Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrum

Abstract Amyloid-beta (Aβ) plaque formation in Alzheimer’s disease (AD) pathology is morphologically diverse. Understanding the association of polymorphic Aβ pathology with AD pathogenesis and progression is critical in light of emerging Aβ-targeting therapies. In this work, functional amyloid micro...

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Main Authors: Srinivas Koutarapu, Junyue Ge, Maciej Dulewicz, Meera Srikrishna, Alicja Szadziewska, Jack Wood, Kaj Blennow, Henrik Zetterberg, Wojciech Michno, Natalie S. Ryan, Tammaryn Lashley, Jeffrey N. Savas, Michael Schöll, Jörg Hanrieder
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-59085-7
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author Srinivas Koutarapu
Junyue Ge
Maciej Dulewicz
Meera Srikrishna
Alicja Szadziewska
Jack Wood
Kaj Blennow
Henrik Zetterberg
Wojciech Michno
Natalie S. Ryan
Tammaryn Lashley
Jeffrey N. Savas
Michael Schöll
Jörg Hanrieder
author_facet Srinivas Koutarapu
Junyue Ge
Maciej Dulewicz
Meera Srikrishna
Alicja Szadziewska
Jack Wood
Kaj Blennow
Henrik Zetterberg
Wojciech Michno
Natalie S. Ryan
Tammaryn Lashley
Jeffrey N. Savas
Michael Schöll
Jörg Hanrieder
author_sort Srinivas Koutarapu
collection DOAJ
description Abstract Amyloid-beta (Aβ) plaque formation in Alzheimer’s disease (AD) pathology is morphologically diverse. Understanding the association of polymorphic Aβ pathology with AD pathogenesis and progression is critical in light of emerging Aβ-targeting therapies. In this work, functional amyloid microscopy enhanced by deep learning was integrated with mass spectrometry imaging to delineate polymorphic plaques and to identify their associated Aβ make-up. In both sporadic AD (n = 12) and familial AD (n = 6), dense-core plaques showed higher levels of Aβ1-40 and N-terminal pyroglutamated Aβx-42 compared to diffuse plaques and plaques in non-demented, amyloid positive individuals (n = 5). Notably, a distinct dense-core plaque subtype, coarse-grained plaque, was observed in AD but not in non-demented, amyloid positive patients. Coarse-grained plaques were more abundant in early onset AD, showed increased neuritic dystrophy and higher levels of Aβ1-40 and Aβ3pE-40, an Aβ-pattern similar to cerebral amyloid angiopathy. The correlative chemical imaging paradigm presented here allowed to link structural and biochemical characteristics of Aβ plaque polymorphism across various AD etiologies.
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spelling doaj-art-3d44e5a2512d4b7eabd6860dd091567c2025-08-20T02:30:24ZengNature PortfolioNature Communications2041-17232025-04-0116111910.1038/s41467-025-59085-7Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrumSrinivas Koutarapu0Junyue Ge1Maciej Dulewicz2Meera Srikrishna3Alicja Szadziewska4Jack Wood5Kaj Blennow6Henrik Zetterberg7Wojciech Michno8Natalie S. Ryan9Tammaryn Lashley10Jeffrey N. Savas11Michael Schöll12Jörg Hanrieder13Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgUK Dementia Research Institute, University College LondonDepartment of Neurodegenerative Disease, Queen Square Institute of Neurology, University College LondonKen and Ruth Davee Department of Neurology, Northwestern University Feinberg School of MedicineDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of GothenburgAbstract Amyloid-beta (Aβ) plaque formation in Alzheimer’s disease (AD) pathology is morphologically diverse. Understanding the association of polymorphic Aβ pathology with AD pathogenesis and progression is critical in light of emerging Aβ-targeting therapies. In this work, functional amyloid microscopy enhanced by deep learning was integrated with mass spectrometry imaging to delineate polymorphic plaques and to identify their associated Aβ make-up. In both sporadic AD (n = 12) and familial AD (n = 6), dense-core plaques showed higher levels of Aβ1-40 and N-terminal pyroglutamated Aβx-42 compared to diffuse plaques and plaques in non-demented, amyloid positive individuals (n = 5). Notably, a distinct dense-core plaque subtype, coarse-grained plaque, was observed in AD but not in non-demented, amyloid positive patients. Coarse-grained plaques were more abundant in early onset AD, showed increased neuritic dystrophy and higher levels of Aβ1-40 and Aβ3pE-40, an Aβ-pattern similar to cerebral amyloid angiopathy. The correlative chemical imaging paradigm presented here allowed to link structural and biochemical characteristics of Aβ plaque polymorphism across various AD etiologies.https://doi.org/10.1038/s41467-025-59085-7
spellingShingle Srinivas Koutarapu
Junyue Ge
Maciej Dulewicz
Meera Srikrishna
Alicja Szadziewska
Jack Wood
Kaj Blennow
Henrik Zetterberg
Wojciech Michno
Natalie S. Ryan
Tammaryn Lashley
Jeffrey N. Savas
Michael Schöll
Jörg Hanrieder
Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrum
Nature Communications
title Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrum
title_full Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrum
title_fullStr Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrum
title_full_unstemmed Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrum
title_short Chemical imaging delineates Aβ plaque polymorphism across the Alzheimer’s disease spectrum
title_sort chemical imaging delineates aβ plaque polymorphism across the alzheimer s disease spectrum
url https://doi.org/10.1038/s41467-025-59085-7
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