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Brain & Heart                                             Alzheimer’s disease: Gene and protein network analysis



            a comprehensive picture of the molecular landscape of AD,   study design, potentially leading to biased or misleading
            underlining the complexity of the disease. The identified   results. In addition, our study has not independently
            genes, pathways, and hub proteins collectively place the   validated the findings through experimental or additional
            spotlight on the ribosomal protein pathway associated with   computational methods, which is an evident limitation in
            AD pathogenesis. Prior proteomic analyses of AD donors   affirming the reliability of our conclusions.
            revealed that  28 ribosomal  proteins were  significantly
            upregulated in AD samples, among which RPL12, RPL15,   5. Conclusion
            RPL18, RPL27, RPL35, and RPS16 overlapped with the hub   Our multifaceted analyses provide precious insights into
            genes identified in our study. This prior study also exhibited   the molecular complexity of AD. The identified genes,
            that ribosomal proteins were upregulated only in the brain   pathways, and hub proteins related to ribosomal function
            capillaries but not in the brain parenchyma, signifying the   form the basis for future mechanistic studies and the search
                                                         40
            functional impairment of the blood-brain barrier (BBB).    for therapeutic targets.
            The relationship between the functional impairment of the
            BBB and neuroinflammation in AD was also demonstrated   Acknowledgments
            in our previous study.  In addition to their canonical roles   None.
                             41
            in  protein synthesis,  ribosomal proteins,  including  hub
            genes in our study (such as RPL12, RPL15, RPL18, RPL19,   Funding
            and  RPL27), have been implicated in a variety of extra-
            ribosomal functions responsible for cellular homeostasis   None.
            and stress responses. Of note, several ribosomal proteins   Conflict of interest
            have been demonstrated to interact with MDM2 protein,
            a key regulator of the tumor suppressor p53. Under   The authors declare that they have no competing interests.
            conditions of cellular stress, such interactions can stabilize
            and activate p53, thereby initiating a cascade of events that   Author contributions
            can cause cell cycle arrest, DNA repair, or apoptosis. Our   Conceptualization: Shan Luo
            bioinformatic analysis also demonstrated the presence of   Investigation: Shan Luo
            ribosomal pathway abnormalities in the entorhinal cortex.  Methodology: Shan Luo, Yifei Wang
              Our findings are concordant with previous studies that   Project administration: Kohji Fukunaga
            have underscored the importance of neuroinflammation,   Supervision: Kohji Fukunaga
            synaptic dysfunction, and protein synthesis dysregulation   Writing – original draft: Shan Luo
            in AD. 42,43  Innovatively, our study offered a novel   Writing – review & editing: Yifei Wang
            perspective  by spotlighting  specific  genes  and pathways   Ethics approval and consent to participate
            among these factors. Importantly, our results unravel
            that ribosomal proteins, traditionally associated with   Not applicable.
            protein synthesis, may exert multifaceted effects on AD by
            potentially mediating neuroinflammation and maintaining   Consent for publication
            synaptic integrity. This finding opens a new avenue for   Not applicable.
            probing the crosstalk between these two processes and
            their contribution to disease progression. Nevertheless, the   Availability of data
            detailed mechanisms by which ribosomal proteins influence   Data used in the study can be obtained from the GSE4757
            AD  remain  unclear.  Accordingly,  further  molecular   dataset in the GEO database (https://www.ncbi.nlm.nih.
            biological studies are warranted to analyze the involvement   gov/geo/query/acc.cgi?acc=GSE4757).
            and sequence of events of ribosomal proteins in AD and to
            examine potential differences in the expression patterns of   References
            specific proteins among the identified hub genes and their
            implications in AD pathology.                      1.   Hutton M, Hardy J. The presenilins and Alzheimer’s disease.
                                                                  Hum Mol Genet. 1997;6(10):1639-1646.
              As the samples and sequencing data utilized in this      doi: 10.1093/hmg/6.10.1639
            study were not originally prepared by the authors, there
            is a potential for biases that could influence the results.   2.   Bush AI. The metallobiology of Alzheimer’s disease. Trends
            These gaps, due to the reliance on pre-existing data sets,   Neurosci. 2003;26(4):207-214.
            may introduce variables that are not accounted for in our      doi: 10.1016/S0166-2236(03)00067-5


            Volume 2 Issue 4 (2024)                         9                                doi: 10.36922/bh.2906
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