Spectrum of γ-Secretase dysfunction as a unifying predictor of ADAD age at onset across PSEN1, PSEN2 and APP causal genes
This study supports a unified model of ADAD pathogenesis wherein γ-secretase dysfunction and the resulting shifts in Aβ profiles are central to disease onset across all causal genes. While similar shifts in Aβ occur across causal genes, their impact on AAO varies in the function of their contribution to APP processing in the brain. This biochemical analysis establishes quantitative relationships that enable predictive AAO modelling with implications for clinical practice and genetic research. Our findings also support the development of therapeutic strategies modulating γ-secretase across different genetic ADAD forms and potentially more broadly in AD.
Authors
- Wim Annaert (ORCID: https://orcid.org/0000-0003-0150-9661)
- Nick C. Fox (ORCID: https://orcid.org/0000-0002-6660-657X)
- Lucía Chávez‐Gutiérrez (ORCID: https://orcid.org/0000-0002-8239-559X)
- Dieter Petit (ORCID: https://orcid.org/0000-0001-5721-8041)
- Sara Gutiérrez Fernández (ORCID: https://orcid.org/0000-0002-7479-0768)
- Natalie S. Ryan (ORCID: https://orcid.org/0000-0003-0361-7455)
- John M. Ringman (ORCID: https://orcid.org/0000-0001-5429-0777)
- Cristina Gan Oria
Institutions
- Allen Institute for Brain Science (US)
- UK Dementia Research Institute (GB)
- NIHR Queen Square Dementia Biomedical Research Unit (GB)
- VIB-KU Leuven Center for Brain & Disease Research (BE)
- University College London (GB)
- KU Leuven (BE)
Publication Details
- Journal
- Molecular Neurodegeneration
- Published
- 2025-04-26
- DOI
- https://doi.org/10.1186/s13024-025-00832-1
- Citations
- 4
- Primary Topic
- Alzheimer's disease research and treatments
- Type
- article
- Field-Weighted Citation Impact
- 4.66
Funders
- National Institute for Health and Care Research
- Fonds Wetenschappelijk Onderzoek
- KU Leuven
- Onderzoeksraad, KU Leuven
- University College London Hospitals NHS Foundation Trust
- UK Dementia Research Institute
- Medical Research Council
- National Institute on Aging