Cell autonomous microglia defects in a stem cell model of frontotemporal dementia tau

Abhirami K Iyer1, Lisa Vermunt2, Farzaneh S Mirfakhar1

  • 1Department of Psychiatry, Washington University in St Louis, St Louis, MO, USA.

Molecular Psychiatry
|June 17, 2025
PubMed

Insights

Tau mutations directly impair microglia function, affecting neuronal health in tauopathies. This study reveals cell-intrinsic microglial defects and their impact on neurons, offering new therapeutic targets.

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Neuronal dysfunction is a hallmark of neurodegenerative tauopathies.
  • Immune cells, particularly microglia, are increasingly recognized for their active role in disease progression across neurodegenerative conditions.

Purpose of the Study:

  • To investigate the expression and functional impact of tau in microglia.
  • To determine if tau mutations cause cell-intrinsic microglial dysfunction and affect neuronal health.

Main Methods:

  • Analysis of MAPT mRNA and tau protein expression in human brain microglia and induced pluripotent stem cell-derived microglia-like cells (iMGLs).
  • Utilizing iMGLs with a specific MAPT mutation (IVS10+16) and isogenic controls to assess microglial transcriptional states and function.
  • Assessing cytoskeletal integrity, phagocytosis, TREM2/TYROBP network activity, and metabolism in mutant microglia.
  • Evaluating the impact of iMGL secretory factors on neuronal health and synaptic density.
  • Correlating in vitro findings with human brain tissue and cerebrospinal fluid from MAPT mutation carriers.

Main Results:

  • MAPT mRNA and tau protein are expressed in human microglia and iMGLs.
  • The MAPT IVS10+16 mutation induces distinct transcriptional states and cell-intrinsic dysfunction in microglia, including cytoskeletal abnormalities, impaired phagocytosis, disrupted TREM2/TYROBP networks, and altered metabolism.
  • Secretory factors from mutant microglia negatively impact neuronal health, reducing synaptic density.
  • In vitro findings were mirrored in human samples from MAPT mutation carriers.

Conclusions:

  • Tau mutations directly drive cell-intrinsic dysfunction in microglia.
  • Microglial dysfunction originating from tau mutations contributes to neuronal pathology in tauopathies.
  • These findings highlight microglia as a critical cellular target for developing novel tauopathy therapeutics.

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