PT - JOURNAL ARTICLE AU - Guofeng Meng AU - Dong Lu AU - Feng Yu AU - Jijia Sun AU - Chong Ding AU - Yan Sun AU - Xuan Liu AU - Jiapei Dai AU - Wenfei Jin AU - Weidong Zhang TI - Accumulated degeneration of transcriptional regulation contributes to disease development and detrimental clinical outcomes of Alzheimer’s disease AID - 10.1101/779249 DP - 2019 Jan 01 TA - bioRxiv PG - 779249 4099 - http://biorxiv.org/content/early/2019/09/28/779249.short 4100 - http://biorxiv.org/content/early/2019/09/28/779249.full AB - Alzheimer’s disease (AD) is extremely complex for both causal mechanism and clinical manifestation, requiring efforts to uncover its diversity and the corresponding mechanisms. Here, we applied a modelling analysis to investigate the regulation divergence among a large-scale cohort of AD patients. We found that transcription regulation tended to get degenerated in AD patients, which contributed to disease development and the detrimental clinical outcomes, mainly by disrupting protein degradation, neuroinflammation, mitochondrial and synaptic functions. To measure the accumulated effects, we came up with a new concept, regulation loss burden, which better correlated with AD related clinical manifestations and the ageing process. The epigenetic studies to multiple active regulation marks also supported a tendency of regulation loss in AD patients. Our finding can lead to a unified model as AD causal mechanism, where AD and its diversity are contributed by accumulated degeneration of transcriptional regulation.The significance of this study is that: (1) it is the first system biology investigation to transcription regulation divergence among AD patients; (2) we observed an accumulated degeneration of transcription regulation, which well correlates with detrimental clinical outcomes; (3) transcriptional degeneration also contributes to the ageing process, where its correlation with ages is up to 0.78.