid metabolism abnormalities.
“For example, similarity network fusion analyses of brain tissue have identified clusters associated with immune activation, mitochondrial impairment, and lipid metabolism abnormalities352.”
From Artificial intelligence-driven multi-omics approaches in Alzheimer's disease: Progress, challenges, and future directions (2025) · cites this paper as [352]
The Results section reports molecular subtypes identified by similarity network fusion of human brain-tissue data. It describes subtype-associated molecular features, but does not characterize the clusters as associated with immune activation, mitochondrial impairment, or lipid metabolism abnormalities. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAnalyses using similarity network fusion have identified Alzheimer's disease subtypes characterized by immune activation, mitochondrial dysfunction, lipid dysregulation, and blood-brain barrier disruption.
“These analyses have identified subtypes characterized by immune activation, mitochondrial dysfunction, lipid dysregulation, and BBB disruption342,352,399,400.”
From Artificial intelligence-driven multi-omics approaches in Alzheimer's disease: Progress, challenges, and future directions (2025) · cites this paper as [352]
The Results section (‘Fully integrated five-modal network identifies two molecular subtypes’; page not provided) confirms that similarity network fusion identified molecular subtypes. The Results section on ‘Molecular features defining three-modal subtypes’ characterizes them using epigenetic marks and RNA transcripts, but our copy does not characterize the subtypes by immune activation, mitochondrial dysfunction, lipid dysregulation, or blood-brain barrier disruption. (LLM, conf=0.86)
Experimental — accuracy not yet measuredProteomic clustering has identified subgroups particularly responsive to drugs that modulate synaptic function and restore blood-brain barrier integrity.
“Proteomic clustering has identified subgroups particularly responsive to drugs that modulate synaptic function and restore BBB integrity342,345,347,350,352,399,400.”
From Artificial intelligence-driven multi-omics approaches in Alzheimer's disease: Progress, challenges, and future directions (2025) · cites this paper as [352]
The Methods section ('Multi-omic data used for subtyping'; page unavailable) says the study used proteomics alongside four other data types to identify molecular subtypes. The Results section ('Comparison with single modality subtypes and sensitivity analysis'; page unavailable) compares subtype associations with cognition and neuropathology. Neither passage establishes that any subgroup was particularly responsive to drugs targeting synaptic function or blood-brain barrier integrity; the claim also recasts multi-omic subtyping as proteomic clustering. (LLM, conf=0.84)
Experimental — accuracy not yet measuredUnsupervised learning techniques such as hierarchical clustering, k-means, and latent class analysis applied to integrated multi-omics datasets have revealed molecularly distinct Alzheimer's disease subgroups characterized by divergent patterns of neuroinflammation, metabolic dysregulation, and synaptic dysfunction.
“Unsupervised learning techniques such as hierarchical clustering, k-means, and latent class analysis applied to integrated multi-omics datasets have revealed molecularly distinct AD subgroups characterized by divergent patterns of neuroinflammation, metabolic dysregulation, and synaptic dysfunction.”
From Artificial intelligence-driven multi-omics approaches in Alzheimer's disease: Progress, challenges, and future directions (2025) · cites this paper as [352]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredIntegration across data modalities can introduce biases, as seen in joint analyses of transcriptomic and epigenomic features, which may complicate interpretation.
“Integration across data modalities can introduce biases, as seen in joint analyses of transcriptomic and epigenomic features, which may complicate interpretation352,396.”
From Artificial intelligence-driven multi-omics approaches in Alzheimer's disease: Progress, challenges, and future directions (2025) · cites this paper as [352]
The Methods (Uniform multi-omic feature post-processing; page not provided) identify a risk that differences in preprocessing could leave modalities with unbalanced covariate effects, and describe correcting for it. The paper jointly analyzes RNAseq and epigenetic data, but our copy does not report that this integration actually introduced bias or explicitly link such bias to difficulty interpreting the results. (LLM, conf=0.81)
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Cites
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“gene expression data, which greatly constrains the information used to parse biological systems and pathological processes.(13,14) Importantly, it has been shown that several multi-omic data types, including histone acetylation,(15) metabolomics 16–20 and proteomics,(21) are not only associated with Alzheimer’s diseas…”
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Ren, F., Wei, J., Chen, Q., Hu, M., Yu, L., Mi, J., Zhou, X., Qin, D., Wu, J., & Wu, A. (2025) · Acta Pharmaceutica Sinica B · doi:10.1016/j.apsb.2025.07.030 · Cited by 97 · see citing works
Tripathy, R. K., Frohock, Z., Wang, H., Cary, G. A., Keegan, S., Carter, G. W., & Li, Y. (2025) · npj Systems Biology and Applications · doi:10.1038/s41540-025-00519-9 · Cited by 36 · see citing works
- Authors
- Yang, M., Matan-Lithwick, S., Wang, Y., De Jager, P. L., Bennett, D. A., & Felsky, D.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- The Krembil Centre for Neuroinformatics, Centre for Addiction and Mental Health , Toronto, ON M5T 1R8 , Canada
- Rush University (US)
- The Center for Translational and Computational Neuroimmunology, Columbia University Medical Center , New York, NY 10033 , USA
- Corresponding author
- Felsky, Daniel
- Venue
- Brain Communications
- Publisher
- Oxford University Press (OUP)
- Published
- 2023-03-02
- Volume
- 5
- Issue
- 2
- Pages
- fcad110-fcad110
- ISSN
- 2632-1297 (ISSN-L)
- PMC
- PMC10110975
- OpenAlex
- W4362596377
- Cited by
- 35
- References
- 9
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 6 · 2023: 2
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Brain Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Koerner Family Foundation New Scientist Program
- Canadian Institutes of Health Research
- Centre for Addiction and Mental Health
- National Institutes of Health (P30AG10161, P30AG72975, R01AG15819, R01AG17917, U01AG46152, U01AG61356)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
- Keywords
- cognitive aging, brain aging, frontal cortex, similarity network fusion, multi-omics integration, DNA methylation, histone acetylation, RNA expression, proteomics, metabolomics, cognitive decline, amyloid plaques, postmortem brain, neurodegeneration, Alzheimer's disease, spectral clustering
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