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April 16, 2025Neurobiology of DiseaseOpen Access

Human skeletal muscle mitochondrial pathways are impacted by a neuropathologic diagnosis of Alzheimer's disease

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Authors

CJChelsea N. JohnsonUniversity of KansasABAnneka E. BlankenshipUniversity of Kansas Medical CenterCJCasey S. JohnAlzheimer’s Disease Neuroimaging Initiative

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Overview

Cross-sectional proteomic analysis reveals downregulated mitochondrial pathways in skeletal muscle of Alzheimer's disease patients, suggesting systemic metabolic impairment amplified by APOE4.

Key Points

  • To determine how neuropathologic Alzheimer's disease diagnosis and APOE4 status impact the human skeletal muscle proteome across different muscle types.
  • Analyzed the proteome of human quadriceps (n = 81) and temporalis (n = 66) muscle tissues stratified by Alzheimer's Disease Neuropathologic Change status (ADNPC+: n = 54 temporalis, 44 quadriceps; ADNPC-: n = 27 temporalis, 22 quadriceps).
  • Assessed differential protein expression within each muscle type and across apolipoprotein E4 (APOE4) carrier and non-carrier groups.
  • Correlated altered oxidative phosphorylation protein levels with Alzheimer's disease progression using Clinical Dementia Rating and ADNPC scores.
  • Mitochondrial metabolism pathways, particularly oxidative phosphorylation, were significantly downregulated in skeletal muscle of ADNPC+ compared to ADNPC- individuals.
  • Mitochondrial proteomic alterations were most pronounced in APOE4 carriers, and temporalis muscle exhibited nearly four times more altered proteins than quadriceps tissue.
  • Expression of ~29% to 61% of oxidative phosphorylation proteins correlated with disease progression, with 23 proteins consistently declining across all muscle types and APOE4 groups.

Cite This Study

Johnson et al. (2025) studied this question.

synapsesocial.com/papers/6a9e5da651ef4ef99f055f9dhttps://doi.org/10.1016/j.nbd.2025.106916
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