High-Dimensional Single-Cell Analysis Reveals Coordinated Age-Dependent Neuroinflammatory Microglia-T cell Circuits
Md Akkas Ali1, Md Hasanul Banna Siam1, Donald Vardaman1
1Department of Pathology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35205, USA.
Biorxiv : the Preprint Server for Biology
|December 22, 2025
Summary
Aging brains show increased pro-inflammatory microglia and cytotoxic CD8+ T cells, driving neuroinflammation in vascular dementia (VaD). Targeting these immune cells may offer new therapeutic strategies for brain aging and VaD.
Area of Science:
- Neuroimmunology
- Brain Aging
- Vascular Dementia
Background:
- Aging and cerebrovascular pathology contribute to neuroinflammation in vascular dementia (VaD).
- The precise immune mechanisms driving this interplay are not fully understood.
Purpose of the Study:
- To construct a comprehensive brain immune cell atlas in a mouse model of VaD.
- To investigate age-related changes in immune cell populations and their functional states in the brain.
Main Methods:
- Multi-modal high-dimensional imaging, flow cytometry, and split-pool ligation transcriptomic sequencing were employed.
- Microglia, T cells, macrophages, neutrophils, and B cells were profiled across young and aged mice in health and disease.
- Integration of transcriptomics, cell-cell communication, and multiplex imaging was performed.
Main Results:
- A depletion of Ccr7+ naïve T cells and an expansion of Gzmk+ cytotoxic CD8+ effector memory T cells (TEM) were observed in the aging brain.
- Microglia exhibited a pro-inflammatory shift with enhanced MHC-I to TCR and CD86 to CD28 co-stimulation.
- Strongest signals originated from activated microglia to Gzmk+ CD8+ TEM cells, suggesting microglia sustain T cell activation in aging brains.
Conclusions:
- Pro-inflammatory microglia and Gzmk+ CD8+ TEM cells are key drivers of immune brain aging and neuroinflammation in VaD.
- Age-related microglial polarization may perpetuate cytotoxic T cell activity.
- Disrupting these age-related neuroinflammatory cascades presents a potential therapeutic avenue for VaD.


