Serum bile acids improve prediction of Alzheimer's progression in a sex-dependent manner

INTRODUCTION: There is evidence that there are differences in the serum levels of bile acids (BAs) in males and females and their risk of developing Alzheimer's disease (AD). We previously reported that serum BAs are associated with AD. It remains unclear, however, how changes in serum BAs may relate to the development of AD in a sex-dependent manner. METHODS: We analyzed 33 BAs in the sera of 4219 samples from 1180 subjects in the ADNI cohort. Using linear models, we examined the associations between BAs and mild cognitive impairment (MCI) progression and clinical markers. RESULTS: Significant alterations in BA profiles occurred at an early stage of MCI and were associated with the onset and progression of MCI. These changes were more dramatic in men than in women. BA markers improved the ability of current clinical markers to diagnose MCI and predict its progression. DISCUSSION: Our results highlight the role of BAs in the development of AD and may help improve AD prediction and personalized therapies.