Cell Reports (Nov 2020)

Tau Pathology Drives Dementia Risk-Associated Gene Networks toward Chronic Inflammatory States and Immunosuppression

  • Jessica E. Rexach,
  • Damon Polioudakis,
  • Anna Yin,
  • Vivek Swarup,
  • Timothy S. Chang,
  • Tam Nguyen,
  • Arjun Sarkar,
  • Lawrence Chen,
  • Jerry Huang,
  • Li-Chun Lin,
  • William Seeley,
  • John Q. Trojanowski,
  • Dheeraj Malhotra,
  • Daniel H. Geschwind

Journal volume & issue
Vol. 33, no. 7
p. 108398

Abstract

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Summary: To understand how neural-immune-associated genes and pathways contribute to neurodegenerative disease pathophysiology, we performed a systematic functional genomic analysis in purified microglia and bulk tissue from mouse and human AD, FTD, and PSP. We uncover a complex temporal trajectory of microglial-immune pathways involving the type 1 interferon response associated with tau pathology in the early stages, followed by later signatures of partial immune suppression and, subsequently, the type 2 interferon response. We find that genetic risk for dementias shows disease-specific patterns of pathway enrichment. We identify drivers of two gene co-expression modules conserved from mouse to human, representing competing arms of microglial-immune activation (NAct) and suppression (NSupp) in neurodegeneration. We validate our findings by using chemogenetics, experimental perturbation data, and single-cell sequencing in post-mortem brains. Our results refine the understanding of stage- and disease-specific microglial responses, implicate microglial viral defense pathways in dementia pathophysiology, and highlight therapeutic windows.

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