Microglial activation, but not tau pathology, is independently associated with amyloid positivity and memory

James Zou1, Sha Tao2, Aubrey Johnson1

  • 1Taub Institute, Columbia University Irving Medical Center, New York, NY, USA.

Neurobiology of Aging
|November 8, 2019
PubMed

Insights

Amyloid accumulation is linked to microglial activation and tau pathology in older adults. In cognitively unimpaired individuals, amyloid positively correlates more with microglial activation than tau pathology.

Area of Science:

  • Neuroscience
  • Neuropathology
  • Radiochemistry

Background:

  • Amyloid-beta plaques and tau tangles are key hallmarks of Alzheimer's disease.
  • Microglial activation is an early inflammatory response in neurodegenerative diseases.
  • Understanding the interplay between amyloid, tau, and neuroinflammation is crucial for early diagnosis and treatment.

Purpose of the Study:

  • To investigate the independent relationships between amyloid accumulation, cognitive status, microglial activation, and tau pathology.
  • To determine if amyloid and cognitive impairment have distinct associations with neuroinflammation and tau burden.
  • To explore the regional differences in these associations.

Main Methods:

  • Utilized positron emission tomography (PET) with radioligands targeting amyloid (18F-florbetaben), microglial activation (11C-PBR28), and tau pathology (18F-MK-6240).
  • Stratified 58 older adults based on amyloid PET status and cognitive function (neuropsychological testing and clinical history).
  • Analyzed the association between amyloid/cognitive status and PET-derived binding of 11C-PBR28 and 18F-MK-6240.

Main Results:

  • Both amyloid positivity and cognitive impairment were associated with increased microglial activation and tau pathology.
  • Amyloid positivity showed a stronger association with microglial activation in neocortical regions compared to tau pathology.
  • An interaction between amyloid and cognitive status was observed for tau pathology but not for microglial activation.

Conclusions:

  • Amyloid deposition is associated with both microglial activation and tau pathology.
  • In cognitively unimpaired individuals, amyloid accumulation is more closely linked to microglial activation than to tau pathology.
  • These findings highlight the differential roles of amyloid in initiating neuroinflammation and subsequent tau spread.

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