Abstract

Background: We investigated how cerebrospinal fluid levels of synaptic proteins associate with memory function in normal cognition (CN) and mild cognitive impairment (MCI), and investigated the effect of amyloid positivity on these associations. Methods: We included 242 CN (105(43%) abnormal amyloid), and 278 MCI individuals (183(66%) abnormal amyloid) from the European Medical Information Framework for Alzheimer's Disease Multimodal Biomarker Discovery (EMIF-AD MBD) and the Alzheimer’s Disease Neuroimaging Initiative (ADNI). For 181 (EMIF-AD MBD) and 36 (ADNI) proteins with a synaptic annotation in SynGO, associations with word learning recall were analysed with linear models. Results: Subsets of synaptic proteins showed lower levels with worse recall in preclinical AD (EMIF-AD MBD: 7, ADNI: 5 proteins, none overlapping), prodromal AD (EMIF-AD MBD only, 27 proteins) and non-AD MCI (EMIF-AD MBD: 1, ADNI: 7 proteins). The majority of these associations were specific to these clinical groups. Conclusions: Synaptic disturbance-related memory impairment occurred very early in AD, indicating it may be relevant to develop therapies targeting the synapse early in the disease.

Original languageEnglish
Article number56
JournalAlzheimer's Research and Therapy
Volume17
Issue number1
DOIs
Publication statusPublished - 12.2025

Funding

FundersFunder number
Petrus och Augusta Hedlunds Stiftelse
Familjen Erling-Perssons Stiftelse
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
National Institute of Biomedical Imaging and Bioengineering
UK Dementia Research Institute
Horizon 2020 Framework Programme
European Commission
Gun och Bertil Stohnes Foundation
Olav Thon Stiftelsen
Stiftelsen för Gamla Tjänarinnor, Hjärnfonden, Sweden#FO2019-0228
Association of Frontotemporal Dementia
Swedish government
Weston Brain Institute
Alzheimer's Disease Neuroimaging Initiative
DOD ADNI
Loo och Hans Ostermans Stiftelse för Medicinsk Forskning
AD Strategic Fund
National Institute on Aging
Innovative Medicines Initiative115372
Alzheimer’s Association-21–831376-C, -21–831377-C, ZEN-21–848495, 2018–02532, -21–831381-C
National Institutes of Health1R01AG068398-01, U01 AG024904
European Union Joint Program for Neurodegenerative DisordersJPND2019-466–236
AlzheimerfondenAF-930934, -0243, -742881
County Councils-715986
ZonMw733050824
Swedish State Support for Clinical Research-720931, 201809–2016862
U.S. Department of DefenseW81XWH-12–2-0012
H2020 Marie Skłodowska-Curie ActionsJPND2021-00694, 860197
European Research Council681712
Vetenskapsrådet2017–00915
Alzheimer's Drug Discovery Foundation-201809–2016615

    Research Areas and Centers

    • Research Area: Medical Genetics

    DFG Research Classification Scheme

    • 2.23-06 Molecular and Cellular Neurology and Neuropathology

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