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Transcriptional signatures of hippocampal tau pathology in primary age-related tauopathy and Alzheimer’s disease

Genevieve Stein-O’Brien, Ryan G. Palaganas, E. Michael Meyer, Javier Redding‐Ochoa, Olga Pletnikova, Haidan Guo, William R. Bell, Juan C. Troncoso, Richard L. Huganir, Meaghan Morris

2025Cell Reports14 citationsDOIOpen Access PDF

Abstract

In primary age-related tauopathy (PART) and Alzheimer's disease (AD), tau aggregates share a similar structure and anatomic distribution, which is distinct from tau pathology in other diseases. However, transcriptional similarities between PART and AD and gene expression changes within tau-pathology-bearing neurons are largely unknown. Using GeoMx spatial transcriptomics, mRNA was quantified in hippocampal neurons with and without tau pathology in PART and AD. Synaptic genes were down-regulated in disease overall but up-regulated in tau-pathology-positive neurons. Two transcriptional signatures were associated with intraneuronal tau, both validated in a cortical AD dataset. Genes in the up-regulated signature were enriched in calcium regulation and synaptic function. Notably, transcriptional changes associated with intraneuronal tau in PART and AD were similar, suggesting a possible mechanistic relationship. These findings highlight the power of molecular analysis stratified by pathology and provide insight into common pathways associated with tau pathology in PART and AD.

Topics & Concepts

TauopathyHippocampal formationDiseaseNeuroscienceTau pathologyPathologyAlzheimer's diseaseHippocampusBiologyMedicineDementiaNeurodegenerationAlzheimer's disease research and treatmentsNeurological Disease Mechanisms and TreatmentsDementia and Cognitive Impairment Research
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