Pierson Samantha R, Fiock Kimberly L, Wang Ruixiang, Balasubramanian Nagalakshmi, Reinhardt Jessica, Khan Kanza M, James Thomas D, Hunter Mikayla L, Cooper Benjamin J, Williamsen Hannah R, Betters Ryan, Deniz Kaancan, Lee Gloria, Aldridge Georgina, Hefti Marco M, Marcinkiewcz Catherine A
Department of Neuroscience and Pharmacology, University of Iowa, Iowa City, IA, 52242, USA.
Department of Pathology, University of Iowa, Iowa City, IA, 52242, USA.
Mol Psychiatry. 2025 Feb;30(2):532-546. doi: 10.1038/s41380-024-02664-9. Epub 2024 Aug 14.
Protein aggregation in brainstem nuclei is thought to occur in the early stages of Alzheimer's disease (AD), but its specific role in driving prodromal symptoms and disease progression is largely unknown. The dorsal raphe nucleus (DRN) contains a large population of serotonin (5-hydroxytryptamine; 5-HT) neurons that regulate mood, reward-related behavior, and sleep, which are all disrupted in AD. We report here that tau pathology is present in the DRN of individuals 25-80 years old without a known history of dementia, and its prevalence was comparable to the locus coeruleus (LC). By comparison, fewer cases were positive for other pathological proteins including α-synuclein, β-amyloid, and TDP-43. To evaluate how early tau pathology impacts behavior, we overexpressed human P301L-tau in the DRN of mice and observed depressive-like behaviors and hyperactivity without deficits in spatial memory. Tau pathology was predominantly found in neurons relative to glia and colocalized with a significant proportion of Tph2-expressing neurons in the DRN. 5-HT neurons were also hyperexcitable in P301L-tau mice, and there was an increase in the amplitude of excitatory post-synaptic currents (EPSCs). Moreover, astrocytic density was elevated in the DRN and accompanied by an increase in IL-1α and Frk expression, which suggests increased inflammatory signaling. Additionally, tau pathology was detected in axonal processes in the thalamus, hypothalamus, amygdala, and caudate putamen. A significant proportion of this tau pathology colocalized with the serotonin reuptake transporter (SERT), suggesting that tau may spread in an anterograde manner to regions outside the DRN. Together these results indicate that tau pathology accumulates in the DRN in a subset of individuals over 50 years and may lead to behavioral dysregulation, 5-HT neuronal dysfunction, and activation of local astrocytes which may be prodromal indicators of AD.
脑干核中的蛋白质聚集被认为发生在阿尔茨海默病(AD)的早期阶段,但其在引发前驱症状和疾病进展中的具体作用在很大程度上尚不清楚。中缝背核(DRN)包含大量血清素(5-羟色胺;5-HT)神经元,这些神经元调节情绪、奖赏相关行为和睡眠,而这些在AD中都会受到干扰。我们在此报告,在25至80岁且无已知痴呆病史的个体的DRN中存在tau病理,其患病率与蓝斑(LC)相当。相比之下,其他病理蛋白(包括α-突触核蛋白、β-淀粉样蛋白和TDP-43)呈阳性的病例较少。为了评估早期tau病理如何影响行为,我们在小鼠的DRN中过表达人P301L-tau,并观察到类似抑郁的行为和多动,而空间记忆无缺陷。相对于神经胶质细胞,tau病理主要在神经元中发现,并与DRN中相当比例的表达Tph2的神经元共定位。P301L-tau小鼠中的5-HT神经元也表现为过度兴奋,并且兴奋性突触后电流(EPSC)的幅度增加。此外,DRN中的星形胶质细胞密度升高,并伴有IL-1α和Frk表达增加,这表明炎症信号增强。此外,在丘脑、下丘脑、杏仁核和尾状壳核的轴突过程中检测到tau病理。这种tau病理的很大一部分与血清素再摄取转运体(SERT)共定位,表明tau可能以前向方式扩散到DRN以外的区域。这些结果共同表明,tau病理在50岁以上个体的DRN中积累,并可能导致行为失调、5-HT神经元功能障碍以及局部星形胶质细胞的激活,这可能是AD的前驱指标。
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