RT Journal Article SR Electronic T1 Transcriptomic analysis of brain hypometabolism links the cholinergic and gingipain hypotheses of Alzheimer's disease pathogenesis JF bioRxiv FD Cold Spring Harbor Laboratory SP 2019.12.23.887364 DO 10.1101/2019.12.23.887364 A1 Sejal Patel A1 Derek Howard A1 Alana Man A1 Deborah Schwartz A1 Joelle Jee A1 Daniel Felsky A1 Zdenka Pausova A1 Tomas Paus A1 Leon French YR 2019 UL http://biorxiv.org/content/early/2019/12/26/2019.12.23.887364.1.abstract AB Alzheimer's disease (AD) starts decades before clinical symptoms appear. Low glucose utilization in regions of the cerebral cortex mark early AD and is informative for clinical diagnosis. To identify these specific regions, we conducted a meta-analysis of positron emission tomography studies that compared AD patients with healthy controls. Using the Allen Human Brain Atlas, we then identified genes with expression patterns associated with this hypometabolism map. Of the six brains in the Atlas, one demonstrated a strong spatial association with the hypometabolism pattern. Within this brain, genes encoding cytosolic ribosome proteins are highly expressed in the hypometabolic regions. Analyses of human and mouse data show that expression of these genes increases across AD-associated states of microglial activation, is high in acetylcholine-rich brain regions and neurons, and is up-regulated in inflamed gingival tissue. Taken together, our molecular characterization of cortical hypometabolism links the cholinergic and gingipain hypotheses of AD.