Network Dynamics‐based Subtyping of Alzheimer's Disease With Microglial Genetic Risk Factors
Open accessAbstract
BACKGROUND: The potential of microglia as a target for Alzheimer's disease (AD) treatment is promising, yet the clinical and pathological diversity within microglia, driven by genetic factors, poses a significant challenge. Subtyping AD is imperative to enable precise and effective treatment strategies. However, existing subtyping methods fail to comprehensively address the intricate complexities of AD pathogenesis, particularly concerning genetic risk factors. To address this gap, we have employed systems biology approaches for AD subtyping and identified potential therapeutic targets. METHODS: We constructed patient-specific microglial molecular regulatory network models by utilizing existing literature and single-cell RNA sequencing data. The combination of large-scale computer simulations and dynamic network analysis enabled us to subtype AD patients according to their distinct molecular regulatory mechanisms. For each identified subtype, we suggested optimal targets for effective AD treatment. RESULTS: To investigate heterogeneity in AD and identify potential therapeutic targets, we constructed a microglia molecular regulatory network model. The network model incorporated 20 known risk factors and crucial signaling pathways associated with microglial functionality, such as inflammation, anti-inflammation, phagocytosis, and autophagy. Probabilistic simulations with patient-specific genomic data and subsequent dynamics analysis revealed nine distinct AD subtypes characterized by core feedback mechanisms involving SPI1, CASS4, and MEF2C. Moreover, we identified PICALM, MEF2C, and LAT2 as common therapeutic targets among several subtypes. Furthermore, we clarified the reasons for the previous contradictory experimental results that suggested both the activation and inhibition of AKT or INPP5D could activate AD through dynamic analysis. This highlights the multifaceted nature of microglial network regulation. CONCLUSIONS: These results offer a means to classify AD patients by their genetic risk factors, clarify inconsistent experimental findings, and advance the development of treatments tailored to individual genotypes for AD.
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Some Alzheimer's disease risk loci are highly enriched within or near genes encoding microglia-specific transcription factors.
“Interestingly, some Alzheimer's disease risk loci are highly enriched within or near genes encoding microglia‐specific transcription factors, highlighting their crucial roles in the pathogenesis of Alzheimer's disease (Table 1) [5, 7, 20, 21].”
From Targeting Microglial Transcriptional Reprogramming as a Therapy Strategy for Alzheimer's Disease (2026) · cites this paper as [21]
The Discussion identifies SPI1 and MEF2C as Alzheimer’s disease risk factors and transcription factors related to microglial function; the Results also report risk variants in SPI1. Neither passage establishes that risk loci are highly enriched within or near genes encoding microglia-specific transcription factors. The enrichment and microglia-specificity claims therefore go beyond what this paper says. (LLM, conf=0.84)
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Cited by
Sorted by citations
Targeting Microglial Transcriptional Reprogramming as a Therapy Strategy for Alzheimer's Disease
Kim, B., Wang, S. S., Kim, J. R., & Kim, J. (2026) · BioEssays · doi:10.1002/bies.70186
“Interestingly, some Alzheimer’s disease risk loci are highly enriched within or near genes encoding microglia-specific transcription factors, highlighting their crucial roles in the pathogenesis of Alzheimer’s disease (Table 1) [5, 7, 20, 21].”
- Authors
- Choi, J. H., Lee, J., Kang, U., Chang, H., & Cho, K.-H.
- Affiliations
- Korea Advanced Institute of Science and Technology (KR)
- Corresponding author
- Cho, Kwang-Hyun
- Venue
- Alzheimer's Research & Therapy
- Published
- 2024-10-16
- Volume
- 16
- Issue
- 1
- Pages
- 229-229
- ISSN
- 1758-9193 (ISSN-L)
- PMC
- PMC11481771
- OpenAlex
- W4403461600
- Cited by
- 7
- References
- 16
- Citations by year
- 2026: 4 · 2025: 3
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Alzheimer s Research & Therapy (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Korea Dementia Research Center (HU21C0060)
- National Research Foundation of Korea (2023R1A2C3002619)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, disease subtyping, microglia, genetic risk factors, molecular regulatory networks, network dynamics, therapeutic target, PICALM, MEF2C, LAT2, PU.1, Akt, INPP5D, phagocytosis, autophagy, inflammation, personalized medicine
- MeSH terms
- Alzheimer Disease, Computer Simulation, Humans, Risk Factors, Microglia, Genetic Predisposition to Disease, Gene Regulatory Networks
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