Abstract

AbstractBackgroundMisfolded tau and amyloid, the hallmark pathologies of Alzheimer’s disease, undergo “prion‐like” trans‐synaptic transmission along the brain’s anatomic connectivity network (Frost, et al,2010). Our lab has previously shown that Alzheimer’s neuropathology progression is well‐approximated by a network diffusion model (NDM) (Raj, et al,2012). However, other processes in the brain may affect the neuropathology progression by mediating intraregional clearance/amplification and interregional spread. For instance, microglial activation is a common pathological feature of Alzheimer’s disease, with TREM2‐expressing microglia being integral to the inflammatory response. We show here that the NDM can be extended to include effects of microglial mediation of pathology.MethodWe modified the NDM to an extended NDM (eNDM) with additional model parameters related to microglia‐mediated spread/clearance and applied it to the 426×426 region mouse connectome. The eNDM included datasets of longitudinal spatiotemporal tau pathology in PS19 mice, expression levels of five microglial homeostatic signature genes (Cx3Cr1, C1qa, P2ry12, Fcrls, Olfml3) as well as TREM2 and CD33, microglial surface‐markers and phagocytosis regulators (Li, et al,2018). We compared the fits of the NDM to those of the eNDM using each gene individually as well as the first two principal components of spatial gene expression (Lein, et al,2007) after optimizing model parameters using a constrained nonlinear optimization algorithm.ResultsInclusion of microglial gene expression improved the predictive power of the model beyond that of the NDM (R2=0.46). Using the principal components of gene expression generally provided better model fits than individual genes. Notably, exclusion of TREM2 before performing PCA had a significant effect on model fit (p<0.001, R2=0.5) (Table 1, Figure 1), increasing the values of the optimal diffusion and spread parameters.ConclusionAlthough network spread models capture well the spread of pathology between brain regions, there are other factors that mediate this process. We demonstrated that an eNDM with microglial genes had an improved model fit even after accounting for differences in model parsimony. We also showed that exclusion of TREM2 from the model resulted in higher diffusivity parameter values, thus supporting the biological observation of TREM2‐knockout resulting in increased spread of pathology, putatively by affecting microglial phagocytic potential (Griciuc, et al, 2019).

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