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Updated: Sep 28, 2026

Cell-based Assay to Study Antibody-mediated Tau Clearance by Microglia
Published on: November 9, 2018
Pathological relationships between microglial cell activity and tau and amyloid beta protein in patients with
A Hayes1, U Thaker, T Iwatsubo
1Clinical Neuroscience Research Group, Department of Medicine, University of Manchester, Manchester, M13 9PT, UK.
Abstract:
The extent of microglial cell activation (microglial cell load) was estimated by image analysis of ferritin-immunostained sections of frontal cortex from 72 patients with pathologically confirmed Alzheimer's disease (AD), and correlated with the amount of pathological tau and amyloid beta protein (Abeta), as both Abeta(40) and Abeta(42) load, in adjacent sections of the same cases. Microglial cell load did not correlate with either Abeta(40) or Abeta(42) load but was significantly correlated with pathological tau load. Microglial cell load was unrelated to age at onset of disease or duration of illness. It is possible that because the presence of microglial cells predates that of pathological tau proteins within the cerebral cortex in AD, neurofibrillary damage to nerve cells may stem from the release of proinflammatory and other potentially neurotoxic molecules from microglial cells.
Insights
Microglial cell activation in Alzheimer's disease (AD) correlates with pathological tau, not amyloid beta. This suggests that microglial cells may contribute to neurofibrillary damage in AD by releasing toxic molecules.
Area of Science:
- Neuroscience
- Neuropathology
- Immunology
Background:
- Alzheimer's disease (AD) is characterized by the accumulation of amyloid beta (Abeta) and tau proteins.
- Microglial cells are the primary immune cells in the brain and their activation is observed in AD.
- The precise role of microglial activation in AD pathogenesis remains incompletely understood.
Purpose of the Study:
- To investigate the correlation between microglial cell activation and the load of pathological tau and Abeta proteins in Alzheimer's disease.
- To determine if microglial cell load is associated with clinical parameters like age at onset or disease duration.
Main Methods:
- Image analysis of ferritin-immunostained frontal cortex sections from 72 Alzheimer's disease patients.
- Quantification of microglial cell load.
- Correlation analysis with pathological tau and Abeta (Abeta40, Abeta42) load in adjacent sections.
Main Results:
- Microglial cell load did not correlate with Abeta40 or Abeta42 load.
- Microglial cell load was significantly correlated with pathological tau load.
- Microglial cell load was unrelated to age at onset or duration of illness.
Conclusions:
- Microglial activation in Alzheimer's disease is linked to pathological tau accumulation, not amyloid beta.
- The findings suggest that microglial cells may precede tau pathology and contribute to neurofibrillary damage through the release of inflammatory molecules.
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