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TAS2R38 taster variants-linked MGAM expression in Alzheimer's disease: a novel target for precision drug repurposing.

Overview

Authors: Claire W Su1, Kewei Chen2, Teresa Wu1, Eric M Reiman3, Qi Wang4
  1. School of Computing and Augmented Intelligence, Arizona State University, Tempe, AZ, United States
  2. College of Health Solutions, Arizona State University, Tempe, AZ, United States
  3. Banner Alzheimer’s Institute, Phoenix, AZ, United States
  4. ASU-Banner Neurodegenerative Disease Research Center, Arizona State University, Tempe, AZ, United States
Journal: Frontiers in aging neuroscience, volume 18, article 1768436
Dates: received 15 December 2025; accepted 10 February 2026; published online 4 March 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.3389/fnagi.2026.1768436 · PMID 41858791 · PMCID PMC12996105 · OpenAlex W7133507953
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: human (organism), Alzheimer's / dementia (population), cellular / molecular (subfield)
Methods: Statistics, Smoothing, state filtering, decompositions, Machine learning
Keywords: Alzheimer’s disease, diabetes, drug repurposing, eQTL, gene expression, genetics, longitudinal data, MGAM
Topic: Biochemical Analysis and Sensing Techniques (Nutrition and Dietetics, Nursing), according to OpenAlex
Funding: U.S. Department of Defense (U01 AG024904, W81XWH, W81XWH-12-2, W81XWH1220012, 211002, AG024904); Mayo Clinic (05-901, P30 AG062677, 211002); Alzheimer's Association (P30 AG072947, P30AG10161, U01 AG024904, P30 AG062421, P30 AG062422, P30 AG066468, W81XWH-12-2-0012); Bristol-Myers Squibb (U01 AG024904, AG024904, W81XWH-12-2-0012); Eli Lilly and Company (U01 AG024904, AG024904, W81XWH-12-2-0012); Pfizer (AG024904, W81XWH-12-2-0012, U01 AG024904); Biogen (W81XWH-12-2-0012, U01 AG024904, AG024904); University of Southern California (W81XWH-12-2-0012, U01 AG024904); Meso Scale Diagnostics (U01 AG024904, AG024904, W81XWH-12-2-0012); Arizona Department of Health Services (05-901, 211002, 05–901); Alzheimer's Disease Neuroimaging Initiative (W81XWH-12-2–0012, U01AG024904, AG024904, W81XWH-12-2); BioClinica (U01 AG024904, W81XWH-12-2-0012, AG024904); Novartis Pharmaceuticals Corporation (W81XWH-12-2-0012, U01 AG024904, AG024904); CurePSP (P30 AG066444); Rush University; Northern California Institute for Research and Education (U01 AG024904, W81XWH-12-2-0012); Translational Genomics Research Institute; Eisai (W81XWH-12-2-0012, U01 AG024904, AG024904); Servier (AG024904, W81XWH-12-2-0012, U01 AG024904); H. Lundbeck A/S (U01 AG024904, AG024904, W81XWH-12-2-0012); IXICO (AG024904, W81XWH-12-2-0012, U01 AG024904); National Institutes of Health (U24NS07-2026, 5r01ag017917-20, 3u01ag024904-10s2, 6u24ns072026-04, 5r01ns080820-05, 5u01ag046170-10, 5r01ag018023-10, 05-901, U01AG006576, 5u01ag006786-38, 5u24ag061340-05, 5r01ag015819-21, R01AG01-8023, W81XWH, 7u01ag046139-08, 3p30ag019610-10s1, W81XWH-12-2-0012, 211002, 5p30ag010161-12, P30-AG066444, AG062421, AG072978, P30 AG072979), P30 AG072976, P30‐AG072946, R01-NS080820, P30‐AG062429, U01 AG006786, AG072946, R01 AG15819, P50 AG016574, R01AG025711, P30- AG066507, P30 AG072972, U01-AG024904, P30 AG066515, P30AG072947, P30 AG066468, P30 AG066530, P30-AG062422, P30 AG066518, P30AG066462, AG072979, P30 AG066509, P30AG072980, P30 AG066506, P30AG066508, U24 AG072122, P30 AG072977, AG066509, P30‐AG072978, P30 AG19610, P30AG10161, P30AG072931, U01 AG046152, P30 AG066519, P30AG062715, P30 AG066512, AG024904, U01AG046139, AG066519, P30AG072973, U01AG046170, AG066512, P30 AG079280, R01AG003949, P30-AG066511, P30 AG062677, AG062677, P30 AG062421, P30-AG-066514, AG066515, R01 AG17917, P30AG072975, AG066444, AG066514, R01AG36836, U24AG061340, P30 AG066546, AG066518, AG066511, AG072972, AG066468, AG062429, AG066508, R01AG017216); Genentech (W81XWH-12-2-0012, AG024904, U01 AG024904); University of California, San Diego (P30 AG062429); Canadian Institutes of Health Research (R01AG018023, U01AG006786, R01AG017216, R01AG17917, R01NS080820, U01 AG024904, U01AG046170, R01AG15819, U24NS072026, U24AG061340, U01AG006576, W81XWH-12-2-0012, R01AG003949, P30AG19610, R01AG025711, P30AG10161, U01AG046139); National Institute on Aging (AG072946, P30 AG072976, U01-AG-024904, P30 AG066506, 211002, AG066468, P30 AG072975, AG062429, AG066546, P30-AG062715, P30‐AG066468, P30AG062677, P30-AG066507, P30-AG 10161, AG066507, P30-AG-19610, P30AG079280, AG062421, P30‐AG066519, AG072979, P30-AG066530, U24NS072026, P30AG072977, AG066518, P30 AG072931, P30-AG062421, P30 AG072980, W81XWH-12-2–0012, P30AG062429, AG066519, U24AG072122, R01‐AG17917, U01‐AG006786, P30AG066508Ð, R01 AG15819, P30-AG072978, AG066511, U24 AG061340, P30 AG 072972, R01-AG36836, P30‐AG072946, P30AG066444, P30 AG072973, AG072977, U01 AG046139, U01AG046152, AG 024904, AG072978, AG066509, AG072931, P30AG066546, P30 AG066518, P30AG066462, AG066444, AG062715, P30 AG066512, P50‐AG016574, P30 AG072947, U01 AG046170, P30AG066509, P30-AG066511, P30-AG-072979, AG066462, P30AG066514, P30 AG066515, AG066515, 05-901, AG062422, P30 AG062422, AG066512, AG066508); National Institute of Neurological Disorders and Stroke (U24-NS072026, R01 NS080820, P30-AG062677, 211002, 05-901)
Citations: not cited yet (Europe PMC); 54 references in the paper

Abstract

Introduction: TAS2R38 is a taste receptor gene located on human chromosome 7 that influences sensitivity to bitter tastes and has been implicated in innate immunity, glucose level, and human longevity. However, its potential association with Alzheimer’s Disease (AD) has not been explored. Identifying such a genetic connection could support developing new drugs or repurposing existing ones for AD treatment.

Methods: In this work, we examined the relationship between allele counts of TAS2R38 taster variants and AD risk using linear mixed-effects models, utilizing genetic, clinical, and biomarker data from the Alzheimer’s Disease Neuroimaging Initiative (ADNI). We investigated the potential molecular mechanisms of the association by identifying expression quantitative trait loci (eQTLs) using RNA-seq data from postmortem tissues across brain regions from the Religious Orders Study/Memory and Aging Project (ROSMAP). We evaluated whether FDA-approved drugs targeting the identified e-gene could reduce dementia risk using 1:1 propensity score-matched groups from longitudinal data in the National Alzheimer’s Coordinating Center (NACC) study, by comparing clinical dementia progression trends between the drug-taking and non-taking groups with linear mixed-effects models.

Results: Our results show that TAS2R38 supertasters were connected to a reduced AD risk with advancing age due to its association with various AD biomarkers (p < 0.001). eQTL analysis linked the nontaster allele to increased expression of the gene MGAM in AD-affected brain regions (p < 0.001). Furthermore, elevated MGAM expression correlated with more severe Tau burden (p < 0.05) and implicated in mitochondrial dysfunction in AD subjects. Notably, MGAM is a known drug target for diabetes mellitus. In NACC data, individuals taking MGAM-inhibiting drugs (acarbose and miglitol) showed slower clinical dementia rating progression (p < 0.01) in comparison with the non-taking group.

Discussion: This study is the first to report a genetic association between TAS2R38 and AD biomarkers. Our findings, validated in multiple cohorts/matching groups, suggest MGAM as a novel AD drug target with existing FDA-approved inhibitors and demonstrate the potential of TAS2R38 haplotypes to inform precision drug repurposing strategies for AD, which warrants further in-depth preclinical and clinical studies.

Reproduced under the paper's license (CC BY), from the paper cited above.

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Data

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Data availability statement

The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding author.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 30 September 2026: the first record

Recorded: type, language, journal, volume, pages, dates, 5 authors, 8 keywords, 27 funders, 52 references.

Cite

This paper

Su, C. W., Chen, K., Wu, T., Reiman, E. M., & Wang, Q. (2026). TAS2R38 taster variants-linked MGAM expression in Alzheimer's disease: a novel target for precision drug repurposing. Frontiers in aging neuroscience, 18, 1768436. https://doi.org/10.3389/fnagi.2026.1768436

BibTeX

@article{su2026tas2r38,
author = {Su, Claire W and Chen, Kewei and Wu, Teresa and Reiman, Eric M and Wang, Qi},
title = {{TAS2R38 taster variants-linked MGAM expression in Alzheimer's disease: a novel target for precision drug repurposing}},
journal = {Frontiers in aging neuroscience},
year = {2026},
month = mar,
volume = {18},
pages = {1768436},
publisher = {Frontiers Media SA},
issn = {1663-4365},
doi = {10.3389/fnagi.2026.1768436},
url = {https://doi.org/10.3389/fnagi.2026.1768436},
pmid = {41858791},
pmcid = {PMC12996105}
}

RIS

TY - JOUR
AU - Su, Claire W
AU - Chen, Kewei
AU - Wu, Teresa
AU - Reiman, Eric M
AU - Wang, Qi
TI - TAS2R38 taster variants-linked MGAM expression in Alzheimer's disease: a novel target for precision drug repurposing
T2 - Frontiers in aging neuroscience
J2 - Front Aging Neurosci
PY - 2026
DA - 2026/03/04
VL - 18
SP - 1768436
SN - 1663-4365
PB - Frontiers Media SA
DO - 10.3389/fnagi.2026.1768436
UR - https://doi.org/10.3389/fnagi.2026.1768436
LA - en
ER -

CSL-JSON

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