“…66 Increased plasma concentrations of other proteins could represent responses to pathogens (e.g., RNAS6 67,68 and HE4), 69 or be part of the increased immune response (e.g., NPS-PLA2, TREM2, MIC-1, OPG, TIMP-4, SVEP1, MARCKSL1, and CDCP1). 49,52,53,55,66,[70][71][72][73][74][75][76][77][78][79] Degeneration of the BBB provides a further potential mechanism underlying the observed protein-dementia associations. The subsequent passage of toxins and proteins into the central nervous system contributes to reduced neuronal plasticity, activation of microglia, disruptions in lipid metabolism, increased neuroinflammation, amyloid and tau accumulation, and neurodegeneration (Figure S6c).…”