伴有tau病理改变的额颞叶痴呆中的胶质细胞反应性和T细胞浸润。

Glial reactivity and T cell infiltration in frontotemporal lobar degeneration with tau pathology.

作者信息

Hartnell Iain J, Woodhouse Declan, Jasper William, Mason Luke, Marwaha Pavan, Graffeuil Manon, Lau Laurie C, Norman Jeanette L, Chatelet David S, Buee Luc, Nicoll James A R, Blum David, Dorothee Guillaume, Boche Delphine

机构信息

Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK.

Clinical and Experimental Sciences, Faculty of Medicine, Sir Henry Wellcome Laboratories, University of Southampton, Southampton O16 6YD, UK.

出版信息

Brain. 2024 Feb 1;147(2):590-606. doi: 10.1093/brain/awad309.

Abstract

Frontotemporal lobar degeneration with tau (FTLD-tau) is a group of tauopathies that underlie ∼50% of FTLD cases. Identification of genetic risk variants related to innate/adaptive immunity have highlighted a role for neuroinflammation and neuroimmune interactions in FTLD. Studies have shown microglial and astrocyte activation together with T cell infiltration in the brain of THY-Tau22 tauopathy mice. However, this remains to be confirmed in FTLD-tau patients. We conducted a detailed post-mortem study of FTLD-tau cases including 45 progressive supranuclear palsy with clinical frontotemporal dementia, 33 Pick's disease, 12 FTLD-MAPT and 52 control brains to characterize the link between phosphorylated tau (pTau) epitopes and the innate and adaptive immunity. Tau pathology was assessed in the cerebral cortex using antibodies directed against: Tau-2 (phosphorylated and unphosphorylated tau), AT8 (pSer202/pThr205), AT100 (pThr212/pSer214), CP13 (pSer202), PHF1 (pSer396/pSer404), pThr181 and pSer356. The immunophenotypes of microglia and astrocytes were assessed with phenotypic markers (Iba1, CD68, HLA-DR, CD64, CD32a, CD16 for microglia and GFAP, EAAT2, glutamine synthetase and ALDH1L1 for astrocytes). The adaptive immune response was explored via CD4+ and CD8+ T cell quantification and the neuroinflammatory environment was investigated via the expression of 30 inflammatory-related proteins using V-Plex Meso Scale Discovery. As expected, all pTau markers were increased in FTLD-tau cases compared to controls. pSer356 expression was greatest in FTLD-MAPT cases versus controls (P < 0.0001), whereas the expression of other markers was highest in Pick's disease. Progressive supranuclear palsy with frontotemporal dementia consistently had a lower pTau protein load compared to Pick's disease across tau epitopes. The only microglial marker increased in FTLD-tau was CD16 (P = 0.0292) and specifically in FTLD-MAPT cases (P = 0.0150). However, several associations were detected between pTau epitopes and microglia, supporting an interplay between them. GFAP expression was increased in FTLD-tau (P = 0.0345) with the highest expression in Pick's disease (P = 0.0019), while ALDH1L1 was unchanged. Markers of astrocyte glutamate cycling function were reduced in FTLD-tau (P = 0.0075; Pick's disease: P < 0.0400) implying astrocyte reactivity associated with a decreased glutamate cycling activity, which was further associated with pTau expression. Of the inflammatory proteins assessed in the brain, five chemokines were upregulated in Pick's disease cases (P < 0.0400), consistent with the recruitment of CD4+ (P = 0.0109) and CD8+ (P = 0.0014) T cells. Of note, the CD8+ T cell infiltration was associated with pTau epitopes and microglial and astrocytic markers. Our results highlight that FTLD-tau is associated with astrocyte reactivity, remarkably little activation of microglia, but involvement of adaptive immunity in the form of chemokine-driven recruitment of T lymphocytes.

摘要

tau蛋白相关的额颞叶变性(FTLD-tau)是一组tau蛋白病,约占FTLD病例的50%。与先天性/适应性免疫相关的遗传风险变异的鉴定突出了神经炎症和神经免疫相互作用在FTLD中的作用。研究表明,在THY-Tau22 tau蛋白病小鼠的大脑中,小胶质细胞和星形胶质细胞激活以及T细胞浸润。然而,这在FTLD-tau患者中仍有待证实。我们对FTLD-tau病例进行了详细的尸检研究,包括45例伴有临床额颞叶痴呆的进行性核上性麻痹、33例Pick病、12例FTLD-MAPT和52个对照大脑,以表征磷酸化tau(pTau)表位与先天性和适应性免疫之间的联系。使用针对以下蛋白的抗体在大脑皮层中评估tau病理:Tau-2(磷酸化和未磷酸化的tau)、AT8(pSer202/pThr205)、AT100(pThr212/pSer214)、CP13(pSer202)、PHF1(pSer396/pSer404)、pThr181和pSer356。使用表型标志物(Iba1、CD68、HLA-DR、CD64、CD32a、CD16用于小胶质细胞,GFAP、EAAT2、谷氨酰胺合成酶和ALDH1L1用于星形胶质细胞)评估小胶质细胞和星形胶质细胞的免疫表型。通过CD4+和CD8+T细胞定量探索适应性免疫反应,并使用V-Plex Meso Scale Discovery通过30种炎症相关蛋白的表达研究神经炎症环境。正如预期的那样,与对照组相比,FTLD-tau病例中所有pTau标志物均增加。与对照组相比,pSer356在FTLD-MAPT病例中的表达最高(P < 0.0001),而其他标志物的表达在Pick病中最高。与Pick病相比,伴有额颞叶痴呆的进行性核上性麻痹在整个tau表位上的pTau蛋白负荷始终较低。FTLD-tau中唯一增加的小胶质细胞标志物是CD16(P = 0.0292),特别是在FTLD-MAPT病例中(P = 0.0150)。然而,在pTau表位和小胶质细胞之间检测到了几种关联,支持它们之间的相互作用。FTLD-tau中GFAP表达增加(P = 0.0345),在Pick病中表达最高(P = 0.0019),而ALDH1L1未改变。FTLD-tau中星形胶质细胞谷氨酸循环功能的标志物减少(P = 0.0075;Pick病:P < 0.0400),这意味着星形胶质细胞反应性与谷氨酸循环活性降低相关,这进一步与pTau表达相关。在大脑中评估的炎症蛋白中,五种趋化因子在Pick病病例中上调(P < 0.0400),这与CD4+(P = 0.0109)和CD8+(P = 0.0014)T细胞的募集一致。值得注意的是,CD8+T细胞浸润与pTau表位以及小胶质细胞和星形胶质细胞标志物相关。我们的结果强调,FTLD-tau与星形胶质细胞反应性相关,小胶质细胞激活非常少,但适应性免疫以趋化因子驱动的T淋巴细胞募集的形式参与其中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d455/10834257/9594490e5c32/awad309f1.jpg

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