“…Decreased NAA, glutamate, glutamine, taurine, γ-amino butyric acid, choline and phosphocholine, creatine, phosphocreatine and succinate; and increased lactate, aspartate, glycine and other amino-acids including alanine, leucine, iso-leucine, valine and watersoluble free fatty-acids (0.8-0.9 and 1.2-1.3 ppm) in six affected regions [35] Alterations in tyrosine, tryptophan, purine, and tocopherol pathways; reductions in norepinephrine and its metabolites [38] Nine potential diagnostic biomarkers (LPCs, trypto phan, dihydrosphingosine, phytosphingosine and hexadecasphinganine) identified for AD [41] Eight sphingomyelin species significantly lower in AD; two ceramide species (N16:0 and N21:0) increased in AD; ratios of ceramide to sphingomyelin species differed significantly between groups; both N20:2 SM and OH-N25:0 ceramides were correlated with MMSE in AD [43] Omega-3 fatty acids indicative of MCI; elevated glyco proteins may be a risk for AD [46] CSF, cerebrospinal fluid; LC-ECA, liquid chromatography-electrochemical array; LPC, lysophosphatidyl choline; MDMS-SL, multi-dimensional mass spectrometry-based shotgun lipidomics; MMSE, mini-mental state examination; MS, mass spectrometry; NAA, N-acetyl-L-aspartate; NMR, nuclear magnetic resonance spectroscopy; SM, sphingomyelin; UPLC, ultra-performance liquid chromatography.…”