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Abstract

Alzheimers disease (AD) is a complex and heterogenous brain disease that affects multiple inter-related biological processes. This complexity contributes, in part, to existing difficulties in the identification of successful disease-modifying therapeutic strategies. To address this, systems approaches are being used to characterize AD-related disruption in molecular state. To evaluate the consistency across these molecular models, a consensus atlas of the human brain transcriptome was developed through coexpression meta-analysis across the AMP-AD consortium. Consensus analysis was performed across five coexpression methods used to analyze RNA-seq data collected from 2114 samples across 7 brain regions and 3 research studies. From this analysis, five consensus clusters were identified that described the major sources of AD-related alterations in transcriptional state that were consistent across studies, methods, and samples. AD genetic associations, previously studied AD-related biological processes, and AD targets under active investigation were enriched in only three of these five clusters. The remaining two clusters demonstrated strong heterogeneity between males and females in AD-related expression that was consistently observed across studies. AD transcriptional modules identified by systems analysis of individual AMP-AD teams were all represented in one of these five consensus clusters except ROS/MAP-identified Module 109, which was specific for genes that showed the strongest association with changes in AD-related gene expression across consensus clusters. The other two AMP-AD transcriptional analyses reported modules that were enriched in one of the two sex-specific Consensus Clusters. The fifth cluster has not been previously identified and was enriched for genes related to proteostasis. This study provides an atlas to map across biological inquiries of AD with the goal of supporting an expansion in AD target discovery efforts.

Abstract summary

Claude Opus 5.5 · xhigh effort · 2 Nov 2026 · from the abstract · CC BY-NC-ND 4.0

Coexpression meta-analysis of 2114 human brain RNA-seq samples across the AMP-AD consortium identifies five consensus Alzheimer's disease transcriptional clusters, including two sex-heterogeneous clusters and a previously unreported proteostasis cluster.

Systems-level models of molecular disruption in Alzheimer's disease (AD) have lacked cross-study evaluation of their consistency across cohorts and analytical methods. Applying five coexpression methods to 2114 human brain RNA-seq samples from 3 studies and 7 brain regions defines a consensus transcriptional atlas for AD target discovery.

Key results

  1. ShownMeta-analysis across cohorts, brain regions, and coexpression algorithms resolves five reproducible consensus clusters of Alzheimer's disease transcriptional alterations, only three of which are enriched for known genetic associations, studied pathways, and active therapeutic targets.

    Derived from five coexpression methods applied to 2114 RNA-seq samples across 7 brain regions and 3 AMP-AD studies; three of five clusters concentrate established AD genetics, processes, and targets. · Abstract

  2. ShownTwo of the five consensus clusters display consistent heterogeneity between males and females across studies, and the fifth consensus cluster—not previously identified—is enriched for proteostasis-related genes.

    Sex-specific heterogeneity was observed reproducibly across the 3 AMP-AD studies, with modules from two individual AMP-AD analyses enriched in one of the two sex-specific clusters, while the fifth cluster was enriched for proteostasis genes. · Abstract

  3. ShownNearly all transcriptional modules reported by individual AMP-AD teams map into one of the five consensus clusters, with the sole exception of ROS/MAP Module 109.

    Module 109 from ROS/MAP uniquely captured genes with the strongest AD expression associations spanning multiple consensus clusters. · Abstract

Methods, data and reproducibility

The authors performed a consensus coexpression meta-analysis across five coexpression methods applied to 2114 human brain RNA-seq samples spanning 7 brain regions and 3 research studies in the AMP-AD consortium, and mapped clusters against genetic associations, biological pathways, and team-specific modules.

  • Human brain RNA-seq samples from 7 brain regions across 3 research studies in the AMP-AD consortium (including ROS/MAP) · human · n = 2114 samples across 7 brain regions and 3 research studies
Methods & tools
AMP-AD, ROS/MAP
Reproducibility gaps
Abstract only; no code or data URLs are provided.
Limitations (1)
  • The abstract does not name the five coexpression methods, the 7 brain regions, or the statistical enrichment thresholds used. · noted in this summary

Read this if you study Alzheimer's disease transcriptomics or prioritize therapeutic targets and want a consensus coexpression atlas across 2114 human brain RNA-seq samples.

Citations
45

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