Drug repositioning for Alzheimer’s disease based on systematic “omics” data mining
Open accessAbstract
Traditional drug development for Alzheimer's disease (AD) is costly, time consuming and burdened by a very low success rate. An alternative strategy is drug repositioning, redirecting existing drugs for another disease. The large amount of biological data accumulated to date warrants a comprehensive investigation to better understand AD pathogenesis and facilitate the process of anti-AD drug repositioning. Hence, we generated a list of anti-AD protein targets by analyzing the most recent publically available 'omics' data, including genomics, epigenomics, proteomics and metabolomics data. The information related to AD pathogenesis was obtained from the OMIM and PubMed databases. Drug-target data was extracted from the DrugBank and Therapeutic Target Database. We generated a list of 524 AD-related proteins, 18 of which are targets for 75 existing drugs-novel candidates for repurposing as anti-AD treatments. We developed a ranking algorithm to prioritize the anti-AD targets, which revealed CD33 and MIF as the strongest candidates with seven existing drugs. We also found 7 drugs inhibiting a known anti-AD target (acetylcholinesterase) that may be repurposed for treating the cognitive symptoms of AD. The CAD protein and 8 proteins implicated by two 'omics' approaches (ABCA7, APOE, BIN1, PICALM, CELF1, INPP5D, SPON1, and SOD3) might also be promising targets for anti-AD drug development. Our systematic 'omics' mining suggested drugs with novel anti-AD indications, including drugs modulating the immune system or reducing neuroinflammation that are particularly promising for AD intervention. Furthermore, the list of 524 AD-related proteins could be useful not only as potential anti-AD targets but also considered for AD biomarker development.
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Demecarium was first suggested as an AD repurposing candidate in 2014, with subsequent support in two studies; after 2016, the drug was not mentioned again.
“demecarium was first suggested as an AD repurposing candidate in 2014 (Croset et al., 2014), with subsequent support in two studies (Jamal et al., 2015;Zhang et al., 2016); however, after 2016, the drug was not mentioned again.”
From Drug repurposing for Alzheimer’s disease from 2012–2022—a 10-year literature review (2023) · cites this paper as Zhang et al., 2016
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DNA methylation age of human tissues and cell types
Horvath, S. (2013) · Genome Biology · doi:10.1186/gb-2013-14-10-r115 · Cited by 7,075 · see citing works
Alzheimer’s disease drug-development pipeline: Few candidates, frequent failures
Cummings, J. L., Morstorf, T., & Zhong, K. (2014) · Alzheimer's Research & Therapy · doi:10.1186/alzrt269 · Cited by 1,744 · see citing works
Burns, A., & Iliffe, S. (2009) · BMJ · doi:10.1136/bmj.b158 · Cited by 859 · see citing works
Andreasen, N., Hesse, C., Davidsson, P., Minthon, L., Wallin, A., Winblad, B., Vanderstichele, H., Vanmechelen, E., & Blennow, K. (1999) · Archives of Neurology · doi:10.1001/archneur.56.6.673 · Cited by 660 · see citing works
Mortimer, J. A., Van Duijn, C. M., Chandra, V, Fratiglioni, L., Graves, A. B., Heyman, A., Jorm, A. F., Kokmen, E., Kondo, K., Rocca, W. A., et al. (1991) · International Journal of Epidemiology · doi:10.1093/ije/20.supplement_2.s28 · Cited by 594 · see citing works
CD33 Alzheimer's disease locus: altered monocyte function and amyloid biology
Initiative, T. A. D. N., Bradshaw, E. M., Chibnik, L. B., Keenan, B. T., Ottoboni, L., Raj, T., Tang, A., Rosenkrantz, L. L., Imboywa, S., Lee, M., et al. (2013) · Nature Neuroscience · doi:10.1038/nn.3435 · Cited by 570 · see citing works
Levine, M. E., Lu, A. T., Bennett, D. A., & Horvath, S. (2015) · Aging · doi:10.18632/aging.100864 · Cited by 455 · see citing works
Baruch, K., Deczkowska, A., Rosenzweig, N., Tsitsou-Kampeli, A., Sharif, A. M., Matcovitch-Natan, O., Kertser, A., David, E., Amit, I., & Schwartz, M. (2016) · Nature Medicine · doi:10.1038/nm.4022 · Cited by 425 · see citing works
Doens, D., & Fernández, P. L. (2014) · Journal of Neuroinflammation · doi:10.1186/1742-2094-11-48 · Cited by 348 · see citing works
Luo, H., Chen, J., Shi, L., Mikailov, M., Zhu, H., Wang, K., He, L., & Yang, L. (2011) · Nucleic Acids Research · doi:10.1093/nar/gkr299 · Cited by 206 · see citing works
Flagged first, then by citations
Research works printed but not linked: 41
- [2]Selkoe DJ, Wolfe MS. Presenilin: running with scissors in the membrane. Cell. 2007; 131(2): 215– 21. 10.1016/j.cell.2007.10.012 17956719 · DOI
- [3]Ghani M, Rogaeva E. Autosomal dominant Alzheimer’s disease: underlying causes In: Galimberti D, Scarpini E., editor. Neurodegenerative Diseases. London: Springer; 2014 p. 27– 47.
- [4]Hay M, Thomas DW, Craighead JL, Economides C, Rosenthal J. Clinical development success rates for investigational drugs. Nature biotechnology. 2014; 32(1): 40– 51. 10.1038/nbt.2786 24406927 · DOI · Paper page
- [6]Zhang M, Luo H, Xi Z, Rogaeva E. Drug repositioning for diabetes based on 'omics' data mining. PloS one. 2015; 10(5): e0126082 10.1371/journal.pone.0126082 25946000 PMC4422696 · DOI
- [7]Corbett A, Williams G, Ballard C. Drug repositioning in Alzheimer's disease. Frontiers in bioscience. 2015; 7: 184– 8. 25961694
- [8]Lamb J, Crawford ED, Peck D, Modell JW, Blat IC, Wrobel MJ, et al The Connectivity Map: using gene-expression signatures to connect small molecules, genes, and disease. Science. 2006; 313(5795): 1929– 35. 10.1126/science.1132939 17008526 · DOI · Paper page
- [9]Andronis C, Sharma A, Virvilis V, Deftereos S, Persidis A. Literature mining, ontologies and information visualization for drug repurposing. Briefings in bioinformatics. 2011; 12(4): 357– 68. 10.1093/bib/bbr005 21712342 · DOI
- [10]Chindelevitch L, Ziemek D, Enayetallah A, Randhawa R, Sidders B, Brockel C, et al Causal reasoning on biological networks: interpreting transcriptional changes. Bioinformatics. 2012; 28(8): 1114– 21. 10.1093/bioinformatics/bts090 22355083 · DOI
- [11]Sanseau P, Agarwal P, Barnes MR, Pastinen T, Richards JB, Cardon LR, et al Use of genome-wide association studies for drug repositioning. Nature biotechnology. 2012; 30(4): 317– 20. 10.1038/nbt.2151 22491277 · DOI
- [12]Wang ZY, Zhang HY. Rational drug repositioning by medical genetics. Nature biotechnology. 2013; 31(12): 1080– 2. 10.1038/nbt.2758 24316641 · DOI
- [14]Yang L, Wang K, Chen J, Jegga AG, Luo H, Shi L, et al Exploring off-targets and off-systems for adverse drug reactions via chemical-protein interactome—clozapine-induced agranulocytosis as a case study. PLoS computational biology. 2011; 7(3): e1002016 10.1371/journal.pcbi.1002016 21483481 PMC3068927 · DOI
- [15]Yang L, Agarwal P. Systematic drug repositioning based on clinical side-effects. PloS one. 2011; 6(12): e28025 10.1371/journal.pone.0028025 22205936 PMC3244383 · DOI
- [16]Wang W, Yang S, Zhang X, Li J. Drug repositioning by integrating target information through a heterogeneous network model. Bioinformatics. 2014; 30(20): 2923– 30. 10.1093/bioinformatics/btu403 24974205 PMC4184255 · DOI
- [17]Corder EH, Saunders AM, Strittmatter WJ, Schmechel DE, Gaskell PC, Small GW, et al Gene dose of apolipoprotein E type 4 allele and the risk of Alzheimer's disease in late onset families. Science. 1993; 261(5123): 921– 3. 8346443
- [18]Guerreiro R, Wojtas A, Bras J, Carrasquillo M, Rogaeva E, Majounie E, et al TREM2 variants in Alzheimer's disease. The New England journal of medicine. 2013; 368(2): 117– 27. 10.1056/NEJMoa1211851 23150934 PMC3631573 · DOI · Paper page
- [19]Jonsson T, Stefansson H, Steinberg S, Jonsdottir I, Jonsson PV, Snaedal J, et al Variant of TREM2 associated with the risk of Alzheimer's disease. The New England journal of medicine. 2013; 368(2): 107– 16. 10.1056/NEJMoa1211103 23150908 PMC3677583 · DOI · Paper page
- [21]Holscher C. Diabetes as a risk factor for Alzheimer's disease: insulin signalling impairment in the brain as an alternative model of Alzheimer's disease. Biochemical Society transactions. 2011; 39(4): 891– 7. 10.1042/BST0390891 21787319 · DOI
- [22]Lindsay J, Laurin D, Verreault R, Hebert R, Helliwell B, Hill GB, et al Risk factors for Alzheimer's disease: a prospective analysis from the Canadian Study of Health and Aging. American journal of epidemiology. 2002; 156(5): 445– 53. 12196314
- [23]Shannon P, Markiel A, Ozier O, Baliga NS, Wang JT, Ramage D, et al Cytoscape: a software environment for integrated models of biomolecular interaction networks. Genome research. 2003; 13(11): 2498– 504. 10.1101/gr.1239303 14597658 PMC403769 · DOI · Paper page
- [24]Zhu F, Shi Z, Qin C, Tao L, Liu X, Xu F, et al Therapeutic target database update 2012: a resource for facilitating target-oriented drug discovery. Nucleic acids research. 2012; 40(Database issue): D1128– 36. 10.1093/nar/gkr797 21948793 PMC3245130 · DOI
- [25]Wishart DS, Knox C, Guo AC, Shrivastava S, Hassanali M, Stothard P, et al DrugBank: a comprehensive resource for in silico drug discovery and exploration. Nucleic acids research. 2006; 34(Database issue): D668– 72. 10.1093/nar/gkj067 16381955 PMC1347430 · DOI · Paper page
- [28]Goate A, Chartier-Harlin MC, Mullan M, Brown J, Crawford F, Fidani L, et al Segregation of a missense mutation in the amyloid precursor protein gene with familial Alzheimer's disease. Nature. 1991; 349(6311): 704– 6. 10.1038/349704a0 1671712 · DOI · Paper page
- [29]Chen J, Bardes EE, Aronow BJ, Jegga AG. ToppGene Suite for gene list enrichment analysis and candidate gene prioritization. Nucleic acids research. 2009; 37(Web Server issue): W305– 11. 10.1093/nar/gkp427 19465376 PMC2703978 · DOI · Paper page
- [30]Huang H, Wu X, Pandey R, Li J, Zhao G, Ibrahim S, et al C(2)Maps: a network pharmacology database with comprehensive disease-gene-drug connectivity relationships. BMC genomics. 2012; 13 Suppl 6: S17. PMC3481399 23134618
- [32]Zhang M, Xi Z, Ghani M, Jia P, Pal M, Werynska K, et al Genetic and epigenetic study of ALS-discordant identical twins with double mutations in SOD1 and ARHGEF28. Journal of neurology, neurosurgery, and psychiatry. 2016. 27154192
- [34]Horvath S, Ritz BR. Increased epigenetic age and granulocyte counts in the blood of Parkinson's disease patients. Aging. 2015; 7(12): 1130– 42. 10.18632/aging.100859 26655927 PMC4712337 · DOI
- [35]Lu AT, Hannon E, Levine ME, Hao K, Crimmins EM, Lunnon K, et al Genetic variants near MLST8 and DHX57 affect the epigenetic age of the cerebellum. Nature communications. 2016; 7: 10561 10.1038/ncomms10561 26830004 PMC4740877 · DOI
- [36]Butterfield DA, Pocernich CB. The glutamatergic system and Alzheimer's disease: therapeutic implications. CNS drugs. 2003; 17(9): 641– 52. 12828500
- [37]Jo S, Yarishkin O, Hwang YJ, Chun YE, Park M, Woo DH, et al GABA from reactive astrocytes impairs memory in mouse models of Alzheimer's disease. Nature medicine. 2014; 20(8): 886– 96. 10.1038/nm.3639 24973918 PMC8385452 · DOI · Paper page
- [38]Liu R, Singh N, Tawa GJ, Wallqvist A, Reifman J. Exploiting large-scale drug-protein interaction information for computational drug repurposing. BMC bioinformatics. 2014; 15: 210 10.1186/1471-2105-15-210 24950817 PMC4079911 · DOI
- [39]Garnache-Ottou F, Chaperot L, Biichle S, Ferrand C, Remy-Martin JP, Deconinck E, et al Expression of the myeloid-associated marker CD33 is not an exclusive factor for leukemic plasmacytoid dendritic cells. Blood. 2005; 105(3): 1256– 64. 10.1182/blood-2004-06-2416 15388576 · DOI
- [40]Lajaunias F, Dayer JM, Chizzolini C. Constitutive repressor activity of CD33 on human monocytes requires sialic acid recognition and phosphoinositide 3-kinase-mediated intracellular signaling. European journal of immunology. 2005; 35(1): 243– 51. 10.1002/eji.200425273 15597323 · DOI
- [42]Cowan AJ, Laszlo GS, Estey EH, Walter RB. Antibody-based therapy of acute myeloid leukemia with gemtuzumab ozogamicin. Front Biosci (Landmark Ed). 2013; 18: 1311– 34. 23747885 PMC3683663
- [43]Malik M, Chiles J 3rd, Xi HS, Medway C, Simpson J, Potluri S, et al Genetics of CD33 in Alzheimer's disease and acute myeloid leukemia. Human molecular genetics. 2015; 24(12): 3557– 70. 10.1093/hmg/ddv092 25762156 PMC4498153 · DOI
- [44]Craig-Schapiro R, Kuhn M, Xiong C, Pickering EH, Liu J, Misko TP, et al Multiplexed immunoassay panel identifies novel CSF biomarkers for Alzheimer's disease diagnosis and prognosis. PloS one. 2011; 6(4): e18850 10.1371/journal.pone.0018850 21526197 PMC3079734 · DOI
- [45]Bacher M, Deuster O, Aljabari B, Egensperger R, Neff F, Jessen F, et al The role of macrophage migration inhibitory factor in Alzheimer's disease. Molecular medicine. 2010; 16(3–4): 116– 21. 10.2119/molmed.2009.00123 20200619 PMC2829616 · DOI
- [46]Cox GM, Kithcart AP, Pitt D, Guan Z, Alexander J, Williams JL, et al Macrophage migration inhibitory factor potentiates autoimmune-mediated neuroinflammation. Journal of immunology. 2013; 191(3): 1043– 54. 23797673
- [47]Bryan KJ, Zhu X, Harris PL, Perry G, Castellani RJ, Smith MA, et al Expression of CD74 is increased in neurofibrillary tangles in Alzheimer's disease. Molecular neurodegeneration. 2008; 3: 13 10.1186/1750-1326-3-13 18786268 PMC2565661 · DOI · Paper page
- [49]Kim WS, Guillemin GJ, Glaros EN, Lim CK, Garner B. Quantitation of ATP-binding cassette subfamily-A transporter gene expression in primary human brain cells. Neuroreport. 2006; 17(9): 891– 6. 10.1097/01.wnr.0000221833.41340.cd 16738483 · DOI
- [51]Xi Z, Yunusova Y, van Blitterswijk M, Dib S, Ghani M, Moreno D, et al Identical twins with the C9orf72 repeat expansion are discordant for ALS. Neurology. 2014; 83(16): 1476– 8. 10.1212/WNL.0000000000000886 25209579 PMC4206161 · DOI
- [52]Zhang M, Xi Z, Zinman L, Bruni AC, Maletta RG, Curcio SA, et al Mutation analysis of CHCHD10 in different neurodegenerative diseases. Brain: a journal of neurology. 2015; 138(Pt 9): e380. 25833818 PMC4547051
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“…is a representative example of a drug without temporal continuity — demecarium was fi rst suggested as an AD repurposing candidate in 2014 (Croset et al., 2014), with subsequent support in two studies (Jamal et al., 2015; Zhang et al., 2016); however, after 2016, the drug was not mentioned again.”
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- Authors
- Zhang, M., Schmitt-Ulms, G., Sato, C., Xi, Z., Zhang, Y., Zhou, Y., St George-Hyslop, P., & Rogaeva, E.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Zhang, Ming
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-12-22
- Volume
- 11
- Issue
- 12
- Pages
- e0168812
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5179106
- OpenAlex
- W2565611518
- Cited by
- 108
- References
- 10
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 15 · 2023: 11 · 2022: 18 · 2021: 16 · 2020: 18 · 2019: 11 · 2018: 12 · 2017: 3
- FWCI
- 6.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- Wellcome Trust
- Medical Research Council
- Ontario Research Fund
- Canadian Institutes of Health Research
- National Institute of Health Research Cambridge Biomedical Research Unit in Dementia
- National Institutes of Health
- Alzheimer Society of Ontario
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Physical Sciences › Computer Science › Computational Theory and Mathematics › Computational Drug Discovery Methods
- Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
- Keywords
- Alzheimer's disease, drug repurposing, Alzheimer's disease pathogenesis, CD33, macrophage migration inhibitory factor, acetylcholinesterase inhibitors, neuroinflammation, immunomodulation, Alzheimer's disease biomarkers, apolipoprotein E, ABCA7, BIN1, PICALM, CELF1, INPP5D, SPON1, SOD3
- MeSH terms
- Alzheimer Disease, Humans, Biomarkers, Databases, Factual, Genomics, Proteomics, Metabolomics, Data Mining, Drug Repositioning
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