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AlzPathway: a comprehensive map of signaling pathways of Alzheimer’s disease
Satoshi Mizuno, Risa Iijima, Soichi Ogishima and 7 more
BMC Systems Biology · 2012
Abstract
Background. Alzheimer’s disease (AD) is the most common cause of dementia among the elderly. To clarify pathogenesis of AD, thousands of reports have been accumulating. However, knowledge of signaling pathways in the field of AD has not been compiled as a database before.
Description. Here, we have constructed a publicly available pathway map called “AlzPathway” that comprehensively catalogs signaling pathways in the field of AD. We have collected and manually curated over 100 review articles related to AD, and have built an AD pathway map using CellDesigner. AlzPathway is currently composed of 1347 molecules and 1070 reactions in neuron, brain blood barrier, presynaptic, postsynaptic, astrocyte, and microglial cells and their cellular localizations. AlzPathway is available as both the SBML (Systems Biology Markup Language) map for CellDesigner and the high resolution image map. AlzPathway is also available as a web service (online map) based on Payao system, a community-based, collaborative web service platform for pathway model curation, enabling continuous updates by AD researchers.
Conclusions. AlzPathway is the first comprehensive map of intra, inter and extra cellular AD signaling pathways which can enable mechanistic deciphering of AD pathogenesis. The AlzPathway map is accessible at http://alzpathway.org/.
Full text
From PubMed Central, U.S. National Library of Medicine, as current on Oct 27, 2026. Paragraph numbers are ours, so an answer can point at one.
Background
Alzheimer’s disease (AD) is the most common cause of dementia among the elderly. With the advent of the aging society, 24.3 million people are estimated to suffer dementia worldwide, increasing to 42.3 million people by 2020 and 81.1 million by 2040. The total estimated worldwide costs of dementia are US$604 billion in 2010, and are estimated to increase by 85% to 2030. The cost for caring for the increasing number of people with dementia will rise dramatically and thus will be disastrous burden to our societies within upcoming 10–20 years. To address this social issue, clarification of the pathogenic mechanism of AD and development of AD drugs are urgently expected.
Genetic association with putative AD susceptibility genes has been studied and collected as a publicly available database called AlzGene (http://www.alzgene.org/). Pathological signaling has been also studied and two core pathological hallmarks of AD, amyloid plaques and neurofibrillary tangles (NFT) accumulation, have been elucidated intensively. However, wealth of this information has become increasingly difficult to follow, much less interpret, and has not been integrated before. Integration of pathway knowledge bridging amyloid plaques and neurofibrillary tangles has been still missing.
Efforts to construct an AD pathway map have been made before, however, these maps are overviews or partial maps of an AD pathway, and are not comprehensive maps. Manual elaboration is still required to construct a comprehensive and accurate map of a particular signaling pathway. Efforts to manually construct pathway maps of particular signaling, e.g., Toll-like receptor, EGFR, RB/E2F, mTOR signalings, and dendritic cell signaling in response to pathogenes, have been made before.
In this study, we collected and manually curated over 100 review articles involving in AD, and built an AD pathway map using CellDesigner, a modeling editor for biochemical pathways. AlzPathway is the first comprehensive map of intra, inter and extra cellular signaling pathways of particular disease. AlzPathway now contains 34 canonical pathways such as APP, mitochondrial and apoptosis pathways, which are composed of 1347 species (proteins, complexes, simple moecules, genes, RNAs, ions, degraded products, and phenotypes), 1070 reactions, 129 phenotypes in neuron, brain blood barrier, presynaptic, postsynaptic, astrocyte, and microglial cells and their cellular localizations. Our AlzPathway provides a powerful AD pathway map for deciphering pathogenesis of AD, and it serves as a pathway reference database just as AlzGene for risk-gene reference database. AlzPathway allows us to not only evaluate candidate risk genes listed by GWAS studies, but also analyze omics data including DNA microarray data and RNA-seq data to reveal pathogenesis of AD. Our pathway map will be an indispensable basic resource for both clarification of the pathogenic mechanism of AD and development of AD drug to address social issues caused by AD.
Construction of AlzPathway
We collected 123 review articles related to AD accessible from PubMed. We then manually curated these review articles, and have built an AD pathway map by using CellDesigner. In PubMed, the number of research articles involved in Alzheimer’s disease is over 80,000. In fact, we cannot collect and manually curate over 80,000 research articles. To construct AlzPathway, we need to choose articles among over 80,000 research articles. Review articles are attempts to chose important articles and summarize current state of understanding on signaling pathways involved in Alzheimer’s disease. Therefore, we chose to use review articles for the curation. Notations are based on the PD (Process Description) of SBGN (Systems Biology Graphical Notation) and the map is available in standardized SBML (Systems Biology Markup Language) format for file exchange between different tools. Molecules are distinguished by the following types: proteins, complexes, simple molecules, genes, RNAs, ions, degraded products, and phenotypes. Gene symbols are pursuant to the HGNC symbols. Reactions are also distinguished by the following categories: state transition, transcription, translation, heterodimer association, dissociation, transport, unknown transition, and omitted transition. All the reactions have evidences to the references in PubMed ID using the MIRIAM scheme. All the references used for constructing the AlzPathway are listed in the ‘References for AlzPathway’. Cellular types are distinguished by the followings: neuron, astrocyte, and microglial cells. Cellular compartments are also distinguished by the followings: brain blood barrier, presynaptic, postsynaptic, and their inner cellular localizations. AlzPathway is available as both the SBML map for CellDesigner ( Additional file 1; see the section of Additional files) and the high resolution image map ( Additional file 2; see the section of Additional files).
Imprementation of web service of AlzPathway
AlzPathway is also available as the web service (online map) implemented by using Payao, a community-based, collaborative web service platform for gene-regulatory and biochemical pathway model curation, enabling continuous updates by AD researchers. Payao web service (online map) is accessible from http://alzpathway.org/. Instruction on how to access the AlzPathway web service (online map) is described in the Additional documentation file ( Additional file 3; see the section of Additional files). Using the Payao system would enable AD researchers not only to browse reactions and their references in PubMed ID but also to comment, correct and update AlzPathway in a community-wide collaboration.
Overview of alzheimer’s disease pathway
Here, we present a map of Alzheimer’s disease signaling networks (Figure 1). We manually constructed a map of Alzheimer’s disease signaling networks by assembling molecular interactions based on published papers using the modeling software, CellDesigner ver. 4.2 (http://celldesigner.org/).
The AlzPathway map consists of 1347 species, 1070 reactions, and 129 phenotypes. The molecues shown on the AlzPathway can be categorized as follows: 650 proteins, 232 complexes, 223 simple molecules, 32 genes, 36 RNAs, 24 ions, and 21 degraded products. The breakdown of reactions is as follows: 401 state transitions, 22 transcriptions, 30 translations, 172 heterodimer associations, 49 dissociations, 87 transports, 20 unknown transitions, and 228 omitted transitions. All the 123 references used for constructing the map are listed in the ‘References for AlzPathway’. The CellDesigner software allows the user to access references that are used as evidences for individual reaction using PubMed ID (Figure 2).
The map consists of the AD hallmark pathways and canonical pathways. The AD hallmark pathways are amyloid β cleavage, amyloid β degradation, APOE-cholesterol pathway and NFT accumulation, which are major pathological pathways of AD. On the other hand, the canonical pathways are acetylcholine production, cholesterol synthesis, Wnt signaling pathway, Notch signaling pathway, Ubiquitin mediated proteolysis, apoptosis, calcium signaling pathway, ER stress, MAPK signaling pathway, abnormal ceramide accumulation, ceramide synthesis, reactive oxidation process, regulation of Autophagy, neurotrophin signaling pathway, cell cycle, arachidonic acid cascade, mTOR signaling pathway, lipid pathway, lipid raft, inflammation pathway, insulin pathway, and CREB pathway.
AlzPathway is the first comprehensive map of intra, inter and extra cellular signaling pathways of particular disease manually constructed. Manual reconstructions of comprehensive map have been reported before: epidermal growth factor receptor signaling, toll-like receptor signaling network, RB/E2F signaling pathway and mTOR signaling pathways, which are molecular signaling pathways and are not comprehensive intra, inter and extra cellular signaling pathways of particular disease. That is, AlzPathway comprehensively catalogs not only intra but also inter and extracellular signaling pathways among neuron, glial cell, microglia, presynaptic cell, postsynaptic cell, astrocyte, and blood–brain barrier. The brain and spinal cord are made up of various regions and cells, including neurons and glial cells. To reveal pathogenic mechanism of AD, complicated signaling pathways among neuron, glial cell, microglia, presynaptic cell, postsynaptic cell, astrocyte, and blood–brain barrier should be clarified.
Binary-relation notation and key molecules
As for intuitively understandable notation of AlzPathway, we also constructed AlzPathway not only in SBGN (Systems Biology Graphical Notation) PD (Process Description) notation but also in binary-relation notation (Figure 3(a)). In SBGN PD notation, a reaction consists of reactants, modifiers, and products. We converted this notation to binary-relation notation by decomposing reactions into those between (1) reactants and products, and (2) modifiers and products. Molecules are limited to proteins, complexes, genes, RNAs and phenotype for simplification. SBGN PD notation is precise notation for describing pathways, on the other hand the binary-relation based conventional notation used by molecular biologists in the current literature, is intuitively understandable. To clarifying basic structure of AlzPathway, we constructed AlzPathway in binary-relation notation, and found that amyloid β accumulation and hyperphosphorylated tau accumulation are central pathogenesis signaling pathways in AlzPathway. Binary-relation notation is provided as a SIF (simple interaction format) file ( Additional file 4) which can be opened by using Cytoscape.
According to edge betweenness centrality of each reaction, high centrality relations were highlighted as primary relations. Top 50 high centrality relations are shown in Figure 3(b). Highlighted binary relations were so-called AD hallmark pathways: amyloid plagues (amyloid β accumulation) and NFT accumulation (hyperphosphorylated tau accumulation). The γ-secretase produces amyloid β 1–40, which leads to oligomeric amyloid β (amyloid β accumulation). Amyloid β 1–42 is related to cell death, which is amyloid plagues (amyloid β accumulation) and NFT accumulation crucial for AD progression. On the other hand, APC-AXIN-GSK3B-CTNNB1 complex phosphorylates MAPT and mutant PSEN promotes phosphorylation of MAPT, which lead to MAPT hyperphosphorylation and NFT accumulation.
Access to AlzPathway map
The AlzPathway map is accessible at http://alzpathway.org/. As described above, AlzPathway is provided as (1) the SBML map for CellDesigner ( Additional file 1), (2) the web service (online map) implemented by using Payao accessible from http://alzpathway.org/ (see the Additional file 3 for instruction on how to access the AlzPathway online map by Payao), (3) the high resolution image map ( Additional file 2), (4) the binary-relation notation ( Additional file 4), (5) the pure SBML map ( Additional file 5) for compatibility with other SMBL supporting tools, and (6) the BioPAX file for exchanges of pathway data ( Additional file 6). For Notations are based on the PD (Process Description) of SBGN (Systems Biology Graphical Notation). The CellDesigner software and Payao system allow the user to access references that are used as evidences for individual reaction in PubMed ID using the MIRIAM scheme. They also allow the user to access external resources including UniProt and PubChem for individual species using the MIRIAM scheme. AlzGene information is provided for individual species using Notes. Expanded version of AlzPathway map having external links to Gene Ontology is also provided ( Additional file 7). As for usage of CellDesigner software, see the documentations provided at CellDesigner web site. As for usage of Payao system, see the user’s guide provided at Payao web site.
Community driven update of AlzPathway using payao
We constructed AlzPathway to be comprehensive but not necessarily to be complete. While continuous curation of molecular pathways remain a major challenge, the availability of Alzpathway through Payao (http://alzpathway.org/) would enable AD researchers to review, comment and provide feedbacks to the pathway through the web-based interface (Figure 4). Correction and update of AlzPathway can be made through comments and feedback from AD researchers in specific molecules and interactions. By using Payao system, we envision to reach out to the AD community and continuously correct and update AlzPathway. In addition to community-driven correction and update using Payao system, we will keep updating our pathway map by ourselves.
AlzPathway as basic resource for AD study
AlzPathway is comprehensive AD pathway map, and is expected to be a guidance map in the study of AD. Just as AlzGene for risk-gene reference database, AlzPathway serves as a pathway “reference” integrating wealth of pathway information published before. AlzPathway also serves for analysis on omics data including DNA microarray data and RNA-seq data. Availability of AD pathway map in standardized formats (SBML and SBGN) renders the network applicable to systems-biology analyses based on various SBML compliant tools. Therefore, our AD pathway map will be an indispensable basic resource for both clarification of the pathogenic mechanism of AD and development of AD drug.
Conclusions
We constructed a publicly available database called “AlzPathway” that comprehensively catalogs signaling pathways in the field of AD. We have collected and manually curated over 100 review articles involving in AD, and have built an AD pathway map using CellDesigner. AlzPathway is the first comprehensive map of intra, inter and extra cellular signaling pathways of particular disease for deciphering pathogenesis of AD. AlzPathway is currently composed of 1347 molecules, 1070 reactions, and 129 phenotypes in neuron, brain blood barrier, presynaptic, postsynaptic, astrocyte, and microglial cells and their cellular localizations. AlzPathway is available as both the SBML (Systems Biology Markup Language) map for CellDesigner and the high resolution image map. AlzPathway is also available as the web service (online map) implemented on Payao, a community-based, collaborative web service platform for pathway model curation. The molecular level mechanistic interactions captured in AlzPathway, together with a community-driven, web based curation platform, would provide a comprehensive resource to the AD community towards deeper insights into AD pathogenesis and identification of novel therapeutic targets.
Availability and requirements
The AlzPathway map is accessible at http://alzpathway.org/. The Payao system does not work on a 64 bit mode Linux.
Abbreviations
AD, Alzheimer’s disease; SBML, Systems biology markup language; NFT, Neurofibrillary tangles; PD, Process description; SBGN, Systems biology graphical notation.
Competing interests
The authors declare that they have no competing interests.
Authors’ contributions
SO conceived and designed the project with the help of RK and HT. SM, RI, TM, MK, and SO built the database. AM and RK reviewed the database. YM and SG implemented the web service by using Payao. SO wrote the paper with the help of YM, SG, MK, and TM. All authors read and approved the final manuscript.
References 139
- 1.
Ballard C Gauthier S Corbett A Brayne C Aarsland D Jones E Alzheimer’s diseaseLancet2011 377977010191031
Not in our library10.1016/s0140-6736(10)61349-9
- 2.
Ferri CP Prince M Brayne C Brodaty H Fratiglioni L Ganguli M Hall K Hasegawa K Hendrie H Huang Y Global prevalence of dementia: a Delphi consensus studyLancet2005 366950321122117
Not in our library10.1016/s0140-6736(05)67889-0
- 3.
Alzheimer’s Disease InteranationalWorld Alzheimer’s Report 2010http://www.alz.co.uk/research/files/WorldAlzheimerReport2010ExecutiveSummary.pdf
Not in our library
- 4.
Bertram L McQueen MB Mullin K Blacker D Tanzi RE Systematic meta-analyses of Alzheimer disease genetic association studies: the AlzGene databaseNat Genet2007 3911723
Not in our library10.1038/ng1934
- 5.
Bauer-Mehren A Furlong LI Sanz F Pathway databases and tools for their exploitation: benefits, current limitations and challengesMol Syst Biol2009 5290
Not in our library10.1038/msb.2009.47
- 6.
Oda K Matsuoka Y Funahashi A Kitano H A comprehensive pathway map of epidermal growth factor receptor signalingMol Syst Biol2005 12005.0010
Not in our library10.1038/msb4100014
- 7.
Oda K Kitano H A comprehensive map of the toll-like receptor signaling networkMol Syst Biol2006 22006.0015
Not in our library10.1038/msb4100057
- 8.
Calzone L Gelay A Zinovyev A Radvanyi F Barillot E A comprehensive modular map of molecular interactions in RB/E2F pathwayMol Syst Biol2008 4173
Not in our library10.1038/msb.2008.7
- 9.
Caron E Ghosh S Matsuoka Y Ashton-Beaucage D Therrien M Lemieux S Perreault C Roux PP Kitano H A comprehensive map of the mTOR signaling networkMol Syst Biol2010 6453
Not in our library10.1038/msb.2010.108
- 10.
Patil S Pincas H Seto J Nudelman G Nudelman I Sealfon SC Signaling network of dendritic cells in response to pathogens: a community-input supported knowledgebaseBMC Syst Biol2010 4137
Not in our library10.1186/1752-0509-4-137
- 11.
Funahashi A Matsuoka Y Jouraku A Morohashi M Kikuchi N Kitano H CellDesigner 3.5: a versatile modeling tool for biochemical networksProc IEEE2008 96812541265
Not in our library
- 12.
Le Novère N Hucka M Mi H Moodie S Schreiber F Sorokin A Demir E Wegner K Aladjem MI Wimalaratne SM The Systems Biology Graphical NotationNat Biotechnol2009 278735741
Not in our library10.1038/nbt.1558
- 13.
Hucka M Finney A Sauro HM Bolouri H Doyle JC Kitano H Arkin AP Bornstein BJ Bray D Cornish-Bowden A The systems biology markup language (SBML): a medium for representation and exchange of biochemical network modelsBioinformatics2003 194524531
Not in our library10.1093/bioinformatics/btg015
- 14.
Laibe C Le Novère N MIRIAM Resources: tools to generate and resolve robust cross-references in Systems BiologyBMC Syst Biol2007 158
Not in our library10.1186/1752-0509-1-58
- 15.
Matsuoka Y Ghosh S Kikuchi N Kitano H Payao: A community platform for SBML pathway model curationBioinformatics2010 261013811383
Not in our library10.1093/bioinformatics/btq143
- 16.
Allain H Bentué-Ferrer D Tribut O Gauthier S Michel BF Drieu-La Rochelle C Alzheimer’s disease: the pharmacological pathwayFundam Clin Pharmacol2003 174419428
Not in our library10.1046/j.1472-8206.2003.00153.x
- 17.
Arendt T Holzer M Stöbe A Gärtner U Lüth HJ Brückner MK Ueberham U Activated mitogenic signaling induces a process of dedifferentiation in Alzheimer’s disease that eventually results in cell deathAnn N Y Acad Sci2000 920249255
Not in our library10.1111/j.1749-6632.2000.tb06931.x
- 18.
Atamna H Heme, iron, and the mitochondrial decay of ageingAgeing Res Rev2004 33303318
Not in our library10.1016/j.arr.2004.02.002
- 19.
Behl C Apoptosis and Alzheimer’s diseaseJ Neural Transm2000 1071113251344
Not in our library10.1007/s007020070021
- 20.
Björkhem I Crossing the barrier: oxysterols as cholesterol transporters and metabolic modulators in the brainJ Intern Med2006 2606493508
Not in our library10.1111/j.1365-2796.2006.01725.x
- 21.
Boonen RA van Tijn P Zivkovic D Wnt signaling in Alzheimer’s disease: up or down, that is the questionAgeing Res Rev2009 827182
Not in our library10.1016/j.arr.2008.11.003
- 22.
Bosco D Fava A Plastino M Montalcini T Pujia A Possible implications of insulin resistance and glucose metabolism in Alzheimer’s disease pathogenesisJ Cell Mol Med2011 15918071821
Not in our library10.1111/j.1582-4934.2011.01318.x
- 23.
Brinton RD Estrogen regulation of glucose metabolism and mitochondrial function: therapeutic implications for prevention of Alzheimer’s diseaseAdv Drug Deliv Rev2008 6013–1415041511
Not in our library10.1016/j.addr.2008.06.003
- 24.
Buhaescu I Izzedine H Mevalonate pathway: a review of clinical and therapeutical implicationsClin Biochem2007 409–10575584
Not in our library10.1016/j.clinbiochem.2007.03.016
- 25.
Buoso E Lanni C Schettini G Govoni S Racchi M beta-Amyloid precursor protein metabolism: focus on the functions and degradation of its intracellular domainPharmacol Res2010 624308317
Not in our library10.1016/j.phrs.2010.05.002
- 26.
Burns M Duff K Cholesterol in Alzheimer’s disease and tauopathyAnn N Y Acad Sci2002 977367375
Not in our library10.1111/j.1749-6632.2002.tb04839.x
- 27.
Cameron B Landreth GE Inflammation, microglia, and Alzheimer’s diseaseNeurobiol Dis2010 373503509
Not in our library10.1016/j.nbd.2009.10.006
- 28.
Caricasole A Bakker A Copani A Nicoletti F Gaviraghi G Terstappen GC Two sides of the same coin: Wnt signaling in neurodegeneration and neuro-oncologyBiosci Rep2005 255–6309327
Not in our library10.1007/s10540-005-2893-6
- 29.
Caricasole A Copani A Caruso A Caraci F Iacovelli L Sortino MA Terstappen GC Nicoletti F The Wnt pathway, cell-cycle activation and beta-amyloid: novel therapeutic strategies in Alzheimer’s disease?Trends Pharmacol Sci2003 245233238
Not in our library10.1016/s0165-6147(03)00100-7
- 30.
Chen YZ APP induces neuronal apoptosis through APP-BP1-mediated downregulation of beta-cateninApoptosis2004 94415422
Not in our library10.1023/b:appt.0000031447.05354.9f
- 31.
Chong ZZ Li F Maiese K Stress in the brain: novel cellular mechanisms of injury linked to Alzheimer’s diseaseBrain Res Brain Res Rev2005 491121
Not in our library10.1016/j.brainresrev.2004.11.005
- 32.
Chong ZZ Maiese K Targeting WNT, protein kinase B, and mitochondrial membrane integrity to foster cellular survival in the nervous systemHistol Histopathol2004 192495504
Not in our library10.14670/hh-19.495
- 33.
Chorsky RL Yaghmai F Hill WD Stopa EG Alzheimer’s disease: a review concerning immune response and microischemiaMed Hypotheses2001 561124127
Not in our library10.1054/mehy.2000.1148
- 34.
Choy YM Lau KM Lee CY Purification and characterization of urinary choriogonadotropin from patients with hydatidiform moleJ Biol Chem1979 254411591163
Not in our library
- 35.
Copani A Caraci F Hoozemans JJ Calafiore M Sortino MA Nicoletti F The nature of the cell cycle in neurons: focus on a “non-canonical” pathway of DNA replication causally related to deathBiochim Biophys Acta2007 17724409412
Not in our library10.1016/j.bbadis.2006.10.016
- 36.
Correia SC Santos RX Perry G Zhu X Moreira PI Smith MA Insulin-resistant brain state: the culprit in sporadic Alzheimer’s disease?Ageing Res Rev2011 102264273
Not in our library10.1016/j.arr.2011.01.001
- 37.
Coughlan CM Breen KC Factors influencing the processing and function of the amyloid beta precursor protein–a potential therapeutic target in Alzheimer’s disease?Pharmacol Ther2000 862111145
Not in our library10.1016/s0163-7258(00)00036-x
- 38.
Coulson EJ Does the p75 neurotrophin receptor mediate Abeta-induced toxicity in Alzheimer’s disease?J Neurochem2006 983654660
Not in our library10.1111/j.1471-4159.2006.03905.x
- 39.
Cruts M Van Broeckhoven C Loss of progranulin function in frontotemporal lobar degenerationTrends Genet2008 244186194
Not in our library10.1016/j.tig.2008.01.004
- 40.
Cuello AC Bruno MA The failure in NGF maturation and its increased degradation as the probable cause for the vulnerability of cholinergic neurons in Alzheimer’s diseaseNeurochem Res2007 32610411045
Not in our library10.1007/s11064-006-9270-0
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