Introduction
Alzheimer’s disease (AD) is a progressive, neurodegenerative disorder that develops over decades. The main characteristics of AD include amyloid-beta (Aβ) plaques, neurofibrillary tangles (NFT) consisting of aggregated tau, and widespread neuroinflammation [
58]. However, the exact cellular and molecular mechanisms behind the propagation of AD pathology remain unclear.
Tau is a microtubule-associated protein that is predominantly expressed in neurons [
4]. Under physiological conditions, tau is mostly localized to the axons where it promotes the assembly and stability of microtubules [
21]. In AD and other tauopathies, hyperphosphorylation of tau induces its dissociation from microtubules [
59]. Furthermore, hyperphosphorylated tau exhibits a high tendency to aggregate, forming the core of paired helical filaments (PHF) and subsequently, neuro fibrillary tangles (NFTs) [
2,
26,
42]. In AD, neurofibrillar pathology appears initially in the transentorhinal region of the temporal lobe and propagates sequentially to involve the hippocampus and subsequently also the frontal, parietal, and occipital lobes [
6]. Misfolded tau aggregates are known to recruit normal tau in a “prion-like” mechanism called seeding. Tau seeds have been reported in several neurodegenerative diseases, but also at lower levels in non-diseased controls [
6,
10,
33,
38].
Astrocytes, the most numerous glial cell type in the brain, play a pivotal regulatory role in synaptic functioning and tissue homeostasis [
56]. In addition, astrocytes are highly involved in neuroinflammation and interact extensively with all cell types in the central nervous system (CNS) [
36]. Although they have none or very low endogenous expression of tau, inclusions of hyperphosphorylated tau appear frequently in astrocytes in AD and other tauopathies [
43,
46]. Astrocytes have been shown to take up tau fibrils from the extracellular space, as well as through phagocytosis of tau-burdened dystrophic neurites, synapses or whole dead neurons [
29,
40,
41,
53]. As a result, they undergo transformation from a homeostatic state towards a reactive state, which enhances their phagocytic behavior but hampers their neurotrophic functions [
24,
45,
55]. We have previously shown that human astrocytes heavily modify ingested synthetic tau fibrils [
41]. The astrocyte-modified tau fibrils have an exceptional seeding efficiency and are readily spread to neighboring astrocytes [
41]. Nevertheless, synthetic tau fibrils display substantial biochemical and structural differences compared to in vivo formed fibrils [
19,
54,
66]. Thus, the aim of the present study was to explore astrocytic processing and spreading of pathological tau aggregates by exposing iPSC-derived astrocytes to human brain-derived tau fibrils, as these constitute a more physiologically relevant tau proteoform.
Materials and methods
Culture of human iPSC-derived astrocytes
Human induced pluripotent stem cell (iPSC)-derived neuroepithelial stem (NES) cells (iPSCs, Cntrl9 II cell line) were differentiated into astrocytes following a well-established 28-day protocol with some minor changes [
18,
37]. First, NES cells were cultured in cell culture flasks (Sarstedt) pre-coated with 100 µg/ml poly-L-ornithine (Sigma, P3655) and 50 µg/ml laminin (Sigma, L2020). Astrocyte differentiation medium consisted of advanced DMEM/F-12 (Thermo Fisher, 12634-010) supplemented with 1% penicillin-streptomycin (Thermo Fisher, 15140-122), 1% L-glutamine (Thermo Fisher, 25030-024), 1x non-essential amino acids (Thermo Fisher, 11,140,050), 1x B27 (Thermo Fisher, 11,530,536), 200 ng/ml IGF-1 (Sigma, SRP3069), 10 ng/ml heregulin beta-1 (Sigma, SRP3055), 10 ng/ml activin A (Peprotech, 120-14E) and 8 ng/ml bFGF (Thermo Fisher, 13,256,029). From day 15, 20 ng/ml of CNTF (Thermo Fisher, PHC7015) was also included. Culture medium was changed every other day until day 28. For experiments, fully differentiated astrocytes were detached using 4% trypsin-EDTA (Thermo Scientific, 10,779,413) and seeded at 5 000 cells/cm
2.
Culture of human iPSC-derived neurons
Human neurons were produced using the same NES cell line as astrocytes (iPSCs, Cntrl9 II) [
8,
31]. The NES cells were seeded at a density of 40 000 cells/cm
2 in cell culture flasks (Sarstedt) precoated with 100 µg/ml poly-L-ornithine (Sigma, P3655) and 50 µg/ml laminin (Sigma, L2020). Initially the cells were cultured in neuronal differentiation medium consisting of DMEM/F12 + Glutamax (Fisher Scientific, 31,331,028) supplemented with 1% N2 (Fisher Scientific, 11,520,536), 1% penicillin–streptomycin (Thermo Fisher, 11,548,876) and 1x B27 (Thermo Fisher, 17,504,044), with total medium change every day. At day five of differentiation, cells were detached from culture flasks using 1x TrypLE (Thermo Fisher, 12,563,029) and re-plated at a density of 20 000 cells/cm
2 in 12-well culture plates (for immunocytochemistry) and at 60 000 cells/cm
2 in 96-well culture plates (for the ATP assay). All plates were precoated with 100 µg/ml poly-L-ornithine (Sigma, P3655) and 250 µg/ml laminin (Sigma, L2020). For the following five days, cells were cultured in neuronal differentiation medium, with only half of the medium being replaced every other day. Thereafter, and until day 28 of differentiation, half of the medium was changed every other day with a 1:1 mixture of neuronal differentiation medium and complete neurobasal medium consisting of neurobasal medium (Thermo Fisher, 21,103,049), supplemented with 1% penicillin–streptomycin (Thermo Fisher, 11,548,876), 1x B27 (Thermo Fisher, 17,504,044) and 1x GlutaMAX (Thermo Fisher, 35,050,038).
Brain tissue (400 mg) was obtained from parietal and temporal lobes of three AD patients and two controls. Tau fibrils were extracted as described by Fitzpatrick et al. with some minor modifications [
19]. In short, tissue samples were homogenized in extraction buffer at 1:10 weight-to-volume ratio using Precellys® Evolution (Bertin Technologies, France). The extraction buffer consisted of 10 mM Tris-HCL, 0.8 M NaCl, 10% sucrose and 1 mM EGTA, all dissolved in Milli-Q (MQ) water, with pH correction to 7.5. Homogenates were subsequently supplemented with 2% Sarkosyl and incubated on mild shake at 37 °C for 30 min. Then, the samples were centrifuged for 10 min at 7000 g. Supernatants were collected and ultracentrifuged at 100 000 g for 60 min using a Hitachi CS150NX ultracentrifuge with a S50ST rotor. All centrifugations were performed at 4 °C. Pellets were resuspended in phosphate-buffered saline (PBS) at a concentration of 5 g starting tissue/ml. Extracted fibrils were then sonicated at 40% amplitude, 1 s on/off for a total of 1 min, and stored at -70 °C until use.
Western blot analysis
Brain tissue extracts were denatured by incubating 5 µl of each sample with 10 µl NuPAGE™ LDS Sample Buffer (4X) (Invitrogen, NP0007), 4 µl 10X Bolt™ Sample Reducing Agent (Invitrogen, B00009) and 21 µl MQ water at 95 °C for 5 min. Samples were then loaded on 4–12% Bolt™ Bis-Tris Plus protein gels (Invitrogen, NW04125BOX), along with 5 µl PageRuler™ Plus Prestained Protein Ladder (Thermo Fisher, 26,619). The gels were run in MES SDS running buffer (Thermo Fisher, B0002) at 200 V for 15 min. Transfer from gels to PVDF membranes (Thermo Fisher, LC2005) was performed with a Power Plotter System (Thermo Fisher, PB0012) using the recommended settings for mixed range molecular weight (25 V, 1.3 A, for 7 min). The total protein concentration in each lane was quantified using the No-Stain Protein Labeling Reagent (Thermo Fisher, A44449) according to the manufacturer’s instructions. Signal intensities were measured using BIO-RAD ChemiDoc XRS. Blocking was performed by incubation in 5% Bovine Serum Albumin (BSA) in 0.1% Tris buffered saline-Tween 20 (TBS-T) at room temperature (RT) for 1 h and the membrane was then incubated overnight at 4 °C with primary antibodies. The following primary antibodies were used: Tau-5 (Invitrogen, AHB0042) to measure total tau, AT8 (Invitrogen, MN1020) to measure phosphorylated tau (pTau) at Ser202 and Thr205, Anti-tau (4-repeat isoform RD4) antibody (Sigma, 05-804) to measure 4R-tau, and Anti-Tau (3-repeat isoform RD3) antibody (Sigma, 05-803) to measure 3R-tau. All primary antibodies were diluted in 5% BSA in 0.1% TBS-T. Following washing, the membranes was incubated with secondary antibodies for 1 h at room temperature. The following secondary antibodies were used: goat anti-rabbit Dylight 680 (Invitrogen, 35,568), goat anti-mouse Dylight 800 (Invitrogen, SA5-35521) and goat anti-mouse IgG poly-HRP (Invitrogen, 32,230). All secondary antibodies were diluted in 5% BSA in 0.1% TBS-T. Enhanced chemiluminescence (ECL) signal was developed using Amersham ECL Prime Western Blotting Detection Reagent (Cytiva, RPN2232) according to manufacturer’s instructions. Flourescence and ECL signals were analyzed using SA Odyssey (LI-COR) and BIO-RAD ChemiDoc XRS, respectively. Signal intensity was measured using the ImageStudio (LI-COR) or ImageLab (BIO-RAD) softwares and normalized against the total protein blot.
Transmission electron microscopy (TEM)
Transmission electron microscopy (TEM) with negative staining was performed to confirm the presence of tau fibrils in tissue extracts. All samples were diluted 1:3 in distilled water and then transferred onto a formvar and carbon-coated 200-mesh copper grid (Ted Pella). Samples were stained with 2% uranyl acetate and were left to dry. Dried grids were examined using TEM (FEI Tecnaii G2) operated at 80 kV with an ORIUS SC200 CCD camera and Gatan Digital Micrograph software (Gatan Inc.).
Exposure of astrocytes to tau fibrils
Astrocytes were exposed to sonicated human brain-derived tau fibrils extracted from either AD or control brain tissue. Brain extracted fibrils were diluted to a concentration of 25 mg starting tissue/ml in culture medium. Exposure to tau fibrils lasted for 3 days, after which the cultures were washed 3 times with PBS and maintained in tau-free culture medium for an additional 12 days. The medium was replaced and astrocyte-conditioned medium (ACM) was collected at 4, 8, and 12 days post-exposure and kept at -20 °C until analysis. Astrocytes were fixed at two timepoints: 3d + 4d and 3d + 12d. Fixation was performed using 4% paraformaldehyde (Sigma) in PBS for 15 min at RT.
Exposure of neurons to ACM
In parallel to neuronal differentiation, astrocytic cultures were either exposed to AD fibrils, control fibrils or left unexposed (as described above). Starting from day 28 of neuronal differentiation, which corresponded to 3d + 2d of astrocytic cultures, half of the neuronal culture medium was replaced every other day with a mixture of neuronal differentiation medium, complete neurobasal medium and fresh ACM at a ratio of 1:1:2, respectively. Neuronal cultures were treated for 14 days (until differentiation day 42). Then the neurons were either lysed for ATP assay or fixed using 4% paraformaldehyde (Sigma) in PBS for 15 min at RT.
Time-lapse microscopy
Astrocytes were cultured in time-lapse culture dishes at a density of 5000 cells/cm2. Cells were exposed to brain-derived AD fibrils at a concentration of 25 mg starting tissue/ml in culture medium for 3 days. The cells were then washed 3 × 5 min with PBS and subsequently stained with Amytracker 680. Following a 30-minute incubation, the cells were washed 3 × 5 min with PBS and tau free culture medium was added. Cells were recorded using time-lapse microscopy (Leica DMi8 microscope). Images were captured at 40x magnification every 3 min for a total duration of 3 days.
Immunocytochemistry
Fixed cells on cover slips were washed 3 × 5 min with PBS and blocked using 5% normal goat serum (NGS), 0.1% Triton in PBS for 1 h at RT. Then, the cells were incubated with primary antibodies (Table.
S1) at RT for 4 h, washed 3 × 3 min with PBS and incubated with secondary antibodies and/or dyes at RT (Online Resource 1). All antibodies were diluted in 0.5% NGS, 0.1% Triton in PBS. After 1 h, coverslips were washed 3 × 3 min with PBS and mounted on glass slides using Ever Brite Hardset mounting medium with or without DAPI (VWR, 23,004 and 23,003).
Measurement of cytokine concentrations in ACM
Cytokine concentrations in ACM were measured at day 3 + 4 using an electrochemiluminescence assay (Meso Scale Diagnostics). ACM from each culture condition was loaded onto a 96-well plate. A custom-designed U-Plex MSD-ECL was used to measure the concentration of following cytokines: IL-1β, IL-6, IL-8, IL-10, IL-12/IL-23p40, IL-17 A, IP-10, I-TAC, MCP-1 and TNF-α. The procedure was performed by Affinity Proteomics Uppsala and measured using a MESO SECTOR S 600MM (SciLifeLab, Uppsala University, SE-751 85 Uppsala, Sweden). Two separate astrocyte cultures were analyzed.
Measurement of tau concentrations in ACM
Tau concentration in ACM was measured using an in-house sandwich ELISA assay. First, 96-well half-area plates were coated with Tau-5 (0.5 µg/ml; Invitrogen, MA5-12808) overnight at 4 °C. The plate was then blocked with 1% BSA in PBS for 2 h at RT. The ACM was incubated in 0.5% SDS at 95 °C for 5 min. Recombinant human 441-tau (Anaspec, AS-55,556) was used as a standard. Following overnight incubation at 4 °C, the plate was washed and biotinylated BT2 (0.5 µg/ml; Invitrogen, MN1010B) and streptavidin-HRP (1:1000; Mabtech, 3310-9-1000) were added for detection. All dilutions were made in ELISA incubation buffer (0.1% BSA and 0.05% Tween-20 in PBS). Signals were developed using K blue aqueous TMB substrate (Neogen, 331,177), stopped with 1 M H2SO4, and read with a spectrophotometer at 450 nm. Interpolation of sample concentrations was performed by plotting a second order polynomial curve using GraphPad Prism v9.0.0.
Seeding of tau pathology
To assess the efficiency of tau fibrils to seed tau pathology, we used the tau RD P301S FRET Biosensor HEK cell line (ATCC, CRL-3275). Cells were cultured on coverslips at a density of 50 000 cells/cm2 in culture medium consisting of DMEM (ThermoFisher, 11,880,028), 10% fetal bovine serum (FBS), 2% Glutamax (Thermo Fisher, 35,050,038), and 1% PenStrep (Thermo Fisher, 15,140,122). The following day, FRET HEK cells were exposed to ACM from tau-exposed astrocytic cultures, supplemented with 1% lipofectamine 3000 (Fisher Scientific, L3000015) and 10% FBS (Fischer Scientific, 11,533,387). The ACM from untreated astrocyte cultures was used as a negative control. Brain extracts diluted in astrocyte culture medium at a concentration of 25 mg starting tissue/ml were used as positive controls. Both negative and positive controls were supplemented with 1% lipofectamine 3000 (Fisher Scientific, L3000015) and 10% FBS. Biosensor cells were exposed to ACM for 48 h, after which cells were fixed using 4% paraformaldehyde (Sigma) in PBS for 15 min at RT. The coverslips were washed 3 × 5 min with PBS and mounted onto glass slides using Ever Brite Hardset Mounting medium without DAPI (VWR, 23,003).
Luminescent ATP detection assay
Human neurons were cultured in 96-well plates at 60 000 cells/cm2 and treated with ACM from tau-exposed astrocytic cultures as described above. Astrocytes were exposed to tau fibrils extracted from three AD and two control brains. The ACM from each culture condition was used to treat neuronal cultures for 14 days. Total ATP levels were analyzed at day 3 + 14 using the Luminescent ATP Detection Assay Kit (Abcam, ab113849) according to the manufacturer’s instructions. Luminescence was measured using Infinite M1000 plate reader (Tecan). Four separate neuronal cultures were analyzed.
Image analysis
Fluorescent images of astrocytes were captured using the Observer Z1 Zeiss fluorescence microscope. In total, 10–12 images per condition and timepoint were captured as 30-image z-stacks using the 20x objective. Z-stacks were compiled into composites for maximum intensity and the fluorescence signal was quantified using ImageJ. For Vimentin and GFAP, the integrated density in each image was normalized to the total number of living cells. Average cell area was estimated by normalizing the total vimentin-positive area to the number of living cells in each image. Quantification of distant branching was performed using a custom-made ImageJ macro (Online Resource 2). The analysis was performed on vimentin images using the following step: convert to 8-bit, set threshold, find edge, Gaussian blur, convert to mask, skeletonize, create selection. Each selection was then put through several interactions of dilation and erosion to get the best fit possible. Branching points were calculated when pixels were in contact with 3 or more other pixels. The number of branching points within the soma was subtracted from total branching points to determine distant branching. The average number of distant branches per cell was calculated by normalizing the total number of distant branching points to the number of living cells in each image.
Quantification of the intracellular Amytracker signal was performed using a custom-made ImageJ macro (Online Resource 3). First, the region of interest (ROI) was determined using vimentin as a cellular marker to only include the intracellular Amytracker signal. Then, the following steps were applied: set scale, convert to 16-bit, subtract background, set threshold (all images were quantified using the same threshold), clear outside, set measurements (integrated density was used as a measurement of signal intensity) and analyze the signal. For each image, the total integrated density was normalized to the number of living cells.
Fluorescent images of neurons were captured using the Leica DMi8 microscope. A total of 12 images per condition were obtained as single images using the 40x objective. Quantification of the number of synaptophysin-positive puncta was performed using a custom-made ImageJ macro (Online Resource 4). First, the following steps were applied to synaptophysin images: set scale, subtract background, convert to 16-bit, set threshold, convert to mask, despeckle, watershed and analyze particles. Synaptophysin-positive puncta were counted as the number of remaining ROIs with an area of 0.4–2.6 µm2. The total cell area was measured using βIII-Tubulin signal. The number of synaptophysin-positive puncta was normalized to total cell area in each image.
The biosensor FRET images were captured using the 40x objective on Zeiss LSM 700 confocal microscope through the excitation of CFP (using the 405 nm laser) and detection of YFP emissions. Quantification of the FRET signal was performed as described for the Amytracker. In each image, the integrated density was normalized to total cell area (Since DAPI would interfere with CFP emissions). All image analysis was performed using ImageJ v.1.54b.
Statistical analysis
All statistical analyses were performed using Graphpad Prism (v.9.0.0). Datasets were first tested for normal distribution, using the D’Agostino-Pearson omnibus and the Shapiro-Wilk test. Normally distributed datasets were analyzed using either unpaired t-test (for datasets with only two groups and one timepoint), one-way ANOVA (for datasets with more than two groups but only one timepoint) or two-way ANOVA (for datasets with more than two groups and two or more timepoints). Datasets that did not show normal distribution were analyzed using either the Mann–Whitney u-test (for datasets with only two groups) or Kruskal-Wallis non-parametric test (for datasets with more than two groups or timepoints). P-values were set as follows: * p < 0.05, ** p < 0.001, *** p < 0.0001, **** p < 0.00001.
Discussion
Astrocytes are integral to normal brain functioning. In addition, they play a central role in various neurodegenerative diseases, including AD. Astrocytic tau deposits are frequently found in tauopathies, but their significance with respect to disease propagation are poorly understood. We have previously reported that human astrocytes engulf large amounts of synthetic tau aggregates, but store rather than degrade, the ingested material [
41]. In addition, astrocytes seem to act as distributors of tau seeds and spread pathology from one cell to another [
41]. In the present study, we aimed to investigate astrocytic response to, and processing of, brain-derived tau fibrils from AD patients and control individuals lacking any clinical or histopathological evidence of pathology.
While in vitro-produced aggregates of recombinant tau have been the gold standard in cell culture studies, it is crucial to acknowledge that they significantly differ from the in vivo-formed tau fibrils. The interplay between alternative splicing and post-translational modifications of tau gives rise to a highly diverse pool of tau monomers in the human brain. In contrast to synthetic fibrils which are usually produced as polymers of a single, unmodified tau isoform, in vivo produced tau fibrils are composed of all six isoforms with a predominance of hyperphosphorylated tau [
22,
23,
25,
28,
30,
35]. Further accentuating the divergence, electron microscopy analysis has unveiled significant structural variations among tau fibrils in different tauopathies [
16‐
17,
67]. Nonetheless, in vitro-produced fibrils of recombinant tau fail to accurately replicate these structural conformations [
66]. Thus, the strength of our current model lies in the utilization of tau fibrils extracted from human brain tissue samples, providing a more physiologically relevant representation of pathological tau aggregates.
We have previously shown that human astrocytes effectively ingest aggregates of recombinant tau, Aβ, α-synuclein, as well as whole dead cells [
32,
41,
52]. However, in comparison to professional phagocytes, such as microglia and macrophages, astrocytes’ ability to degrade the ingested material is poor. To investigate the capacity of astrocytes to handle brain-derived tau fibrils, we used Amytracker 680, a fluorescent dye designed to selectively label amyloid structures such as the cores of tau fibrils. This approach holds particular significance as our previous investigations demonstrated that astrocytic modification of internalized tau fibrils influences the binding of anti-human tau antibodies [
41]. Consistent with previous findings, our data show that astrocytes failed to degrade both AD and control fibrils. This observation may be elucidated by the capacity of astrocytes to function as antigen-presenting cells, as we have previously reported in our studies involving α-synuclein [
51]. This role necessitates the preservation of presented proteins to ensure effective interactions with T cells and other constituents of the immune response. Moreover, several genetic diseases, collectively known as lysosomal storage disorders (LSDs) include dementia like symptoms, indicating the importance of degradation dysfunction as a contributing factor to neurodegeneration [
12,
39,
61]. It has also been suggested that pathological tau aggregates can disrupt autophagy pathways, including lysosomal processing and the ubiquitin-proteosome system (UPS), thereby implying an inherent resistance to degradation [
7]. Our observations emphasize the fact that human astrocytes internalize substantial quantities of fibrils from the extracellular environment and subsequently store them as intracellular perinuclear inclusions.
In the AD brain, astrocytes display certain morphological and functional alterations that signify an elevated state of reactivity. Importantly, reactive astrocytes exhibit loss of homeostatic functions and may adopt a neurotoxic phenotype, resulting in synaptic loss and secretion of pro-inflammatory cytokines [
14,
63]. Hence, astrocytic reactivity is an important parameter that can influence the pathogenesis and progression of AD [
9,
48]. Our analysis revealed that AD fibrils invoke a stronger reactive state in astrocytes, in comparison to control fibrils, as evident by the augmented expression of GFAP and vimentin. This was accompanied by an increased release of the inflammatory cytokines IL-8 and MCP-1. While IL-8 is predominantly a chemoattractant of neutrophils [
49], MCP-1 is a potent activator and attractant of monocytes and T-cells [
64]. This indicates that the interaction of astrocytes with AD tau fibrils generates a robustly pro-inflammatory milieu. Taken collectively, our findings demonstrate that tau fibrils isolated from AD brains differ from control fibrils in a way that generates differential patterns of astrocytic reactivity and inflammatory response.
Tau has been suggested to exhibit prion-like behavior, whereby misfolded tau seeds can prompt the misfolding of native tau, leading to its recruitment into intracellular inclusions that can be further transferred to neighboring cells. Existing evidence suggests that tau is transferred between neurons either directly through trans-synaptic transmission or indirectly through macropinocytosis of extracellular tau [
1,
5,
20,
65]. Inter-neuronal transmission of tau is thus regarded as the primary driver for its spread across various brain regions. However, accumulating evidence indicates that phagocytic astrocytes can play a central role in tau propagation. We have previously shown that human astrocytes exchange synthetic fibrils of recombinant tau by direct transmission through TNTs [
41]. In the current study, we describe a similar TNT-mediated cell-to-cell transmission of in vivo formed tau fibrils between human astrocytes, strengthening the existing evidence using a more reliable model system. Astrocytes are highly secretory cells and may re-secrete the ingested fibrils within extracellular vesicles or as pure aggregates. We have previously demonstrated that astrocytic processing of synthetic tau fibrils enhances their seeding efficiency [
41]. To elucidate whether this phenomenon extends to brain-derived fibrils, we exposed RD tau P301S FRET biosensor HEK cells to astrocyte-conditioned culture medium. Indeed, astrocytes with deposits of brain-derived tau fibrils re-secrete seeding-prone tau species to the media. However, contrary to our previous findings, astrocytic processing of human brain-derived tau fibrils does not appear to impact their seeding efficiency. We hypothesize that this can be attributed to prior processing of the fibrils within the brain (possibly by astrocytes), achieving a maximized level of seeding efficiency that is resistant to further enhancement. In summary, our findings support the notion that astrocytes actively participate in the dissemination of pathological tau aggregates across distinct brain regions.
Synaptic loss is a central feature of AD and is likely to contribute to the cognitive decline that manifests in patients. Since astrocytes play a fundamental role in synapse formation, maintenance, and elimination in the healthy brain, they are most likely implicated in the synaptic damage observed during AD. The tau-burdened astrocytes could affect the neuronal functionality directly by altered phagocytosis and pruning of synapses or indirectly by failing to maintain neurosupportive functions [
27]. Here, we demonstrate that ACM indeed induces a marked synaptotoxic effect on human neurons when astrocytes are exposed to AD fibrils, but not to control fibrils. Similarly, neuronal ATP levels are severely reduced when neurons are exposed to ACM from AD fibril-burdened astrocytes, implying a critical metabolic dysfunction in neurons. We hypothesize that the different patterns of neuronal impairment are potentially a product of the varying degrees of astrocytic reactivity between the two culture conditions, since several studies have consistently demonstrated a negative correlation between astrocytic reactivity and the number of neuronal synapses in AD [
3,
44,
47]. Moreover, the observed synaptic and metabolic effects are presumably a consequence of altered astrocytic secretome in response to tau fibrils, since astrocytes were not in direct contact with neurons in our experimental setup.
In conclusion, we show that astrocytes possess remarkable efficiency in the internalization and subsequent re-secretion of highly pathogenic tau fibrils, thereby potentially seeding pathology in new cells in a prion-like manner. Our findings also suggest that tau fibrils isolated from AD patients differ from control fibrils in a manner that elicits distinct patterns of astrocytic reactivity, inflammatory response and neuronal impairment. This highlights the importance of using disease relevant tau species when studying AD and other tauopathies, since disease-specific variations in primary protein folding or fibrillar structure may significantly influence the developing pathology.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.