Journal: Nature Aging
Article Title: Proteomic signatures of the APOE ε 4 and APOE ε 2 genetic variants and Alzheimer’s disease
doi: 10.1038/s43587-026-01123-0
Figure Lengend Snippet: a , Volcano plot for proteins associated with APOE4 without adjustment for AD diagnosis ( N = 2,864 individuals, linear models adjusted for age, sex, mean protein level, and cohorts), with red representing significant association after FDR correction. On the y axis, −log 10 (FDR) above 300 was set to 300 for a better visualization. b , Volcano plot shows proteins associated with AD diagnosis without adjustment for APOE4 ( N = 2,864 individuals, linear models adjusted for age, sex, mean protein level, and cohorts), with blue representing significant association after FDR correction. c , UpSet plot shows the number of proteins associated with APOE4 or AD with or without adjusting for each other, blue indicating AD-specific associated proteins, red indicating APOE4- specific associated proteins, black indicating the number of proteins jointly associated with both. d , Scatter plot shows APOE4 ’s effect size on protein without adjusting AD diagnosis in the whole cohort ( x axis, N = 2,864 individuals) versus in CU subgroup ( y axis, N = 1,751 individuals) for each protein. Effect sizes were derived from linear models adjusted for age, sex, mean protein level, and cohorts. Spearman correlation was assessed with a two-sided test. Red represents proteins associated with APOE4 in both the whole cohort and in the CU group. e , BINN-enriched Reactome pathway analysis for proteins associated with APOE4 in both the whole cohort and in CU. The darker the dot, the more important the protein and the pathway in the deep learning model predicting AD dementia diagnosis. More features are hidden in the sink for a better visualization. f , The scatter plot shows the effect of APOE4 on proteins in CU subgroup ( x axis, N = 1,751 individuals) versus the effect of AD on proteins in ε3/ε3 carriers ( y axis, N = 1,679 individuals). Only proteins associated with APOE4 in CU individuals and with AD diagnosis in ε3/ε3 carriers are visualized. Red indicates the same effect direction, while blue indicates an opposite effect direction. g , The heat map summarizes mediation effects and statistical significance for APOE4 -associated proteins (216 in total were involved in either pathway) across the two mediation pathways: the upstream pathway (top row; APOE4 → protein → AD, red label) and the downstream pathway (bottom row; APOE4 → AD → protein, blue label). Cell colors represent the proportion of mediation. Protein labels on the x axis are color coded by the dominant mediation direction, with red indicating stronger upstream mediation and blue indicating stronger downstream mediation. Bold labels denote complete mediation within the dominant pathway, whereas nonbold labels denote partial mediation. Asterisks indicate statistical significance (*+ FDR-corrected significance). For clarity, only selected proteins with the largest mediation effects from each pathway are shown; full results are provided in the . h , Venn plot shows the number of proteins in each category. Note that overlapping proteins are preferentially assigned to mediation categories. i , The linear discriminant score plot shows the projection score of all tested proteins in the discriminant direction. Proteins are colored by their assigned groups. j , The integrative matrix summarizes differential regulation (red for upregulated and blue for downregulated proteins in APOE4 carriers), cell-type enrichment based on scaled RNA expression, and functional characterization of each protein. Cell types from the ROSMAP atlas are labeled in black on the x axis, while those from the BBB atlas are labeled in red. Gray boxes indicate nominal significance ( P < 0.05), and black boxes indicate FDR-corrected significance ( P FDR < 0.05) in cell-type enrichment analysis. GO biological process terms associated with each protein were grouped into broader representative categories; small red boxes indicate the involvement of a given protein in the corresponding process. Cell-type enrichment and GO enrichment analyses were one-sided, with Benjamini–Hochberg adjustment for multiple comparisons. PPIs are annotated using STRING database interactions with a confidence score ≥ 0.7. The number of interactions per protein is shown as a heat map, and direct interactions between proteins are represented by lines, color coded according to their assigned cluster. See Source Data Fig. for detailed statistical summary.
Article Snippet: For the Human Protein Atlas 81-cell-type reference, enrichment was assessed using expression-weighted cell-type enrichment (EWCE ) R package (v1.18.0).
Techniques: Biomarker Discovery, Derivative Assay, RNA Expression, Functional Assay, Labeling