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PMID: 42326500 Published · epublish English

A biphasic astrocytic PTGDS trajectory marks a metabolic vulnerability stage in prodromal Alzheimer's disease.

Research square ·2026-06-10

Kim Y, Heo W, Park SJ, Kim Y, Cho YE, Lee YW, Kim J

Abstract

Alzheimer's disease shows prolonged prodromal stability before accelerating decline, yet molecular markers resolving this heterogeneity are limited. Using pseudo-progression analysis of 1.3 million SEA-AD single nuclei (84 donors), we identify a reproducible biphasic astrocytic trajectory anchored to prostaglandin D2 synthase (PTGDS), with a statistically resolved donor-level inflection (quadratic β2 = -2.27, p = 0.006; vertex CPS 0.47). The same directional change is independently reproduced in external brain proteomics (ROSMAP and Banner; AD versus control p = 3.4 × 10-3), and the biphasic pattern reconciles previously conflicting CSF reports as stage-dependent. In ADNI CSF, downstream NEFL tracks cognitive decline strongly and LCN2 weakly, whereas PTGDS itself is tissue-restricted and not a stand-alone predictor. We propose, but do not establish, that post-inflection PTGDS attenuation accompanies LCN2-linked inflammation and NGFR suppression. These data position astrocytic PTGDS as a candidate stage marker, not a causal driver, of the compensatory-to-vulnerable shift in the aging brain - the astrocytic PTGDS inflection (CPS 0.47).

Keywords
Alzheimer’s disease CSF biomarker MCI NGFR PTGDS SEA-AD aging brain astrocyte cognitive aging lipocalin-2 metabolic inflection neuropathological transition
Article Info
Journal
Research square
Abbr.
Res Sq
ISSN
2693-5015
Published
2026-06-10
Language
English
Country/Region
United States
NLM ID
101768035
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