'Gene signature' to predict onset of Alzheimer's

Scientists have developed a 'gene signature' that could allow a blood test to predict the onset of diseases, such as Alzheimer's, years in advance.
The study aimed to define a set of genes associated with 'healthy ageing' in 65 year olds. Such a molecular profile could be useful for distinguishing people at earlier risk of age-related diseases.
"We use birth year, or chronological age, to judge everything from insurance premiums to whether you get a medical procedure or not," said lead author James Timmons, from King's College London in UK.
"Most people accept that all 60 year olds are not the same, but there has been no reliable test for underlying 'biological age'," Timmons said.

"Our discovery provides the first robust molecular 'signature' of biological age in humans and should be able to transform the way that 'age' is used to make medical decisions.
"This includes identifying those more likely to be at risk of Alzheimer's, as catching those at 'early' risk is key to evaluating potential treatments," he said.

The researchers analysed the RNA of healthy 65-year-old subjects, and used the information to develop a signature of 150 RNA genes that indicated 'healthy ageing'.
The signature was found to be a reliable predictor for risk of age-related disease when studying RNA from tissues including human muscle, brain and skin.

With this RNA signature, they developed a 'healthy age gene score' which they used to test and compare the RNA profiles of different individuals, and demonstrated that a greater score was associated with better health.
The researchers studied RNA from healthy 70-year-old subjects and analysed follow-up health data over two decades.
Despite all subjects being born within a year of each other, their RNA at around 70 years of age showed a very wide distribution in 'healthy age gene score', varying over a four fold range. This variation was linked to long term health.
A greater gene score was also associated with better cognitive health and renal function across a 12 year span - both important determinants of mortality.

In particular, the study demonstrated that patients diagnosed with Alzheimer's Disease had an altered 'healthy ageing' RNA signature in their blood, and therefore a lower healthy age gene score, suggesting association with the disease.
"This is the first blood test of its kind that has shown that the same set of molecules are regulated in both the blood and the brain regions associated with dementia, and it can help contribute to a dementia diagnosis," Timmons said.
"This also provides strong evidence that dementia in humans could be called a type of 'accelerated ageing' or 'failure to activate the healthy ageing programme'," he said.

The study was published in the journal Genome Biology.