[PDF][PDF] Tau pathology drives dementia risk-associated gene networks toward chronic inflammatory states and immunosuppression

JE Rexach, D Polioudakis, A Yin, V Swarup, TS Chang… - Cell reports, 2020 - cell.com
JE Rexach, D Polioudakis, A Yin, V Swarup, TS Chang, T Nguyen, A Sarkar, L Chen…
Cell reports, 2020cell.com
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 …
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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