Proteomic profiling identifies serpin G1, ApoA-II, and LBP as potential biomarkers of dementia in an Egyptian cohort

Author's Department

Institute of Global Health & Human Ecology

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https://doi.org/10.1002/dad2.70172

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Shimaa A. Heikal Eman M. Khedr Mai Othman Nesma G. Elsheikh Heba M. Tawfik Hany I. Hassanin Nouran Al-Shehaby Ashraf Eltaher Samir Shamma Ahmed S. Mohamed Mostafa Saber Abdullah A. Lomomba Esraa Ali Shady M. Safwat Noha Abo Elfetoh Gharib Fawi Noha A. Yousri Mohamed Salama

Document Type

Research Article

Publication Title

Alzheimer S and Dementia Diagnosis Assessment and Disease Monitoring

Publication Date

7-1-2025

doi

10.1002/dad2.70172

Abstract

BACKGROUND: Dementia, including Alzheimer's disease (AD), is a growing concern in Egypt, yet biomarker research in this population is scarce. Identifying serum biomarkers is essential for early diagnosis and understanding disease mechanisms in underrepresented groups. METHODS: We performed serum proteomic profiling on 20 Egyptian dementia patients and 10 cognitively unimpaired controls from the Egyptian Dementia Registry using mass spectrometry. Differential protein expression and pathway enrichment analyses were conducted. RESULTS: Of 260 quantified proteins, 21 were significantly different between dementia patients and controls (P < 0.05). Several serine protease inhibitor and immunoglobulin family proteins were downregulated, while apolipoprotein A-II was upregulated in dementia. Enrichment analysis revealed associations with inflammation, complement activation, and lipid metabolism pathways. CONCLUSION: This is the first serum proteomic study of dementia in an Egyptian cohort, highlighting coordinated changes in protein families involved in inflammation and lipid metabolism, and emphasizing the importance of biomarker research in diverse populations. Highlights: The study presents initial proteomic data from the Egyptian Dementia Registry. The Egyptian population has been underrepresented in the area of dementia research. Serine protease inhibitor G1, apolipoprotein A-II, and lipopolysaccharide binding protein emerged as significant proteins. The work lays the foundation for more understanding of molecular determinants in dementia in the Middle East.

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