Tau activation of microglial cGAS–IFN reduces MEF2C-mediated cognitive resilience

Apr 2023

Pathological hallmarks of Alzheimer’s disease (AD) precede clinical symptoms by years, indicating a period of cognitive resilience before the onset of dementia. Here, we report that activation of cyclic GMP–AMP synthase (cGAS) diminishes cognitive resilience by decreasing the neuronal transcriptional network of myocyte enhancer factor 2c (MEF2C) through type I interferon (IFN-I) signaling. Pathogenic tau activates cGAS and IFN-I responses in microglia, in part mediated by cytosolic leakage of mitochondrial DNA. Genetic ablation of Cgas in mice with tauopathy diminished the microglial IFN-I response, preserved synapse integrity and plasticity and protected against cognitive impairment without affecting the pathogenic tau load. cGAS ablation increased, while activation of IFN-I decreased, the neuronal MEF2C expression network linked to cognitive resilience in AD. Pharmacological inhibition of cGAS in mice with tauopathy enhanced the neuronal MEF2C transcriptional network and restored synaptic integrity, plasticity and memory, supporting the therapeutic potential of targeting the cGAS–IFN–MEF2C axis to improve resilience against AD-related pathological insults.

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Tau activation of microglial cGAS–IFN reduces MEF2C-mediated cognitive resilience

nature neuroscience Article https://doi.org/10.1038/s41593-023-01315-6 Tau activation of microglial cGAS–IFN reduces MEF2C-mediated cognitive resilience Received: 17 May 2022 Accepted: 20 March 2023 Published online: xx xx xxxx Check for updates Joe C. Udeochu1,8, Sadaf Amin 1,8 , Yige Huang 1,8, Li Fan 1, Eileen Ruth S. Torres1, Gillian K. Carling 1, Bangyan Liu1, Hugo McGurran2, Guillermo Coronas-Samano 1, Grant Kauwe3, Gergey Alzaem Mousa1, Man Ying Wong1, Pearly Ye1, Ravi Kumar Nagiri 1, Iris Lo2, Julia Holtzman2, Carlo Corona4, Allan Yarahmady5, Michael T. Gill2, Ravikiran M. Raju6,7, Sue-Ann Mok 5, Shiaoching Gong1, Wenjie Luo 1, Mingrui Zhao1, Tara E. Tracy 3, Rajiv R. Ratan4, Li-Huei Tsai 6, Subhash C. Sinha1 & Li Gan 1 Pathological hallmarks of Alzheimer’s disease (AD) precede clinical symptoms by years, indicating a period of cognitive resilience before the onset of dementia. Here, we report that activation of cyclic GMP–AMP synthase (cGAS) diminishes cognitive resilience by decreasing the neuronal transcriptional network of myocyte enhancer factor 2c (MEF2C) through type I interferon (IFN-I) signaling. Pathogenic tau activates cGAS and IFN-I responses in microglia, in part mediated by cytosolic leakage of mitochondrial DNA. Genetic ablation of Cgas in mice with tauopathy diminished the microglial IFN-I response, preserved synapse integrity and plasticity and protected against cognitive impairment without affecting the pathogenic tau load. cGAS ablation increased, while activation of IFN-I decreased, the neuronal MEF2C expression network linked to cognitive resilience in AD. Pharmacological inhibition of cGAS in mice with tauopathy enhanced the neuronal MEF2C transcriptional network and restored synaptic integrity, plasticity and memory, supporting the therapeutic potential of targeting the cGAS–IFN– MEF2C axis to improve resilience against AD-related pathological insults. Alzheimer’s disease (AD) is the most common late-onset dementia. A long preclinical asymptomatic period with increasing deposition of amyloid-β plaques and tau aggregates transforms to a symptomatic phase with cognitive decline1–3. While the transition is poorly understood, it coincides with alterations in innate immune responses, vasculature and metabolism3. Susceptibility to sporadic late-onset AD is linked to single-nucleotide polymorphisms in innate immune genes4,5, suggesting that maladaptive innate immune responses underlie the cognitive decline. Antiviral response pathways are upregulated in AD and regulate microglial disease responses, including immune activation/suppression and synaptic pruning in aging and neurodegenerative diseases6–9. Helen and Robert Appel Alzheimer’s Disease Research Institute, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, NY, USA. The Gladstone Institute of Neurological Disease, San Francisco, CA, USA. 3Buck Institute for Research on Aging, Novato, CA, USA. 4Burke Neurological Institute at Weill Cornell Medicine, White Plains, NY, USA. 5Department of Biochemistry, University of Alberta, Edmonton, Alberta, Canada. 6The Picower Institute of Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA. 7Division of Newborn Medicine, Boston Children’s Hospital, Boston, MA, USA. 8These authors contributed equally: Joe C. Udeochu, Sadaf Amin, Yige Huang. e-mail: ; 1 2 Nature Neuroscience Article https://doi.org/10.1038/s41593-023-01315-6 a b Hallmark pathway enrichment: P301S versus Ntg P301S versus Ntg 10.0 Irf7 Mx1 5.0 Irf9 Stat1 Ifi44 Ifit3 Stat2 0 –5 0 IFNγ response IFNα response Allograft rejection Inflammatory response TNF-α signaling via NF-κB IL-6−JAK−STAT3 signaling Complement KRAS signaling up Apoptosis IL-2−STAT5 signaling 0 5 Increased measurement Predicted activation CGAS STAT1 TNF STAT3 STAT2 IRF9 IRF1 IRF7 NF-κB1 20 STTTCRNTTT IRF Q6 RYTTCCTG ETS2 B ISRE 01 IRF Q6 ICSBP Q6 RGAGGAARY PU1 Q6 IRF7 01 IRF1 01 NFKAP PAB 01 NF-κB Q6 40 21/191 43/1,109 22/251 21/243 21/252 25/508 18/256 17/255 16/254 16/256 0 60 5 –log10 (FDR) log2 (FC) d 57/200 35/97 43/200 34/200 31/200 19/87 22/200 19/200 16/161 17/199 TF enrichment: P301S versus Ntg f e Ntg P301S 75 kDa pTBK1 75 kDa TBK1 37 kDa GAPDH pTBK1 1.5 ** 1.0 0.5 0 Ntg g IFNβ1 IBA1 IFNαR IFNα STING i Merged h * 30 P301S Percent area Ntg P301S Ntg * 20 10 0 IBA1 IBA1−STING overlap Non-AD P301S AD (Braak stage 0) (Braak stage 6) 75 kDa pTBK1 37 kDa GAPDH j pTBK1 relative values (pTBK1/GAPDH) IL-10 10 –log10 (FDR) Relative values (pTBK1/TBK1) –log10 (FDR) Cxcl10 c 50 ** 40 30 20 10 0 Braak 0 Braak 6 Fig. 1 | The cGAS–STING pathway is activated in the hippocampi of mice with tauopathy and in human AD brains. a, Volcano plot of RNA-seq data from bulk hippocampal tissue from 8- to 9-month-old P301S transgenic and non-transgenic mice (Wald test). Red and blue dots represent genes with a log2 FC (fold change) of > 0.5 and < −0.5, respectively. All other genes are colored gray. Selected upregulated IFN genes are labeled; n = 7 non-transgenic mice and n = 6 P301S transgenic mice; FDR, false discovery rate; Ntg, non-transgenic; FC, fold change. b, Gene set enrichment analysis showing hallmark pathways associated with the top 500 DEGs upregulated in P301S transgenic samples compared to in non-transgenic samples. c, Gene set enrichment analysis showing the top TFs associated with the top 500 DEGs upregulated in P301S transgenic samples compared to in non-transgenic samples. d, IPA prediction of cGAS as an upstream regulator of upregulated DEGs identified using an activation z score of >1 and a P value overlap of <0.05. e, Western blots for pTBK1, total TBK1 and GAPDH using hippocampal tissue lysates. Lanes 1–7: Ntg. Lanes 8–14: P301S transgenic. f, Ratio of pTBK1 to TBK1 from e showing significantly higher pTBK1 in P301S transgenic hippocampi than in non-transgenic hippocampi. Data are reported as mean ± s.e.m.; n = 7 animals per genotype; **P = 0.0015 two-tailed unpaired t-test. g, Representative immunofluorescence images of non-transgenic and P301S trasgenic hippocampi labeled with anti-IBA1 (green) and anti-STING (red); scale bar, 50 µm. h, Quantification of IBA1 and STING immunofluorescence intensities, showing increased IBA1 coverage and IBA1–STING overlap in P301S transgenic hippocampi. Results are presented as average intensity measurements from three to four sections per animal. Data are reported as mean ± s.e.m.; Ntg, n = 5; P301S, n = 5. IBA1: *P = 0.0498; IBA1–STING overlap: *P = 0.0497. Data were analyzed by two-tailed unpaired t-test. i, Representative western blots for pTBK1 and GAPDH using human frontal cortex brain lysates. Lanes 1–3: non-AD (Braak stage 0). Lanes 4–6: AD (Braak stage 6). j, Ratio of pTBK1 to GAPDH from i showing significantly higher pTBK1 in AD brains than in non-AD brains. Data are reported as (...truncated)


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Udeochu, Joe C., Amin, Sadaf, Huang, Yige, Fan, Li, Torres, Eileen Ruth S., Carling, Gillian K., Liu, Bangyan, McGurran, Hugo, Coronas-Samano, Guillermo, Kauwe, Grant, Mousa, Gergey Alzaem, Wong, Man Ying, Ye, Pearly, Nagiri, Ravi Kumar, Lo, Iris, Holtzman, Julia, Corona, Carlo, Yarahmady, Allan, Gill, Michael T., Raju, Ravikiran M., Mok, Sue-Ann, Gong, Shiaoching, Luo, Wenjie, Zhao, Mingrui, Tracy, Tara E., Ratan, Rajiv R., Tsai, Li-Huei, Sinha, Subhash C., Gan, Li. Tau activation of microglial cGAS–IFN reduces MEF2C-mediated cognitive resilience, DOI: 10.1038/s41593-023-01315-6