bioRxiv preprint doi: https://doi.org/10.1101/779249; this version posted September 28, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. Accumulated degeneration of transcriptional regulation contributes to disease development and detrimental clinical outcomes of Alzheimer's disease Guofeng Meng1,*, Dong Lu1, Feng Yu1, Jijia Sun1, Chong Ding1, Yan Sun2, Xuan Liu1, Jiapei Dai2, Wenfei jin3, and Weidong Zhang1,* 1Institute of interdisciplinary integrative Medicine Research, shanghai University of Traditional Chinese Medicine, shanghai, China 2Wuhan Institute for Neuroscience and Neuroengineering (WINN), South-Central University for Nationalities, Wuhan 430074, China 3Department of Biology, Southwest University of Science and Technology, Shenzhen, China *Correspondence:
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[email protected] Abstract Alzheimer's disease (AD) is extremely complex for both causal mechanism and clinical manifestation, requiring efforts to uncover its diversity and the corresponding mechanisms. Here, we applied a modelling analysis to investigate the regulation divergence among a large-scale cohort of AD patients. We found that transcription regulation tended to get degenerated in AD patients, which contributed to disease development and the detrimental clinical outcomes, mainly by disrupting protein degradation, neuroinflammation, mitochondrial and synaptic functions. To measure the accumulated effects,we came up with a new concept, regulation loss burden, which better correlated with AD related clinical manifestations and the ageing process. The epigenetic studies to multiple active regulation marks also supported a tendency of regulation loss in AD patients.