APOE ε4 associates with microglial activation independently of Aβ plaques and tau tangles

Author:

Ferrari-Souza João Pedro12ORCID,Lussier Firoza Z.13ORCID,Leffa Douglas T.14ORCID,Therriault Joseph3ORCID,Tissot Cécile13ORCID,Bellaver Bruna12ORCID,Ferreira Pâmela C. L.1ORCID,Malpetti Maura5ORCID,Wang Yi-Ting3,Povala Guilherme12ORCID,Benedet Andréa L.36ORCID,Ashton Nicholas J.678,Chamoun Mira3ORCID,Servaes Stijn3ORCID,Bezgin Gleb39,Kang Min Su31011ORCID,Stevenson Jenna3,Rahmouni Nesrine3,Pallen Vanessa3,Poltronetti Nina Margherita3,O’Brien John T.512ORCID,Rowe James B.513ORCID,Cohen Ann D.1,Lopez Oscar L.14ORCID,Tudorascu Dana L.1,Karikari Thomas K.1615ORCID,Klunk William E.1,Villemagne Victor L.1,Soucy Jean-Paul9,Gauthier Serge3,Souza Diogo O.2,Zetterberg Henrik615161718ORCID,Blennow Kaj615ORCID,Zimmer Eduardo R.21920ORCID,Rosa-Neto Pedro3ORCID,Pascoal Tharick A.114ORCID

Affiliation:

1. Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.

2. Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

3. Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer’s Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal; Department of Neurology and Neurosurgery, Psychiatry and Pharmacology and Therapeutics, McGill University, Montreal, QC, Canada.

4. ADHD Outpatient Program and Development Psychiatry Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.

5. Department of Clinical Neurosciences, Cambridge University Hospitals NHS Trust, University of Cambridge, Cambridge, UK.

6. Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.

7. Centre for Age-Related Medicine, Stavanger University Hospital, Stavanger, Norway.

8. Department of Old Age Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK.

9. Montreal Neurological Institute, McGill University, Montreal, QC, Canada.

10. Artificial Intelligence and Computational Neurosciences lab, Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada.

11. LC Campbell Cognitive Neurology Unit, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada.

12. Department of Psychiatry, University of Cambridge, Cambridge, UK.

13. MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.

14. Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA.

15. Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Gothenburg, Sweden.

16. Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, London, UK.

17. UK Dementia Research Institute at UCL, London, UK.

18. Hong Kong Center for Neurodegenerative Diseases, Hong Kong, China.

19. Department of Pharmacology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

20. Graduate Program in Biological Sciences: Pharmacology and Therapeuctis, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Abstract

Animal studies suggest that the apolipoprotein E ε4 ( APOE ε4) allele is a culprit of early microglial activation in Alzheimer’s disease (AD). Here, we tested the association between APOE ε4 status and microglial activation in living individuals across the aging and AD spectrum. We studied 118 individuals with positron emission tomography for amyloid-β (Aβ; [ 18 F]AZD4694), tau ([ 18 F]MK6240), and microglial activation ([ 11 C]PBR28). We found that APOE ε4 carriers presented increased microglial activation relative to noncarriers in early Braak stage regions within the medial temporal cortex accounting for Aβ and tau deposition. Furthermore, microglial activation mediated the Aβ-independent effects of APOE ε4 on tau accumulation, which was further associated with neurodegeneration and clinical impairment. The physiological distribution of APOE mRNA expression predicted the patterns of APOE ε4-related microglial activation in our population, suggesting that APOE gene expression may regulate the local vulnerability to neuroinflammation. Our results support that the APOE ε4 genotype exerts Aβ-independent effects on AD pathogenesis by activating microglia in brain regions associated with early tau deposition.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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