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January 23, 2026Journal of Alzheimer s Disease

Sex- and brain region-specific gene expression in Alzheimer's disease

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Key result

Alzheimer's disease reveals 113 dysregulated genes with significant sex differences in expression versus healthy controls.

Why the study?

Women with Alzheimer's disease have higher prevalence and more severe dementia syndrome than men, and brain regions are affected differently, but the underlying mechanisms are poorly understood.

Population

Postmortem brain samples across 19 cortical regions of normal controls and individuals with dementia and neuropathology of AD

Comparison

Individuals with dementia and neuropathology of AD vs normal controls stratified by sex and brain region

Design

Differential gene expression analysis of a bulk tissue dataset with western blot validation

Authors

ZWZiyu WanZhejiang Sci-Tech UniversityXFXin FengWake Forest UniversityJCJeff ChouAtrium Health Wake Forest Baptist

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Implication

Sex differences in Alzheimer's gene expression warrant stratified analyses; hypothesis-generating and should not yet change practice.

Key Points

  • The research aims to characterize gene expression variations in Alzheimer's disease based on sex and brain regions.
  • Analyzed a large-scale bulk tissue gene expression dataset from postmortem brain samples.
  • Conducted differential gene expression analysis across 19 cortical regions.
  • Performed functional enrichment analysis to identify biological functions and pathways.
  • Validated protein expression of selected genes using western blot.
  • Identified 113 dysregulated genes across 11 brain regions related to Alzheimer's.
  • Found more dysregulated genes in women (77) compared to men (49).
  • Discovered 13 shared dysregulated genes between men and women.
  • GPR34 gene expression was notably upregulated in men, confirmed by protein level elevation.

Structured PICO

P
Population
Postmortem brain samples across 19 cortical regions of normal control and individuals diagnosed with dementia and neuropathology of Alzheimer's disease
C
Comparator
Normal control brain samples
O
Outcome
Sex-dependent and region-specific gene expressionsurrogate

This study identifies sex- and brain region-specific gene expression dysregulation in Alzheimer's disease, highlighting potential novel mechanisms and targets for personalized treatment.

Cite This Study

Wan et al. (2026) studied this question. In Alzheimer's disease, 113 dysregulated genes were identified, with 77 in women and 49 in men, indicating significant sex differences in gene expression.

synapsesocial.com/papers/69731089c8125b09b0d2032chttps://doi.org/10.1177/13872877251413797
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