SPINT1 and Alzheimer disease: As expected, the most predictive proteins spanned a wide swath of AD biology, capturing synaptic (NPTX2, PNOC, YWHAZ, YWHAE, PPP3CA), presynaptic (UCHL1), ECM (ADAMTS1, ADAMTSL3), neuronal-signaling (BMP7), neuroinflammatory (RELT, CTSS, LILRB4), and metabolic (FABP3, GAA, SPINT1, GNPTG, FAM3B) processes, highlighting that progression is foreshadowed by coordinated disruption across multiple molecular systems (Fig. 4d).