RT Journal Article T1 Multiomics integrative analysis identifies APOE allele-specific blood biomarkers associated to Alzheimer's disease etiopathogenesis. A1 Madrid, Laura A1 Moreno-Grau, Sonia A1 Ahmad, Shahzad A1 González-Pérez, Antonio A1 de Rojas, Itziar A1 Xia, Rui A1 Martino Adami, Pamela V A1 García-González, Pablo A1 Kleineidam, Luca A1 Yang, Qiong A1 Damotte, Vincent A1 Bis, Joshua C A1 Noguera-Perea, Fuensanta A1 Bellenguez, Céline A1 Jian, Xueqiu A1 Marín-Muñoz, Juan A1 Grenier-Boley, Benjamin A1 Orellana, Adela A1 Ikram, M Arfan A1 Amouyel, Philippe A1 Satizabal, Claudia L A1 Alzheimer’s Disease Neuroimaging Initiative (ADNI)*, A1 EADI consortium, CHARGE consortium, GERAD consortium, GR@ACE/DEGESCO consortium A1 Real, Luis Miguel A1 Antúnez-Almagro, Carmen A1 DeStefano, Anita A1 Cabrera-Socorro, Alfredo A1 Sims, Rebecca A1 Van Duijn, Cornelia M A1 Boerwinkle, Eric A1 Ramírez, Alfredo A1 Fornage, Myriam A1 Lambert, Jean-Charles A1 Williams, Julie A1 Seshadri, Sudha A1 ADAPTED consortium, A1 Ried, Janina S A1 Ruiz, Agustín A1 Saez, Maria Eugenia K1 APOE K1 Alzheimer’s disease K1 biomarkers K1 integrative analysis AB Alzheimer's disease (AD) is the most common form of dementia, currently affecting 35 million people worldwide. Apolipoprotein E (APOE) ε4 allele is the major risk factor for sporadic, late-onset AD (LOAD), which comprises over 95% of AD cases, increasing the risk of AD 4-12 fold. Despite this, the role of APOE in AD pathogenesis is still a mystery. Aiming for a better understanding of APOE-specific effects, the ADAPTED consortium analysed and integrated publicly available data of multiple OMICS technologies from both plasma and brain stratified by APOE haplotype (APOE2, APOE3 and APOE4). Combining genome-wide association studies (GWAS) with differential mRNA and protein expression analyses and single-nuclei transcriptomics, we identified genes and pathways contributing to AD in both APOE dependent and independent fashion. Interestingly, we characterised a set of biomarkers showing plasma and brain consistent protein profiles and opposite trends in APOE2 and APOE4 AD cases that could constitute screening tools for a disease that lacks specific blood biomarkers. Beside the identification of APOE-specific signatures, our findings advocate that this novel approach, based on the concordance across OMIC layers and tissues, is an effective strategy for overcoming the limitations of often underpowered single-OMICS studies. YR 2021 FD 2021-04-12 LK https://hdl.handle.net/10668/25121 UL https://hdl.handle.net/10668/25121 LA en DS RISalud RD Apr 6, 2025