Nature, volume 632, issue 8026, pages 858-868

Single-cell multiregion dissection of Alzheimer’s disease

Hansruedi Mathys 1, 2, 3, 4
Carles Boix 5, 6, 7
Leyla Anne Akay 1, 2
Ziting Judy Xia 1, 2, 8
Jose Davila Velderrain 9
Ayesha P Ng 1, 2
Xueqiao Jiang 1, 2
Ghada Abdelhady 3
Kyriaki Galani 5, 6
Julio Mantero 5, 6
Neil Band 5, 6, 10
Benjamin T James 5, 6
Sudhagar Babu 3
Fabiola Galiana-Melendez 1, 2
Kate Louderback 1, 2
Dmitry Prokopenko 11
Rudolph E. Tanzi 11
David A Bennett 12
Li-An Tsai 1, 2, 6
M. Kellis 5, 6
Show full list: 20 authors
Publication typeJournal Article
Publication date2024-07-24
Journal: Nature
scimago Q1
SJR18.509
CiteScore90.0
Impact factor50.5
ISSN00280836, 14764687
Abstract

Alzheimer’s disease is the leading cause of dementia worldwide, but the cellular pathways that underlie its pathological progression across brain regions remain poorly understood1–3. Here we report a single-cell transcriptomic atlas of six different brain regions in the aged human brain, covering 1.3 million cells from 283 post-mortem human brain samples across 48 individuals with and without Alzheimer’s disease. We identify 76 cell types, including region-specific subtypes of astrocytes and excitatory neurons and an inhibitory interneuron population unique to the thalamus and distinct from canonical inhibitory subclasses. We identify vulnerable populations of excitatory and inhibitory neurons that are depleted in specific brain regions in Alzheimer’s disease, and provide evidence that the Reelin signalling pathway is involved in modulating the vulnerability of these neurons. We develop a scalable method for discovering gene modules, which we use to identify cell-type-specific and region-specific modules that are altered in Alzheimer’s disease and to annotate transcriptomic differences associated with diverse pathological variables. We identify an astrocyte program that is associated with cognitive resilience to Alzheimer’s disease pathology, tying choline metabolism and polyamine biosynthesis in astrocytes to preserved cognitive function late in life. Together, our study develops a regional atlas of the ageing human brain and provides insights into cellular vulnerability, response and resilience to Alzheimer’s disease pathology.

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