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The associations of cerebrospinal fluid ApoE and C1q with Alzheimer's disease biomarkers

Lin, Yu-Jing, Liu, Ying, Sheng, Ze-Hu, Fu, Yan, Ma, Ling-Zhi, Zhang, Zi-Hao, Wang, Lan-Yang, Huang, Liang-Yu, Liu, Min, Wang, Zuo-Teng, Tan, Lan, for the Alzheimer's Disease Neuroimaging Initiative *·2025·Journal of Alzheimer’s Disease

Abstract

Background: The roles of complement 1q (C1q) and Apolipoprotein E (ApoE) in driving Alzheimer's disease (AD) progression might be explained by their associations with neuroinflammation and AD pathology which were previously reported. Objective: We examined the associations of cerebrospinal fluid (CSF) C1q and ApoE with CSF neuroinflammatory biomarkers and AD core biomarkers, as well as explored whether C1q mediated the associations of CSF ApoE with these biomarkers. Methods: Here, we analyzed CSF proteomics data from Alzheimer's Disease Neuroimaging Initiative (ADNI) using two different ADNI proteomics datasets—SomaScan (n = 579)and multiple reaction monitoring (MRM[n = 207]). Linear regression analyses were conducted to explore the association of CSF ApoE and C1q. The mediation model and structural equation model (SEM) were conducted to explore the associations of ApoE and C1q with AD biomarkers. Results: Multiple linear regression showed that CSF ApoE was positively associated with CSF C1q in total participants and Alzheimer's continuum participants. Mediation analyses indicated that C1q mediated the associations of CSF ApoE with CSF T-tau, P-tau, sTREM2 and GFAP (mediation proportions range from 15.06 to 44.64%; all the p values < 0.05) but not with CSF amyloid-β and progranulin (PGRN). The SEM yielded similar results. Conclusions: Our findings suggest that C1q is linked to ApoE, and it mediates the associations of ApoE with T-tau, P-tau, sTREM2, GFAP, indicating C1q association with ApoE might be involved in AD progression.

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Research works printed but not linked: 37

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Metadata

Authors
Lin, Y.-J., Liu, Y., Sheng, Z.-H., Fu, Y., Ma, L.-Z., Zhang, Z.-H., Wang, L.-Y., Huang, L.-Y., Liu, M., Wang, Z.-T., Tan, L., & *, F. T. A. D. N. I.
Affiliations
  • School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China
  • Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China
  • Department of Neurology, Qingdao Municipal Hospital, Nanjing Medical University, Nanjing, China
  • Department of Neurology, Qingdao Municipal Hospital, Dalian Medical University, Dalian, China
Venue
Journal of Alzheimer’s Disease
Published
2025-03-17
Volume
104
Issue
3
Pages
852-861
ISSN
  • 1387-2877
  • 1875-8908
Cited by
3
References
14
Language
en

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