Alzheimer Disease / Huntington Disease / Alzheimer’s Disease · transcriptomic analysis
Artificial Cells, Nanomedicine, and Biotechnology · April 24, 2026
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This computational study integrated peripheral blood and frontal cortex transcriptomics with 2,160 immune genes to identify MMP9 as a shared immune hub gene in Alzheimer's and Huntington's diseases. Machine learning and external validation showed MMP9 has modest peripheral blood diagnostic performance but stronger accuracy in brain tissue, suggesting it may serve as a candidate molecular indicator of shared neuroinflammation.
Cross-tissue transcriptomic analysis. Patients with Alzheimer's disease and Huntington's disease providing peripheral blood and frontal cortex tissue samples.
64 peripheral and 159 central consistently dysregulated immune genes identified, with 10 co-expressed all-immune genes MMP9 showed modest diagnostic performance in peripheral blood (AD AUC = 0.616; HD AUC = 0.619) MMP9 exhibited stronger predictive accuracy in brain tissues (AD AUC = 0.825; HD AUC = 0.876)
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The modest peripheral blood diagnostic accuracy (AUC ~0.62) limits MMP9's standalone clinical utility as a blood biomarker. The findings position MMP9 as a research target for understanding shared neuroinflammatory mechanisms rather than as an immediate diagnostic tool.
Computational transcriptomic analysis identifies a shared immune gene but with modest peripheral diagnostic performance, requiring mechanistic validation.
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The modest peripheral blood diagnostic accuracy (AUC ~0.62) limits MMP9's standalone clinical utility as a blood biomarker. The findings position MMP9 as a research target for understanding shared neuroinflammatory mechanisms rather than as an immediate diagnostic tool.
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Alzheimer's disease (AD) and Huntington's disease (HD) share neuroinflammatory mechanisms, yet their specific immune microenvironments remain poorly understood. Integrating transcriptomic profiles of peripheral blood and frontal cortex tissues with 2,160 immune-related genes, we analysed their shared immunopathology. Differential analysis identified 64 peripheral and 159 central consistently dysregulated immune genes, intersecting to isolate 10 co-expressed all-immune genes. Functional enrichment highlighted neutrophil and monocyte activation, alongside IL-17 and T-cell receptor signalling pathways. Machine learning (LASSO and Boruta) robustly pinpointed MMP9 as the core shared immune hub gene. External validation revealed MMP9 exhibited modest diagnostic performance in peripheral blood (AD AUC = 0.616; HD AUC = 0.619) but stronger predictive accuracy in brain tissues (AD AUC = 0.825; HD AUC = 0.876). Furthermore, MMP9 expression positively correlated with neutrophil and M0 macrophage infiltration. While modest peripheral accuracy limits its standalone diagnostic utility, this cross-tissue analysis establishes MMP9 as a consistently upregulated candidate molecular indicator of shared neuroinflammation, offering a valuable target for future mechanistic research.
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