Neurodegenerative diseases (NDs) pose clinical challenges due to their complexity and molecular heterogeneity. Here, we present a pan-neurodegeneration atlas (PanNDA) from multilayer, deep proteomic analysis of 2,279 human brain samples spanning 6 major NDs: Alzheimer's disease (AD), Lewy body dementia (LBD), frontotemporal lobar degeneration with TDP-43 pathology, progressive supranuclear palsy with tau pathology, vascular dementia, and Parkinson's disease. PanNDA integrates data from whole proteome, detergent-insoluble proteome, and posttranslational modifications (phosphorylation and ubiquitination), enabling intra- and inter-disease comparisons. Intra-disease analyses uncover distinct molecular subtypes (e.g., three in AD and four in LBD), reveal dysregulated pathways, and prioritize top-ranked proteins. Inter-disease comparisons identify shared alterations in NDs, such as GPNMB in microglial and lysosomal activation and NPTX2 in synaptic regulation, alongside disease-specific changes and hub regulators within protein networks. Overall, PanNDA provides a systems-level framework for understanding ND mechanisms and serves as a foundational resource that is accessible via an interactive website: https://penglab.shinyapps.io/pannda.
Pan-neurodegeneration proteomics reveals disease subtypes and molecular signatures
Him K. Shrestha·Junmin Peng·David Vanderwall·Yu Sun·Danting Liu·Michael DeTure·Erming Wang·GE Serrano·H. J. Wang·Masihuz Zaman·Dehui Kong·GuoJun Bu·Bing Bai·Júlia Faura·Yong Li·Meghan McReynolds·Shu Yang·Mingming Niu·Suresh Poudel·Chunyu Liu·Boer Xie·Xusheng Wang·Kaiwen Yu·Zuo-Fei Yuan·Ju Wang·Zhiping Wu·Rosa Rademakers·Ping-Chung Chen·Vahram Haroutunian·Nan Zhang·Zhen Wang·Dennis W. Dickson·Jay M. Yarbro·Ronald C. Petersen·Allan I. Levey·Minghui Wang·Huan Sun·Erik C.B. Johnson·Takahisa Kanekiyo·Nicholas T. Seyfried·Thomas G. Beach·David A. Bennett·DongGeun Lee·Gang Yu·Pamela J. McLean·Bin Zhang·Anthony A. High

