The landscape of metabolic brain alterations in Alzheimer's disease

for the Alzheimer's Disease Metabolomics Consortium (ADMC)

Research output: Contribution to journalArticlepeer-review


Introduction: Alzheimer's disease (AD) is accompanied by metabolic alterations both in the periphery and the central nervous system. However, so far, a global view of AD-associated metabolic changes in the brain has been missing. Methods: We metabolically profiled 500 samples from the dorsolateral prefrontal cortex. Metabolite levels were correlated with eight clinical parameters, covering both late-life cognitive performance and AD neuropathology measures. Results: We observed widespread metabolic dysregulation associated with AD, spanning 298 metabolites from various AD-relevant pathways. These included alterations to bioenergetics, cholesterol metabolism, neuroinflammation, and metabolic consequences of neurotransmitter ratio imbalances. Our findings further suggest impaired osmoregulation as a potential pathomechanism in AD. Finally, inspecting the interplay of proteinopathies provided evidence that metabolic associations were largely driven by tau pathology rather than amyloid beta pathology. Discussion: This work provides a comprehensive reference map of metabolic brain changes in AD that lays the foundation for future mechanistic follow-up studies.

Original languageEnglish (US)
Pages (from-to)980-998
Number of pages19
JournalAlzheimer's and Dementia
Issue number3
StatePublished - Mar 2023


  • Alzheimer's disease
  • bioenergetic pathways
  • brain
  • cholesterol metabolism
  • metabolic landscape
  • metabolism
  • multi-omic integration
  • neuroinflammation
  • neurotransmission
  • osmoregulation

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Developmental Neuroscience
  • Clinical Neurology
  • Geriatrics and Gerontology
  • Cellular and Molecular Neuroscience
  • Psychiatry and Mental health


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