Abstract: This is an application for an administrative supplement to enhance the outcome of the parent grant: U01 AG046139 ?A Systems Approach to Targeting Innate Immunity in AD?. This Administrative Supplement aims to expand the cohort and enable validation studies within the competitive supplement originally funded under this parent award. In the original supplement we proposed to generate RNA sequence (RNAseq) from plasma in order to determine if transcriptomic signatures of AD can be detected in the periphery, and whether these peripheral transcriptomic signatures are correlated with brain transcriptomic signatures. We postulate that some of the transcriptional changes that are observed in AD brains can also be captured in blood or plasma of living subjects, as demonstrated by our prior preliminary data. We further hypothesized that some of the transcriptional changes that are congruent in brain and peripheral tissue will be observed prior to clinical manifestations of AD. If correct, then plasma transcriptome can be used as predictive biomarkers for AD. Further, they can be utilized to follow response to therapies that target the expression networks for these transcripts. Importantly, we are utilizing plasma for these studies, rather than more costly collections that are not readily available for most cohorts, such as PaxGene or peripheral blood mononuclear cells. We will analyze the transcriptome in the longitudinally-collected plasma samples from Mayo Clinic Study of Aging (MCSA) subjects who have multiple time-points of clinical, cognitive and neuroimaging outcomes. Since most clinical trials and prospective cohorts bank plasma longitudinally, our findings will have immediate applicability to the samples from those studies.
Our specific aims are: 1) To generate and analyze additional plasma RNAseq data in order to identify peripheral transcriptomic signatures that are correlated with brain signatures: Plasma samples are already obtained from MCSA, where all subjects are clinically normal at baseline. The selected samples have either incident MCI/AD (?decliners?), or matched subjects who remain clinically normal (?non-decliners?) at follow-up. We are generating RNAseq data from two plasma samples per subject: one at baseline and the other after development of MCI/AD (?decliners?) or a matched time-point for ?non-decliners?. Both total RNA and microRNA are being quantified. With the requested supplemental funds we will: a) perform RNAseq on an additional 70 plasma samples which will bring the total to 187 plasma RNA samples; b) assess expression profiles for transcripts and networks for associations with available endophenotypes; c) compare the transcriptomic signatures from plasma and brain. 2) To validate differentially expressed transcripts and pathways utilizing a NanoString nCounter? Custom CodeSet for plasma transcript measurements:
We aim to validate significant associations from Aim 1, for up to 130 plasma transcripts of interest. We expect to identify transcriptional networks and key transcripts that are altered in plasma prior to development of clinical AD and therefore will serve as predictive biomarkers.

Public Health Relevance

: In this administrative supplement, we aim to expand the cohort and enable validation studies within the competitive supplement originally funded to generate RNA sequence (RNAseq) from plasma in order to determine if transcriptomic signatures of AD can be detected in the periphery, and whether these peripheral transcriptomic signatures are correlated with brain transcriptomic signatures. Using longitudinally collected plasma samples from deeply phenotyped participants in a cohort of ?decliners? with incident mild cognitive impairment or AD; and ?non-decliners? who remain cognitively normal, we plan to identify peripheral transcripts that can serve as predictive biomarkers. We expect the outcomes of this proposal to have immediate translational potential to ongoing clinical trials by identification of transcriptional networks and key transcripts that are altered in plasma prior to clinical decline in AD. RESEARCH PLAN: This is an application for an administrative supplement award to enhance the outcome of the parent grant: U01 AG046139 ?A Systems Approach to Targeting Innate Immunity in AD?. This Administrative Supplement aims to expand the cohort and enable validation studies within the competitive supplement originally funded under this parent award, entitled ?Identification of Peripheral Transcripts as Predictive Biomarkers in Alzheimer?s Disease (AD)?. In the original biomarker supplement award we proposed to generate RNA sequence (RNAseq) data from plasma in order to determine if transcriptomic signatures of AD can be detected in the periphery, and if these peripheral transcriptomic signatures are correlated with brain transcriptomic signatures that have emerged from our own brain transcriptomic studies and those conducted by others1-4 . We postulate that some of the transcriptional changes that are observed in AD brains can also be captured in blood or plasma of living subjects, as demonstrated by preliminary data presented in the original supplement application. We further hypothesized that some of the transcriptional changes that are congruent in brain and peripheral tissue will be observed prior to clinical manifestations of AD. If this is correct, then the plasma transcriptome (i.e. transcripts and transcriptional networks) can be used as predictive biomarkers for AD. Further, they can be utilized to follow response to therapies that target the expression networks for these transcripts. Importantly, we are utilizing plasma for these studies, rather than more costly collections that are not readily available for most cohorts, such as PaxGene or peripheral blood mononuclear cell (PBMC) samples. The rationale for choosing plasma for transcriptome measurements is that most clinical trials and prospective cohorts have longitudinal collection of plasma, but not PaxGene or PBMC samples. Given this, and the successful application of plasma RNA measurements in humans5-6 , we will analyze the transcriptome in the longitudinally-collected plasma samples from Mayo Clinic Study of Aging (MCSA) subjects who have multiple time-points of clinical, cognitive and neuroimaging outcomes. Since most clinical trials and prospective cohorts bank plasma longitudinally, our findings will have immediate applicability to the samples from those studies. Hence, this proposal has high translational potential.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project--Cooperative Agreements (U01)
Project #
3U01AG046139-06S1
Application #
9849986
Study Section
Program Officer
Petanceska, Suzana
Project Start
2013-09-20
Project End
2019-08-31
Budget Start
2019-05-15
Budget End
2019-08-31
Support Year
6
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Florida
Department
Neurosciences
Type
Schools of Medicine
DUNS #
969663814
City
Gainesville
State
FL
Country
United States
Zip Code
32611
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