AUTHOR=Tao Ye , Han Yu , Yu Lujiao , Wang Qi , Leng Sean X. , Zhang Haiyan TITLE=The Predicted Key Molecules, Functions, and Pathways That Bridge Mild Cognitive Impairment (MCI) and Alzheimer's Disease (AD) JOURNAL=Frontiers in Neurology VOLUME=Volume 11 - 2020 YEAR=2020 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2020.00233 DOI=10.3389/fneur.2020.00233 ISSN=1664-2295 ABSTRACT=To elucidate the key molecules, functions, and pathways that bridge mild cognitive impairment (MCI) and Alzheimer's disease (AD), we investigated open gene expression data sets. Differential gene expression profiles were analyzed and combined with potential MCI- and AD-related gene expression profiles in public databases. Then, weighted gene co-expression network analysis was performed to identify the gene co-expression modules. One module was significantly negatively associated with MCI samples, in which gene ontology function and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis showed that these genes were related to ribosomal structure, Parkinson's syndrome, AD, and metabolic pathway. The other two modules correlated significantly with AD samples, in which functional and pathway enrichment analysis revealed strong relationships of these genes with cytoplasmic ribosome, protein binding, AD, cancer, and apoptosis. In addition, we regarded the core genes in the module network closely related to MCI and AD as bridge genes and submitted them to protein interaction network analysis to screen for major pathogenic genes according to the connectivity information. Among them, ATP synthase F1 subunit gamma (ATP5C1), small nuclear ribonucleoprotein polypeptide G (SNRPG), ribosomal protein S27a (RPS27A), U6 snRNA-associated Sm-like protein LSm3 (LSM3), S100 calcium binding protein A8 (S100A8), small nuclear ribonucleoprotein D2 polypeptide (SNRPD2), and ribosomal protein S3a (RPS3A) are not only bridge genes, but also major pathogenic genes of MCI. In addition, bridge genes DnaJ heat shock protein family member A1 (DNAJA1), proteasome 20S subunit alpha 4 (PSMA4), SNRPG, annexin A1 (ANXA1), LSM3, prefoldin subunit 5 (PFDN5), S100A8, SNRPD2, thioredoxin (TXN), and RPS3A are also major pathogenic genes of AD. Next, we screened for differentially expressed microRNAs (miRNAs) to predict the miRNAs and transcription factors related the MCI and AD modules, respectively. The significance score of miRNAs in each module was calculated using a hypergeometric test to obtain the miRNApivot-Module interaction pair. Thirty-four bridge regulators were analyzed, among which hsa-miR-519d-3p was recognized as the bridge regulator between MCI and AD. Our study contributed to a better understanding of the pathogenic mechanisms of MCI and AD, and might lead the development of a new strategy for clinical diagnosis and treatment.