An Integrated Single-Nucleus Atlas Resolves Cell-Type-Specific Programs and Molecular Subtypes in Alzheimer's Disease

Authors

Rahimzadeh, N., Morabito, S., Khullar, S., Shi, Z., Cao, Z., Swarup, V.

Abstract

Interindividual heterogeneity in Alzheimer's disease (AD) remains poorly understood, as disparate single-cell studies leave it unclear whether findings reflect shared architecture or dataset-specific idiosyncrasies. Here, we present panAD, a transcriptomic atlas of >3 million nuclei from 791 individuals across 13 studies, spanning AD, mild cognitive impairment, and cognitively normal aging. AD converges on a reproducible, cell-type-specific molecular architecture: co-expression modules track neuropathology and cognitive decline; GWAS risk genes act predominantly as downstream targets of transcription factor hubs such as microglial SPI1; intercellular communication is remodeled with disease stage; and sex differences concentrate in microglial immune-activation programs. To model patient-level transcriptomic heterogeneity, we developed the Multi-seed Optimization of Neural Embeddings for subTyping (MONET) framework, in which a masked variational autoencoder applied to covariate-adjusted, multi-cell-type profiles resolves four subtypes (Metal-Ion Stress, Neuroinflammatory, Synaptic Integrity, and Tissue Remodeling) that dissociate neuropathological burden from cognitive impairment and nominate predominantly non-overlapping candidate therapeutics. Finally, Stellar Atlas provides an AI-native conversational interface to the atlas.

Preprint server: bioRxiv
The authors list and abstract were imported from bioRxiv on 05 Sep 2026.

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