Untangling the relationship between microglia and tau in Alzheimer's disease

Samantha M Rossano1, William Charles Kreisl1

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

Trends in Neurosciences
|October 22, 2021
PubMed

Insights

Microglial activation, or microgliosis, mirrors the spread of tau pathology in Alzheimer's disease (AD) following a Braak-like anatomical pattern. This suggests a strong link between microglial response and the progression of neurofibrillary tangles in AD.

Area of Science:

  • Neuroscience
  • Neuropathology
  • Alzheimer's Disease Research

Background:

  • Alzheimer's disease (AD) is characterized by the progressive spread of tau pathology.
  • The anatomical progression of tau pathology is often described by Braak staging.
  • The role of neuroinflammation, specifically microglial activation, in AD pathogenesis is an area of active investigation.

Purpose of the Study:

  • To investigate the spatial relationship between microgliosis and tau deposition in Alzheimer's disease.
  • To determine if microglial activation follows a similar anatomical pattern to tau progression (Braak stages).

Main Methods:

  • Utilized autopsy and advanced imaging studies to assess tau distribution and microglial markers.
  • Correlated the patterns of tau pathology with the presence and distribution of activated microglia across different brain regions.

Main Results:

  • Observed a distinct pattern of tau pathology consistent with Braak staging across autopsy and imaging data.
  • Demonstrated that microgliosis colocalizes with tau pathology in a Braak-like anatomical sequence.
  • Found significant overlap between regions with high tau burden and areas of intense microglial activation.

Conclusions:

  • Microglial activation in Alzheimer's disease is not random but follows a predictable anatomical spread mirroring tau pathology.
  • These findings support the hypothesis that microglial activation is intrinsically linked to the propagation and spread of tau tangles.
  • Microglia may play a crucial role in the anatomical dissemination of Alzheimer's disease pathology.