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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Aging Neurosci.</journal-id>
<journal-title>Frontiers in Aging Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Aging Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1663-4365</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnagi.2025.1656850</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Aging Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Spatial transcriptomics reveals an unexpected impact of tau and tau pathology on the expression of transthyretin</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes" equal-contrib="yes">
<name>
<surname>Croteau</surname>
<given-names>Deborah L.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">
<sup>&#x002A;</sup>
</xref>
<xref ref-type="author-notes" rid="fn0001">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Navarro</surname>
<given-names>Jose Fernandez</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn0001">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Comptdaer</surname>
<given-names>Thomas</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Andrusivova</surname>
<given-names>Zaneta</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Jurek</surname>
<given-names>Aleksandra</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<name>
<surname>Bonnefoy</surname>
<given-names>Eliette</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
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<contrib contrib-type="author">
<name>
<surname>Bu&#x00E9;e</surname>
<given-names>Luc</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Bohr</surname>
<given-names>Vilhelm A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
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<contrib contrib-type="author">
<name>
<surname>Lundeberg</surname>
<given-names>Joakim</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Galas</surname>
<given-names>Marie-Christine</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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<aff id="aff1"><sup>1</sup><institution>National Institute on Aging, Section on DNA Repair</institution>, <addr-line>Baltimore, MD</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>National Institute on Aging, Laboratory of Genomics and Genetics, Computational Biology and Genomic Core</institution>, <addr-line>Baltimore, MD</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Science for Life Laboratory, Division of Gene Technology, KTH Royal Institute of Technology</institution>, <addr-line>Stockholm</addr-line>, <country>Sweden</country></aff>
<aff id="aff4"><sup>4</sup><institution>Univ. Lille, Inserm, CHU Lille, CNRS, LilNCog-Lille Neuroscience &#x0026; Cognition</institution>, <addr-line>Lille</addr-line>, <country>France</country></aff>
<aff id="aff5"><sup>5</sup><institution>Universit&#x00E9; Paris Cit&#x00E9;, CNRS, Inserm, Institut Cochin</institution>, <addr-line>Paris</addr-line>, <country>France</country></aff>
<aff id="aff6"><sup>6</sup><institution>Department of ICMM, University of Copenhagen</institution>, <addr-line>Copenhagen</addr-line>, <country>Denmark</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0002">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/49950/overview">Orly Lazarov</ext-link>, University of Illinois Chicago, United States</p>
</fn>
<fn fn-type="edited-by" id="fn0003">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2222789/overview">Reshma Bhagat</ext-link>, Washington University in St. Louis, United States</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3112068/overview">Sabitha K. Rajesh</ext-link>, University of Illinois Chicago, United States</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3132849/overview">Andrea Corsi</ext-link>, University of Verona, Italy</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Deborah L. Croteau, <email>croteau@nih.gov</email></corresp>
<fn fn-type="equal" id="fn0001">
<p><sup>&#x2020;</sup>These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>17</volume>
<elocation-id>1656850</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>06</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>09</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Croteau, Navarro, Comptdaer, Andrusivova, Jurek, Bonnefoy, Bu&#x00E9;e, Bohr, Lundeberg and Galas.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Croteau, Navarro, Comptdaer, Andrusivova, Jurek, Bonnefoy, Bu&#x00E9;e, Bohr, Lundeberg and Galas</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>RNA expression is modulated by tau. We used two mouse models, THY-Tau22 mice, which express pro-aggregation tau, and TauKO mice, which are null for tau, to improve our understanding of tau-altered mRNA expression in brain.</p>
</sec>
<sec>
<title>Methods</title>
<p>Spatial transcriptomics on Tau22 and TauKO mice were used to interrogate regional mRNA expression changes. We focused on mRNA expression changes in the hippocampus and ventricles; two regions altered early in Alzheimer&#x2019;s disease.</p>
</sec>
<sec>
<title>Results</title>
<p>We identified the transthyretin mRNA, <italic>Ttr</italic>, as being dysregulated in a tau-dependent manner. Immunofluorescence (IF) revealed increased TTR protein expression in THY-Tau22 mice and lowered expression in TauKO mice in the choroid plexus epithelial cells.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>As TTR is involved in the clearance of A&#x03B2; and the prevention of A&#x03B2; aggregation, we evaluated endogenous mouse A&#x03B2; in TauKO mice and observed increased A&#x03B2; deposits. Our study reveals a hitherto unknown regulatory role of tau on <italic>Ttr</italic> mRNA and protein expression, which may participate in a feedback loop contributing to A&#x03B2; disease progression.</p>
</sec>
</abstract>
<kwd-group>
<kwd>spatial transcriptomics</kwd>
<kwd>tau</kwd>
<kwd>tauopathies</kwd>
<kwd>transthyretin</kwd>
<kwd>amyloid beta</kwd>
<kwd>aggregation</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="86"/>
<page-count count="17"/>
<word-count count="12827"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Alzheimer's Disease and Related Dementias</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>One hallmark of many neurodegenerative diseases known as tauopathies, including Alzheimer&#x2019;s disease (AD), is neurofibrillary tangles composed of hyperphosphorylated tau, which correlate with dementia and synaptic and neuronal loss (<xref ref-type="bibr" rid="ref23">DeTure and Dickson, 2019</xref>). Although tau was first described as a microtubule stabilizer, it is a highly multifunctional protein (<xref ref-type="bibr" rid="ref62">Sotiropoulos et al., 2017</xref>; <xref ref-type="bibr" rid="ref69">Tracy et al., 2022</xref>). Deciphering the complete set of physiological roles of tau and its dysregulation is critical to refining our understanding of the etiology of these pathologies.</p>
<p>RNA expression changes contribute to Tau-related neurodegenerative diseases (<xref ref-type="bibr" rid="ref17">Chung et al., 2021</xref>). Among the growing number of features attributed to tau, is that it can modulate chromatin structure, nuclear tension, and the expression of various RNAs, and that tau pathology can trigger RNA expression alterations (<xref ref-type="bibr" rid="ref2">Ali et al., 2024</xref>; <xref ref-type="bibr" rid="ref6">Benhelli-Mokrani et al., 2018</xref>; <xref ref-type="bibr" rid="ref46">Maina et al., 2018</xref>; <xref ref-type="bibr" rid="ref47">Mansuroglu et al., 2016</xref>; <xref ref-type="bibr" rid="ref61">Sohn et al., 2023</xref>; <xref ref-type="bibr" rid="ref77">Wes et al., 2014</xref>; <xref ref-type="bibr" rid="ref81">Woo et al., 2010</xref>). However, until now only global transcriptomics approaches have been used to investigate the ability of tau or tau pathology to act on RNA expression, but these techniques lack information concerning spatial tissue-level regulation. Spatial transcriptomics (ST) is well-suited to analyze RNA expression changes in a spatially resolved unbiased manner. ST has been successfully used in the context of AD-like mouse models and human brains (<xref ref-type="bibr" rid="ref14">Chen et al., 2022</xref>; <xref ref-type="bibr" rid="ref15">Chen et al., 2020</xref>; <xref ref-type="bibr" rid="ref16">Choi et al., 2023</xref>; <xref ref-type="bibr" rid="ref22">Das et al., 2024</xref>; <xref ref-type="bibr" rid="ref48">Mathys et al., 2019</xref>; <xref ref-type="bibr" rid="ref51">Navarro et al., 2020</xref>; <xref ref-type="bibr" rid="ref83">Yu et al., 2024</xref>; <xref ref-type="bibr" rid="ref86">Zou et al., 2024</xref>) but so far it has not been applied to analyze the influence of tau, and its pathological forms, on RNA expression in a spatial context.</p>
<p>Neurodegeneration is complex and mostly brain-region specific. Fortunately, ST analyses have the capacity to resolve spatially differentially expressed RNAs in distinct brain regions. In AD, there is an ordered progression of AD biomarkers specific to the brain and cerebral spinal fluid (CSF) (<xref ref-type="bibr" rid="ref34">Jack et al., 2024</xref>). Two close brain regions impaired early in AD are the hippocampus and adjacent brain ventricles (<xref ref-type="bibr" rid="ref21">Coupe et al., 2019</xref>). The hippocampus plays a central role in cognition, while the ventricles, where CSF is produced, lie at the interface between the peripheral circulation and the central nervous system. Ventricles enclose the choroid plexus (CP), which is composed of a monolayer of epithelial cells surrounding a highly vascularized connective tissue layer with permeable capillaries. CP epithelial cells form the blood&#x2013;cerebrospinal fluid barrier, which strictly regulates the exchange of factors between the blood and CSF. Tau protein is physiologically expressed in the hippocampus but has not been detected in the CP (<xref ref-type="bibr" rid="ref72">Uhlen et al., 2015</xref>). However, in AD brains, tau pathology affects both the hippocampus and the CP (<xref ref-type="bibr" rid="ref17">Chung et al., 2021</xref>; <xref ref-type="bibr" rid="ref55">Raha-Chowdhury et al., 2019</xref>). Further, defects in the CP have recently been defined as a new subgroup of AD based on mass spectrometry of CSF proteins comparing AD patients and controls (<xref ref-type="bibr" rid="ref67">Tijms et al., 2024</xref>).</p>
<p>One of the proteins that is a marker for the CP is transthyretin (TTR). The multifunctional TTR protein is primarily synthesized in CP epithelial cells lining the lumen of the lateral ventricles (<xref ref-type="bibr" rid="ref24">Dickson et al., 1986</xref>; <xref ref-type="bibr" rid="ref64">Stauder et al., 1986</xref>). TTR is also expressed in the liver and retinal epithelium. It is a secreted protein and is secreted from the liver into the serum and from CP cells into the CSF. TTR is a major thyroid hormone carrier and in association with retinol-binding protein transports retinols [for recent review see <xref ref-type="bibr" rid="ref28">Gertz et al. (2025)</xref>]. TTR has neuroprotective functions under some conditions, as it is important for neurite outgrowth and neurogenesis (<xref ref-type="bibr" rid="ref30">Gomes et al., 2016</xref>). TTR plays a role in memory as evidenced from TTR-null mice (<xref ref-type="bibr" rid="ref9">Brouillette and Quirion, 2008</xref>). Additionally, mutations in TTR contribute to the genetic disorder transthyretin amyloidosis in humans (<xref ref-type="bibr" rid="ref28">Gertz et al., 2025</xref>). TTR is also an extracellular chaperone with neuroprotective roles in stress conditions (<xref ref-type="bibr" rid="ref11">Buxbaum and Johansson, 2017</xref>; <xref ref-type="bibr" rid="ref30">Gomes et al., 2016</xref>; <xref ref-type="bibr" rid="ref42">Liz et al., 2020</xref>; <xref ref-type="bibr" rid="ref57">Santos et al., 2010</xref>). Notably, TTR has been linked to AD, as it binds to amyloid beta peptide (Abeta, A&#x03B2;), sequesters it, and prevents its aggregation (<xref ref-type="bibr" rid="ref10">Buxbaum, 2023</xref>; <xref ref-type="bibr" rid="ref12">Buxbaum et al., 2008</xref>; <xref ref-type="bibr" rid="ref13">Cascella et al., 2013</xref>; <xref ref-type="bibr" rid="ref18">Ciccone et al., 2020</xref>; <xref ref-type="bibr" rid="ref19">Costa et al., 2008</xref>; <xref ref-type="bibr" rid="ref31">Gonzalez-Marrero et al., 2015</xref>; <xref ref-type="bibr" rid="ref33">Iqbal, 2018</xref>; <xref ref-type="bibr" rid="ref41">Li et al., 2013</xref>; <xref ref-type="bibr" rid="ref42">Liz et al., 2020</xref>; <xref ref-type="bibr" rid="ref53">Nilsson et al., 2018</xref>; <xref ref-type="bibr" rid="ref59">Schwarzman et al., 1994</xref>; <xref ref-type="bibr" rid="ref71">Ueda, 2022</xref>; <xref ref-type="bibr" rid="ref78">West et al., 2021</xref>).</p>
<p>The goal of this study was to use ST to identify RNAs that were differentially expressed (DE) between regions in brain sections from transgenic mouse models of tau pathology THY-Tau22 (Tau22) and tau deletion (TauKO). Here, we have used 12&#x202F;months-old Tau22, at the peak of tau pathology, TauKO, and their respective WT littermate mice, and applied ST to identify tau-dependent RNA expression changes in the aged brain.</p>
<p>ST analysis revealed the dysregulated expression of <italic>Ttr</italic> RNA in Tau22 mice. Using IF, we observed TTR downregulation in CP epithelial cells from TauKO mouse brains indicating that tau may positively regulate TTR expression. This finding was correlated with increased A&#x03B2; deposits in the hippocampus, suggesting that tau- regulated TTR participates to prevent A&#x03B2; accumulation in the brain. The absence of A&#x03B2; accumulation in aged Tau22 mouse brains correlates with increased TTR in CP epithelial cells. Altogether this study highlights <italic>i-</italic> a modulatory effect of tau and tau pathology on RNA expression, including the RNA encoding TTR, and <italic>ii-</italic> an unexpected inhibitory role of tau on endogenous A&#x03B2; peptide accumulation in mouse brains. Combined ST and IF reveal a hitherto unknown regulatory role of tau on <italic>Ttr</italic> RNA and protein expression, which may contribute to a feedback loop on A&#x03B2; disease progression.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<label>2</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1</label>
<title>Mice</title>
<p>This study employed all female mice. The THY-Tau22 transgenic mouse model was generated to model AD-like tau pathology that is associated with learning and memory deficits (<xref ref-type="bibr" rid="ref58">Schindowski et al., 2006</xref>). Tau22 mice overexpress the 4R <italic>tau</italic> RNA mutated at G272V and P301S and develop, mainly in the hippocampus, aggregation of hyperphosphorylated tau in addition to progressive tau-related neuropathology. In Tau22 mice, hyperphosphorylated and aggregated forms of tau first appear in the CA1 subfield and are present throughout the hippocampus at the peak of pathology at 12&#x202F;months (<xref ref-type="bibr" rid="ref58">Schindowski et al., 2006</xref>). Tau22 mice display learning and memory deficits and, although long-term potentiation (LTP) is intact, they show changes in NMDA-dependent long-term depression (LTD), and hippocampal synaptic plasticity (<xref ref-type="bibr" rid="ref58">Schindowski et al., 2006</xref>; <xref ref-type="bibr" rid="ref73">Van der Jeugd et al., 2011</xref>).</p>
<p>TauKO mice are meant to mimic the loss of tau protein from its normal physiological compartments (<xref ref-type="bibr" rid="ref70">Tucker et al., 2001</xref>). The behavioral findings in the TauKO model include loss of contextual and cued fear conditioning, but normal motor, exploratory, and anxiety behaviors (<xref ref-type="bibr" rid="ref1">Ahmed et al., 2014</xref>). Our TauKO mice display better spatial learning than controls in the water maze test. Additionally, in electrophysiological tests TauKO mice showed no change in basal synaptic transmission and paired-pulse facilitation from the CA1 hippocampal region. However, LTP, but not LTD, showed severe deficits.</p>
<p>All animals were kept in standard animal cages (12&#x202F;h/12&#x202F;h light/dark cycle, at 22 &#x00B0;C), with ad libitum access to food and water. The animals were maintained in compliance with institutional protocols (Comit&#x00E9; d&#x2019;&#x00E9;thique en exp&#x00E9;rimentation animale du Nord Pas-de-Calais, no. 0508003). All the animal experiments were performed in compliance with and following the approval of the local Animal Ethical Committee (agreement #12787&#x2013;2, 015,101,320,441,671 v9 from CEEA75, Lille, France), standards for the care and use of laboratory animals, and the French and European Community rules.</p>
</sec>
<sec id="sec4">
<label>2.2</label>
<title>Ethics approval</title>
<p>Animals were maintained in compliance with institutional protocols (Comit&#x00E9; d&#x2019;&#x00E9;thique en exp&#x00E9;rimentation animale du Nord Pas-de-Calais, no. 0508003). All the animal experiments were performed in compliance with and following the approval of the local Animal Ethical Committee (agreement #12787&#x2013;2, 015, 101, 320, 441, 671 v9nfrom CEEA75, Lille, France), standards for the care and use of laboratory animals, and the French and European Community rules.</p>
</sec>
<sec id="sec5">
<label>2.3</label>
<title>Tissue collection and sectioning</title>
<p>Adult mice were sacrificed, and the brains were removed from the cranial cavity, embedded in OCT, and snap-frozen in isopentane pre-cooled with dry ice and liquid nitrogen. The left hemispheres were sectioned on the cryostat at 10&#x202F;&#x03BC;m thickness. Sections were placed on the spatially barcoded arrays with one section per well.</p>
</sec>
<sec id="sec6">
<label>2.4</label>
<title>Fixation, staining, and imaging</title>
<p>Sections were fixed in 3.6&#x2013;3.8% formaldehyde (Sigma) in PBS, washed in PBS, then treated for 1&#x202F;min with isopropanol and air-dried. To stain the tissue, sections were incubated in Mayer&#x2019;s Hematoxylin (Dako) for 7&#x202F;min, then Bluing buffer for 2&#x202F;min and Eosin (Sigma) for 20&#x202F;s. After drying, the slides were mounted with 85% glycerol and images of sections were taken using Metafer Slide Scanning Platform (Metasystems). Raw images were stitched together using VSlide software (Metasystems).</p>
</sec>
<sec id="sec7">
<label>2.5</label>
<title>Tissue pre- and permeabilization</title>
<p>To pre-permeabilize the tissue, sections were incubated for 20&#x202F;min at 37 &#x00B0;C with 0.5&#x202F;U/ul collagenase (Thermofisher) in HBSS buffer mixed with 0.2 ug/ul BSA (NEB). Following washing in 0.1x SSC buffer (Sigma), sections were permeabilized with 0.1% pepsin/HCl (Sigma) at 37 &#x00B0;C for 10 and 6&#x202F;min, respectively. Then, the sections were washed with 0.1x SSC buffer.</p>
</sec>
<sec id="sec8">
<label>2.6</label>
<title>Reverse transcription and library preparation</title>
<p>After permeabilization, reverse transcription mix containing Superscript III reverse transcriptase (Thermofisher) was added to each section and incubated overnight at 42 &#x00B0;C as described previously (<xref ref-type="bibr" rid="ref63">Stahl et al., 2016</xref>). Next, to remove tissue from the slide, sections were incubated for 1&#x202F;h at 56 &#x00B0;C with Proteinase K in PKD buffer (both from Qiagen). Surface probes with bound mRNA/cDNA were then cleaved from the slide by USER enzyme (NEB) (<xref ref-type="bibr" rid="ref63">Stahl et al., 2016</xref>). Released probes were collected from each well and transferred to separate tubes. Next, 2nd strand synthesis, cDNA purification, <italic>in vitro</italic> transcription, aRNA purification, adapter ligation, post-ligation purification, a second 2nd strand synthesis, and purification were carried out using an automated MBS 8000 system, as described previously (<xref ref-type="bibr" rid="ref35">Jemt et al., 2016</xref>). cDNA was amplified by PCR using Illumina Indexing primers (<xref ref-type="bibr" rid="ref63">Stahl et al., 2016</xref>) and purified using carboxylic acid beads on an automated MBS robot system (<xref ref-type="bibr" rid="ref44">Lundin et al., 2010</xref>). An Agilent Bioanalyzer High Sensitivity DNA Kit (Agilent) was used to analyze the size distribution of the final libraries. The concentration of the libraries was measured with Qubit dsDNA HS (Thermofisher). The libraries were sequenced on the Illumina Nextseq platform using paired-end sequencing. Thirty bases were sequenced on read one to determine the spatial barcode and UMI, and 55 bases were sequenced on read two to cover the genetic region. Probes were collected from each well and transferred to separate tubes. Next, 2nd strand synthesis, cDNA purification, in vitro transcription, aRNA purification, adapter ligation, post-ligation purification, a second 2nd strand synthesis and purification were carried out using an automated MBS 8000 system as described previously (<xref ref-type="bibr" rid="ref35">Jemt et al., 2016</xref>). cDNA was amplified by PCR using Illumina Indexing primers (<xref ref-type="bibr" rid="ref63">Stahl et al., 2016</xref>) and purified using carboxylic acid beads on an automated MBS robot system (<xref ref-type="bibr" rid="ref44">Lundin et al., 2010</xref>). An Agilent Bioanalyzer High Sensitivity DNA Kit (Agilent) was used to analyze the size distribution of the final libraries. The concentration of the libraries was measured with Qubit dsDNA HS (Thermofisher).</p>
</sec>
<sec id="sec9">
<label>2.7</label>
<title>Staining of the slide features</title>
<p>After the probes were released from the slide surface, the features with remaining non-cleaved DNA probes were detected by incubation with hybridization mixture containing Cyanine-3 labeled oligonucleotides, as described previously (<xref ref-type="bibr" rid="ref63">Stahl et al., 2016</xref>). Fluorescent images were acquired using the same microscope as for the bright field images.</p>
</sec>
<sec id="sec10">
<label>2.8</label>
<title>Sequencing</title>
<p>The libraries were sequenced on the Illumina Nextseq platform using paired-end sequencing. Thirty bases were sequenced on read one to determine the spatial barcode and UMI, and 55 bases were sequenced on read two to cover the genetic region.</p>
</sec>
<sec id="sec11">
<label>2.9</label>
<title>Image alignment and spot detection</title>
<p>Bright field-stained images (H&#x0026;E) and fluorescent images (Cy3) were aligned using the ST Spot Detector (<xref ref-type="bibr" rid="ref80">Wong et al., 2018</xref>) software. The pixel and respective array coordinates of the detected spot centroids (inside tissue) were exported to a file that was used for down-stream analysis and visualization.</p>
</sec>
<sec id="sec12">
<label>2.10</label>
<title>Data processing</title>
<p>Sequenced raw data was processed using the open-source ST Pipeline v1.45 (<xref ref-type="bibr" rid="ref52">Navarro et al., 2017</xref>) with the genome reference Ensembl GRCm38 v86 and reference Mouse GenCode vM11 (Comprehensive gene annotation). The ST Pipeline was executed with the following settings: Enable homopolymers filter (A, G, T, C, N) with a length of 10, enable two-pass mode for the alignment step, remove non-coding RNA (using the v86 non coding RNA database from Ensembl), discard reads whose UMI has more than 6 low quality bases, and discard trimmed reads shorter than 20.</p>
<p>The matrices of counts (spots by genes) generated by the ST Pipeline were filtered to replace Ensembl IDs by gene names and to keep only protein-coding, long-non-coding-intergenic, and antisense RNAs. The matrices of counts underwent another filtering step where only spots inside the tissue were kept using the file generated in the previous step (image alignment).</p>
</sec>
<sec id="sec13">
<label>2.11</label>
<title>Datasets</title>
<p>The Tau22 dataset is composed of 2 sections per animal (mice) and 3 animals per genotype (Tau22 and littermate WT). Likewise, the TauKO dataset is composed of 2 sections per animal (mice) and 3 animals per genotype (TauKO and littermate WT). The two WT strains are not the same since they were continuously bred to their respective genetically modified tau strains. We did not do a direct Tau22 to TauKO analysis.</p>
</sec>
<sec id="sec14">
<label>2.12</label>
<title>Data analysis (Tau22)</title>
<p>The filtered and aligned matrices of counts were analyzed jointly with the Scanpy (<xref ref-type="bibr" rid="ref79">Wolf et al., 2018</xref>) package v1.8.2. Briefly, the spots with a total count (UMIs) less than 2,000 or bigger than 40,000 were discarded. The spots with less than 1,000 RNAs detected (count &#x003E; 0) or with a percentage of mitochondrial RNAs above 15 were also discarded, mitochondrial RNAs were consequently removed from the filtered data and the remaining RNAs that were detected in less than 10 spots were also discarded. This resulted in 7,403 spots and 12,748 RNAs after filtering. The filtered data was normalized using the <italic>normalize_total</italic> function in Scanpy, the normalized data was log-transformed using a pseudo count of 1. The normalized and log-transformed data was adjusted to remove the unwanted batch effect of the animal (mice) using the <italic>regress_out</italic> function in Scanpy. Using the batch-corrected data, we selected the top 2000 variable RNAs using the &#x201C;Seurat&#x201D; flavor implemented in Scanpy. We used the 7,403 spots and the 2000 RNAs to perform unsupervised clustering which consisted in: (1) scale data to unit variance, (2) dimensionality reduction with PCA (<xref ref-type="bibr" rid="ref54">Pearson, 1901</xref>), (3) compute the k-nearest neighbors (<italic>k</italic>&#x202F;=&#x202F;15), (4) build a 2D manifold with UMAP (<xref ref-type="bibr" rid="ref49">McInnes et al., 2018</xref>), and (5) compute clusters with the leiden algorithm (<xref ref-type="bibr" rid="ref68">Traag et al., 2019</xref>) using a resolution of 0.75. The Allen Brain Atlas (<xref ref-type="bibr" rid="ref38">Lein et al., 2007</xref>) and the tissue sections (H&#x0026;E) were used to annotate the clusters. The clustering was validated by looking for technical effects by tissue morphology, count, animal, and genotype.</p>
</sec>
<sec id="sec15">
<label>2.13</label>
<title>Data analysis (TauKO)</title>
<p>The filtered and aligned TauKO matrices of counts were analyzed in the same way as the Tau22 dataset with the exception that 6,437 spots and 11,073 RNAs were obtained after filtering, the unsupervised clustering produced 16 well-defined clusters, and no batch effect could be observed. Similarly, to the Tau22 dataset, the Allen Brain Atlas (<xref ref-type="bibr" rid="ref38">Lein et al., 2007</xref>) and tissue section images (H&#x0026;E) were used to annotate the clusters.</p>
</sec>
<sec id="sec16">
<label>2.14</label>
<title>Spatial differential expression analysis (S-DE)</title>
<p>We used sepal (<xref ref-type="bibr" rid="ref3">Andersson and Lundeberg, 2021</xref>) to infer RNAs with spatially distinct patterns. Sepal can only be run on individual sections, and it ranks the RNAs by a score. We averaged the scores for all the Tau22 and TauKO sections separately and then selected the top 25 RNAs, respectively. We validated the results by plotting the normalized expression of the RNAs onto the tissue sections.</p>
</sec>
<sec id="sec17">
<label>2.15</label>
<title>Region and genotype based differential expression analysis (DE)</title>
<p>We used the diffpy (<xref ref-type="bibr" rid="ref26">Fischer and H&#x00F6;lzlwimmer, 2021</xref>) package to leverage on the power of its GLM zero inflated negative binomial models to infer RNAs that were differentially expressed for each region of interest. Each strain was compared to its respective littermate WT controls, thus Tau22 vs. WT and TauKO vs. WT were compared for the regions of interest (hippocampus and ventricle). An RNA was considered differentially expressed if the adj <italic>p</italic>-value &#x2264; 0.05 and a fold change of |0.5| for hippocampus and ventricle regions.</p>
</sec>
<sec id="sec18">
<label>2.16</label>
<title>Enrichment analysis</title>
<p>The sets of differentially expressed RNAs were queried for GO biological processes (<xref ref-type="bibr" rid="ref4">Ashburner et al., 2000</xref>) enriched pathways using the gprofiler (<xref ref-type="bibr" rid="ref36">Kolberg et al., 2023</xref>) package. Only the terms labelled as &#x201C;significant&#x201D; (<italic>p</italic>-value below 0.05) were reported with the corresponding significantly changed RNAs.</p>
</sec>
<sec id="sec19">
<label>2.17</label>
<title>Immunofluorescence</title>
<p>Immunofluorescence (IF) on mouse brain sections was performed as described previously (<xref ref-type="bibr" rid="ref84">Zheng et al., 2020</xref>). Briefly, sagittal (5&#x202F;&#x03BC;M) brain slices were deparaffinized and unmasked using citrate buffer (12&#x202F;mM citric acid, 38&#x202F;mM sodium phosphate dibasic, pH 6) for 8&#x202F;min in a pressure tank. The slices were submerged for 1&#x202F;h in 1% goat serum (Vector Laboratories #S-1000), and the primary antibodies were incubated overnight at 4 &#x00B0;C in the presence of PBS-0.2% Triton. Primary antibodies were revealed via secondary antibodies coupled to Alexa 488 or 568 (Life Technologies; 1/1000). The sections were counterstained with 4&#x2032;,6-Diamidino-2-phenylindole (DAPI) and mounted with fluorescence mounting medium (Agilent Dako #S3023). The following primary antibodies were used: TTR (ThermoFisher Scientific PA5-88094; 1/100), AT8 (PSer202/Thr205tau; ThermoFisher Scientific MN1020; 1/400), A&#x03B2; (MOAB2; reactive to A&#x03B2; aa 1&#x2013;4, Novus Biologicals NBP2-13075; 1/500) (4G8; reactive to A&#x03B2; aa 17&#x2013;24; BioLegend SIG-39200; 1/5000). Fluorescence was quantified using the FIDJI macro application of ImageJ (confocal microscopy platform, PBSL, UAR2014/US41, Lille). Quantification corresponds to the z stack of serial confocal sections covering the entire thickness of the brain section. For CP epithelial cells, in each section the cell set was manually delimited and fluorescence was quantified in all cells. For A&#x03B2; deposits, in each section, labeled clusters were manually delimited and fluorescence was quantified. The quantification shows the mean of fluorescence values per individual.</p>
<p>Fluorescence from mouse brain sections was acquired using an LSM 710 confocal laser-scanning microscope (clsm) (Carl Zeiss). The confocal microscope was equipped with a 488-nm Argon laser, 561-nm diode-pumped solid-state laser, and a 405-nm ultraviolet laser. The images were acquired using an oil 63X Plan-APOCHROMAT objective (1.4 NA). All recordings were performed using the appropriate sampling frequency (16 bits, 1,024&#x2013;1,024 images, and a line average of 4).</p>
</sec>
<sec id="sec20">
<label>2.18</label>
<title>Statistics for immunofluorescence analysis</title>
<p>The Shapiro&#x2013;Wilk test of normality (GraphPad Prism 7) was used to test if the data were normally distributed. Two-tailed, unpaired t-test (GraphPad Prism 7) was used for statistical analysis of immunofluorescence in murine brains. Each biological replicate corresponds to one mouse. The number of biological replicates is indicated in the legends. The experimenters were not blinded. Data are presented as mean &#x00B1; SEM, &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05; &#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01.</p>
</sec>
</sec>
<sec sec-type="results" id="sec21">
<label>3</label>
<title>Results</title>
<sec id="sec22">
<label>3.1</label>
<title>ST identifies DE RNAs and molecular clusters corresponding to anatomical layers of the mouse hippocampus and ventricles</title>
<p>A graphic overview of our experimental approach is shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>. Briefly, snap frozen tissue samples from three animals of each genotype (Tau22, TauKO, and their respective littermate WT controls), were cryo-sectioned and processed as described in the Methods. Only female mice were used in this study. The Tau22 dataset is composed of 2 sections per animal (mice) and 3 animals per genotype (Tau22 and WT), the total number of spots under the tissue is 7,483 with 22,174 RNAs. Box plots showing total read counts and number of detected RNAs per spot are shown in <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S1</xref>. The average number of reads (UMIs) per spot is 13,784 with an average of 4,797 detected RNAs per spot (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figures S1A,B</xref>). Similarly, we obtained 6,857 spots and 21,974 unique RNAs for the TauKO dataset with an average number of UMI reads per spot of 6,714 and 3,116 detected RNAs per spot (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figures S1C,D</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Graphic representation of data. <bold>(A)</bold> UMAP plot of Tau22 dataset. <bold>(B)</bold> UMAP plot highlighting the regions used in the analysis of the Tau22 mouse regions. <bold>(C)</bold> Venn diagram depicting DE RNAs from the hippocampus and ventricles of Tau22 mice. <bold>(D)</bold> UMAP plot of TauKO dataset. <bold>(E)</bold> UMAP plot highlighting the spots used in the analysis of the TauKO mouse regions. <bold>(F)</bold> Venn diagram depicting DE RNAs from the hippocampus and ventricles of TauKO mice. Genes depicted above/below numbers in C and F denote upregulated or downregulated genes Tau22 or TauKO vs. WT, respectively.</p>
</caption>
<graphic xlink:href="fnagi-17-1656850-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Panel A shows a UMAP plot with 13 clusters labeled by numbers. Panel B displays a UMAP plot annotated with regions labeled "hippocampus," "other," and "ventricle." Panel C has a Venn diagram showing differentially expressed genes with overlapping and unique genes for the hippocampus and ventricles. Panel D is another UMAP plot with 14 clusters labeled by numbers. Panel E displays a UMAP plot with regions annotated similarly to Panel B. Panel F contains another Venn diagram indicating distinct and shared differentially expressed genes between the hippocampus and ventricles.</alt-text>
</graphic>
</fig>
<p>Clustering analysis was performed for each dataset (see Methods). Characterization of Tau22 mice data is shown in <xref ref-type="supplementary-material" rid="SM2">Supplementary Figure S2</xref> and TauKO data is shown in <xref ref-type="supplementary-material" rid="SM3">Supplementary Figure S3</xref>. UMAP manifolds derived from the cluster analysis were colored by genotype, animal, and total expression to test for the presence of batch effects and to assess the robustness of the clustering (<xref ref-type="supplementary-material" rid="SM2">Supplementary Figures S2A</xref>, <xref ref-type="supplementary-material" rid="SM3">S3A</xref>). In all cases, the RNA expression clusters corresponded well to the anatomical layers in the brain hemisphere (<xref ref-type="supplementary-material" rid="SM2">Supplementary Figures S2B,C</xref>, <xref ref-type="supplementary-material" rid="SM3">S3B,C</xref>). The H&#x0026;E-stained tissue sections are shown in panel <xref ref-type="supplementary-material" rid="SM2">Supplementary Figure S2B</xref> for Tau22 and <xref ref-type="supplementary-material" rid="SM3">Supplementary Figure S3B</xref> for TauKO, while the clusters for each mouse overlayed on the sections are shown in <xref ref-type="supplementary-material" rid="SM2">Supplementary Figure S2C</xref> for Tau22 and <xref ref-type="supplementary-material" rid="SM3">Supplementary Figure S3C</xref> for TauKO. The annotation of the clusters was performed using the H&#x0026;E images and the Allen Brain Atlas (<xref ref-type="bibr" rid="ref38">Lein et al., 2007</xref>). We selected, as mentioned previously, the clusters corresponding to the hippocampus and ventricle regions for further analysis. We validated the clustering results by plotting the normalized expression of the RNAs onto the tissue sections (Tau22, <xref ref-type="supplementary-material" rid="SM2">Supplementary Figure S2C</xref>; TauKO, <xref ref-type="supplementary-material" rid="SM3">Supplementary Figure S3C</xref>).</p>
<p>We elected to focus our attention on the hippocampus and ventricles because tau mice have hippocampus-dependent defects (<xref ref-type="bibr" rid="ref58">Schindowski et al., 2006</xref>) and the CP dysfunction was recently reported as a newly defined subgroup of AD (<xref ref-type="bibr" rid="ref67">Tijms et al., 2024</xref>). The clustering analysis was followed by a differential expression (DE) analysis to identify DE RNAs between Tau22-WT (<xref ref-type="fig" rid="fig2">Figures 2A</xref>&#x2013;<xref ref-type="fig" rid="fig2">C</xref>) and TauKO-WT (<xref ref-type="fig" rid="fig2">Figures 2D</xref>&#x2013;<xref ref-type="fig" rid="fig2">F</xref>) in the regions of interest (hippocampus and ventricles). As noted in the methods, each strain has their own WT mouse littermates. After applying a significance cut off adj. <italic>p</italic>-value of &#x2264; 0.05 and a fold change of |0.5| on the Tau22 datasets, we obtained 5 DE in the hippocampus (<italic>Thy1, Sez6, Ttr, Gm42418, Lars2</italic>) and 4 RNAs that were DE in the ventricles (<italic>Thy1, Sez6, Sgk1, Supt7l</italic>). Two RNAs were shared between the two regions, <italic>Thy1</italic> and <italic>Sez6</italic>. <italic>Thy1</italic> is a cell surface glycoprotein that functions in cell-to-cell communication (<xref ref-type="bibr" rid="ref32">Hu et al., 2022</xref>) and <italic>Sez6</italic> encodes a protein altered in Alzheimer&#x2019;s disease patient&#x2019;s cerebral spinal fluid and important in neuronal signaling (<xref ref-type="bibr" rid="ref50">Munro et al., 2016</xref>). For TauKO, there were 10 RNAs that were DE in the hippocampus and 11 RNAs that were DE in the ventricles, and 1 RNA was found in both regions, <italic>Mapt</italic> (<xref ref-type="fig" rid="fig2">Figures 2C</xref>,<xref ref-type="fig" rid="fig2">F</xref>). The following genes were significantly changed in the hippocampus: <italic>Mapt, Meg3, Serinc1, Nme7, Rtn4, Malat1, Mt3, Crym, Lars2, Gm42418</italic>. In the ventricles of TauKO mice, <italic>Mapt, Nrgn, Mpc1, Gria2, Ppp3cb, Pla2g16, St8sia3, Gm10076, Dbi, Cadm2, and Ppp3ca</italic> were found to be significantly changes. A full list of DE genes per region is listed in <xref ref-type="supplementary-material" rid="SM4">Supplementary Table 1</xref>.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Schematic summary of ST and IF results focusing on TTR expressions. Graphic representation of the study. Two mouse models representative of tau pathology (THY-Tau22) and a tau null (TauKO) were used in a spatial transcriptomics analysis of brain tissue. <italic>TTR</italic> was identified as a DE RNA, its expression was validated by immunofluorescence, and decreased TTR was associated with increased A&#x03B2; deposition in TauKO mice.</p>
</caption>
<graphic xlink:href="fnagi-17-1656850-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Diagram illustrating a study on mouse brain sections. Top panel shows wild-type and THY-Tau22 mice with brain slices. Middle panel details spatial transcriptomics, displaying gene expression grids, a gene interaction network highlighting Ttr, and heatmaps for THY-Tau22 and wild-type mice. Bottom panel depicts immunofluorescence in ventricle and hippocampus, showing increased TTR in THY-Tau22 and decreased TTR in TauKO, with fluorescence images of tissue sections.</alt-text>
</graphic>
</fig>
<p>RNA enrichment analysis using Gene Ontology biological process revealed a single term changed in Tau22 mice, in the hippocampus the term negative regulation of neuron projection development was identified, and the DE RNAs found in the term were <italic>Sez6</italic> and <italic>Thy1</italic>. In contrast, several terms associated with axon extension and projection, and gliogenesis were identified in the TauKO hippocampus (<xref ref-type="supplementary-material" rid="SM4">Supplementary Figure S4A</xref>). Across the hippocampus terms, three significantly changed RNAs were identified: tau (<italic>Mapt</italic>), metallothionein 3 (<italic>Mt3</italic>), and reticulon-4 (<italic>Rtn4</italic>) (<xref ref-type="supplementary-material" rid="SM4">Supplementary Figure S4B</xref>). Metallothionein 3 binds heavy metals like zinc and copper, has antioxidant properties, and is downregulated in AD brains (<xref ref-type="bibr" rid="ref74">Vasak and Meloni, 2017</xref>). Reticulon-4 is a potent neurite outgrowth inhibitor and is thought to promote neuroinflammation and neurodegeneration in AD (<xref ref-type="bibr" rid="ref37">Kulczynska-Przybik et al., 2021</xref>). The term learning or memory and several terms related to synaptic signaling terms were enriched in the TauKO ventricles dataset (<xref ref-type="supplementary-material" rid="SM4">Supplementary Figure S4C</xref>). There were five RNAs from TauKO ventricle in the terms, <italic>Gria2</italic>, <italic>Ppp3ca</italic>, <italic>Ppp3cb</italic>, <italic>Nrgn,</italic> and <italic>Mapt</italic> and most of the terms involved synaptic signaling.</p>
<p>In a separate analysis which included all regions (<xref ref-type="supplementary-material" rid="SM5">Supplementary Figure S5</xref>), we aimed to detect RNAs that had region-wise distinct spatial patterns, in other words RNAs that were spatially and differentially expressed with regards to the other regions (S-DE). To begin, we identified the top DE RNAs from each genotype comparison (<xref ref-type="supplementary-material" rid="SM5">Supplementary Figures S5A,C</xref>). Next, we identified the top DE RNAs that also displayed a spatial pattern. The top DE and S-DE RNAs are shown in the heatmaps per genotype and region (<xref ref-type="supplementary-material" rid="SM5">Supplementary Figures S5A,B</xref>, Tau22 versus its WT, <xref ref-type="supplementary-material" rid="SM5">Supplementary Figures S5C,D</xref>, TauKO versus its WT). Notably, <italic>Ttr</italic> was both a top DE RNA and top S-DE RNA in the Tau22 dataset. It was not in the TauKO significantly changed RNA list. Additionally, we found minimal overlap, two RNAs <italic>Lars2</italic> and <italic>Gm42418</italic>, among the RNAs in the hippocampus datasets in the Tau22 and TauKO comparisons by region and no shared genes across the ventricle&#x2019;s datasets.</p>
</sec>
<sec id="sec23">
<label>3.2</label>
<title>Tau and pathological forms of tau may regulate TTR protein levels in CP epithelial cells</title>
<p>The ST results revealed a number of RNAs whose transcript expression were dysregulated in the presence of tau pathology and/or <italic>tau</italic> (<italic>Mapt</italic>) deletion in the hippocampus and the lateral ventricles (<xref ref-type="fig" rid="fig3">Figure 3</xref>). Among the RNA lists, we noted the RNA <italic>Ttr.</italic> We elected to focus on Ttr because of its known neuroprotective properties, it is important for memory, and plays a role in A&#x03B2; sequestration and clearance (<xref ref-type="bibr" rid="ref9">Brouillette and Quirion, 2008</xref>; <xref ref-type="bibr" rid="ref10">Buxbaum, 2023</xref>; <xref ref-type="bibr" rid="ref11">Buxbaum and Johansson, 2017</xref>; <xref ref-type="bibr" rid="ref12">Buxbaum et al., 2008</xref>; <xref ref-type="bibr" rid="ref13">Cascella et al., 2013</xref>; <xref ref-type="bibr" rid="ref18">Ciccone et al., 2020</xref>; <xref ref-type="bibr" rid="ref19">Costa et al., 2008</xref>; <xref ref-type="bibr" rid="ref30">Gomes et al., 2016</xref>; <xref ref-type="bibr" rid="ref31">Gonzalez-Marrero et al., 2015</xref>; <xref ref-type="bibr" rid="ref33">Iqbal, 2018</xref>; <xref ref-type="bibr" rid="ref41">Li et al., 2013</xref>; <xref ref-type="bibr" rid="ref42">Liz et al., 2020</xref>; <xref ref-type="bibr" rid="ref53">Nilsson et al., 2018</xref>; <xref ref-type="bibr" rid="ref57">Santos et al., 2010</xref>; <xref ref-type="bibr" rid="ref59">Schwarzman et al., 1994</xref>; <xref ref-type="bibr" rid="ref71">Ueda, 2022</xref>; <xref ref-type="bibr" rid="ref78">West et al., 2021</xref>). Further, <italic>Ttr</italic> was a top RNA in both the S-DE and DE analysis in the Tau22 data set (<xref ref-type="supplementary-material" rid="SM5">Supplementary Figures S5A,B</xref>). <xref ref-type="fig" rid="fig3">Figures 3A</xref>&#x2013;<xref ref-type="fig" rid="fig3">C</xref> displays the expression pattern and transcript levels of <italic>Ttr</italic> from Tau22 mice from the hippocampus and ventricles, whereas <xref ref-type="fig" rid="fig3">Figures 3D</xref>&#x2013;<xref ref-type="fig" rid="fig3">F</xref> show similar results from the TauKO mice. The plots show the mean and median values to facilitate easier comparison. The RNA plots of <italic>Ttr</italic> expression are overlaid on the tissue slices in <xref ref-type="fig" rid="fig3">Figure 3G</xref> for Tau22 mice and <xref ref-type="fig" rid="fig3">Figure 3H</xref> for TauKO mice. <italic>Ttr</italic> is an RNA coding for an extracellular chaperone deregulated in AD but there is little known about a regulatory relationship between tau and TTR protein.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Investigation of <italic>Ttr</italic> RNA expression. <bold>(A)</bold> UMAP plot showing the expression pattern of <italic>Ttr</italic> RNA in Tau22 mice. Violin plots of data <italic>Ttr</italic> expression data from the hippocampus <bold>(B)</bold> and ventricles <bold>(C)</bold> of Tau22 mice. <bold>(D)</bold> UMAP plot showing the expression pattern of <italic>Ttr</italic> RNA in TauKO mice. Violin plots of data <italic>Ttr</italic> expression data from the hippocampus <bold>(E)</bold> and ventricles <bold>(F)</bold> of TauKO mice. <bold>(G)</bold> <italic>Ttr</italic> RNA expression plotted onto the tissue sections of Tau22 mice. <bold>(H)</bold> <italic>Ttr</italic> RNA expression plotted onto the tissue sections of TauKO mice.</p>
</caption>
<graphic xlink:href="fnagi-17-1656850-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">A collection of charts and visualizations related to Ttr analysis in different genotypes. Panels A and D show UMAP plots for Tau22 and TauKO genotypes, respectively. Panels B, C, E, and F display violin plots comparing Ttr across genotypes. Panels G and H present heat maps for various replicates of Tau22, TauKO, and WT genotypes. Each visualization is color-coded, with legends indicating the scale of analysis, reflecting differences in gene expression or protein levels.</alt-text>
</graphic>
</fig>
<p>TTR protein localization and levels were analyzed by IF in sagittal sections from 12&#x202F;months-old THY-Tau22 and WT littermate mouse brains using TTR antibody. In both genotypes, TTR protein was only strongly detected in CP epithelial cells, where it is secreted (<xref ref-type="bibr" rid="ref64">Stauder et al., 1986</xref>), with an increasing intensity towards the basal surface (<xref ref-type="fig" rid="fig4">Figures 4A</xref>,<xref ref-type="fig" rid="fig4">B</xref>). IF analysis revealed a significant increase of TTR protein level in CP epithelial cells from Tau22 mice versus WT littermates (mean intensity WT: 106.6%; Tau22: 130.6%) (<xref ref-type="fig" rid="fig4">Figures 4B</xref>,<xref ref-type="fig" rid="fig4">C</xref>). We did not observe accumulation of phosphorylated tau in CP epithelial cells (<xref ref-type="fig" rid="fig4">Figure 4D</xref>), indicating the absence of tau pathology there.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>TTR is increased in choroid plexus epithelial cells from Tau22 mouse brains. <bold>(A)</bold> Representative image of ventricles in sagittal sections from 12&#x202F;months old WT mouse brain. Choro&#x00EF;d plexus (CP) epithelial cells present inside the ventricles are labeled with an anti-TTR antibody. <bold>(B)</bold> Representative images of sagittal sections from 12&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;9) and Tau22 (<italic>n</italic>&#x202F;=&#x202F;17) mouse brains. The sections were labeled with the anti-TTR antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 20&#x202F;&#x03BC;m. <bold>(C)</bold> The intensity of the TTR IF signals were quantified within CP epithelial cells from 12&#x202F;months old WT and Tau22 mouse brains. Graph shows the mean of TTR fluorescence per mouse. Each biological replicate represents one mouse. Data are presented as mean &#x00B1; SEM (&#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01; Mann Whitney U test). <bold>(D)</bold> Representative images of sagittal sections from 12&#x202F;months old Tau22 (<italic>n</italic>&#x202F;=&#x202F;17) mouse brains. The sections were labeled with the phospho-dependent anti-tau AT8 and the anti-TTR antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 20&#x202F;&#x03BC;m. <bold>(E)</bold> Representative images of sagittal sections from 12&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;15) and TauKO (<italic>n</italic>&#x202F;=&#x202F;13) mouse brains. The sections were labeled with the anti-TTR antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 20&#x202F;&#x03BC;m. <bold>(F)</bold> The intensity of the TTR IF signals were quantified within CP epithelial cells from 12&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;15) and TauKO (<italic>n</italic>&#x202F;=&#x202F;13) mouse brains. Graph shows the mean of TTR fluorescence per mouse. Each biological replicate represents one mouse. Data are presented as mean &#x00B1; SEM (&#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01; Mann Whitney U test).</p>
</caption>
<graphic xlink:href="fnagi-17-1656850-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Scientific figure showing choroid plexus epithelial cells in various panels. Panel A displays a diagram of a mouse brain with a section enlarged to show the ventricle and choroid plexus epithelial cells. Panels B and E show immunofluorescence images of cells with TTR in green and DAPI in blue for WT and Tau22 or TauKO, respectively. Panel C and F present bar graphs comparing TTR immunofluorescence between WT and Tau22 or TauKO with notable p-values indicating significance. Panel D shows Tau22 cells stained with AT8 in red, TTR in green, and DAPI in blue. Scale bars indicate 20 micrometers.</alt-text>
</graphic>
</fig>
<p>We also evaluated the phosphorylated form of tau (ptau) and TTR expression in the hippocampus of WT and Tau22 mice, <xref ref-type="supplementary-material" rid="SM6">Supplementary Figures S6A&#x2013;E</xref>, respectively. Although increased levels of TTR protein have been previously reported in hippocampal cells from AD-like transgenic mouse models (<xref ref-type="bibr" rid="ref40">Li et al., 2011</xref>; <xref ref-type="bibr" rid="ref65">Stein and Johnson, 2002</xref>), no difference in the level of TTR was observed in CA1 hippocampal cells between 12&#x202F;months-old WT and Tau22 mouse brains (<xref ref-type="supplementary-material" rid="SM6">Supplementary Figures S6D,E</xref>). Additionally, no TTR expression was detected in neurons displaying hyperphosphorylated tau (<xref ref-type="supplementary-material" rid="SM6">Supplementary Figure S6C</xref>).</p>
<p>To better understand whether the elevation of TTR observed in Tau22 mice associates with a gain or a loss of tau function, we further explored the influence of tau deletion on TTR expression by IF in sagittal sections from 12&#x202F;months old TauKO and WT littermate mouse brains using TTR antibody. Again, in WT mice, high TTR expression was restricted to CP epithelial cells from ventricles (<xref ref-type="fig" rid="fig4">Figure 4E</xref>). Quantification of TTR IF revealed a statistically significant decrease of TTR in TauKO compared to WT CP epithelial cells (mean intensity WT: 106.4%; TauKO: 64.44%) (<xref ref-type="fig" rid="fig4">Figure 4F</xref>). We also evaluated TTR levels in the hippocampus of TauKO mice, and similar levels of TTR were observed in TauKO and WT littermates (<xref ref-type="supplementary-material" rid="SM6">Supplementary Figures S6F,G</xref>). Our results indicate that tau may positively modulate the level of TTR protein in the CP epithelial cells.</p>
</sec>
<sec id="sec24">
<label>3.3</label>
<title>Tau deletion favors A&#x03B2; deposits in aged mouse brains</title>
<p>TTR synthesized in CP epithelial cells is secreted into the CSF that bathes the whole brain. In transgenic Tg2576 mice, an AD-like mouse model that expresses mutant APP(sw), A&#x03B2; peptide is overexpressed and TTR expression increases in hippocampal neurons likely as a compensatory mechanism to prevent A&#x03B2; aggregation in the brain (<xref ref-type="bibr" rid="ref39">Li and Buxbaum, 2011</xref>; <xref ref-type="bibr" rid="ref65">Stein and Johnson, 2002</xref>). Since TTR may prevent A&#x03B2; peptide aggregation, we hypothesized that tau deletion in aged mice might induce the formation of A&#x03B2; amyloid deposits. To test this proposition, we compared the effect of tau deletion-induced TTR downregulation on the presence of A&#x03B2; deposits in sagittal sections from 12 and 24&#x202F;months-old TauKO and WT littermate mouse brains using the A&#x03B2; antibody MOAB2. Although only few A&#x03B2; deposits were detected both in 12&#x202F;months-old TauKO and WT littermate mouse brains (<xref ref-type="supplementary-material" rid="SM7">Supplementary Figure S7</xref>), a strong increase of the area and IF intensity of A&#x03B2; aggregates was observed in the hippocampus and/or near the lateral ventricles of 24&#x202F;months-old TauKO compared to WT mouse brains (mean intensity WT: 100%; TauKO: 596.3%) (<xref ref-type="fig" rid="fig5">Figures 5A</xref>,<xref ref-type="fig" rid="fig5">B</xref>). Similar results were obtained using a second anti-A&#x03B2; antibody (4G8, mean intensity WT: 100%; TauKO: 387.9%) (<xref ref-type="fig" rid="fig5">Figures 5C</xref>,<xref ref-type="fig" rid="fig5">D</xref>). It is noticed that the aspect of the plaques detected by MOAB2 and 4G8 is different and potentially linked to the distinct epitopes recognized by the two antibodies. Nevertheless, it should be stressed that the use of 4G8 to detect murine A&#x03B2; is controversial. No A&#x03B2; accumulation was observed in CP epithelial cells of 24&#x202F;months-old TauKO compared to WT mouse brains (data not shown).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Tau deletion enhances A&#x03B2; deposits in aged mouse brains. <bold>(A)</bold> Representative images of sagittal sections from 24&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;5) and TauKO (<italic>n</italic>&#x202F;=&#x202F;5) mouse brains. The sections were labeled with the anti-A&#x03B2; antibody MOAB2. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 20&#x202F;&#x03BC;m. <bold>(B)</bold> Quantification of IF intensity and the area of A&#x03B2; deposits from 24&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;5) and TauKO (<italic>n</italic>&#x202F;=&#x202F;5) mouse brains. Graph shows the mean of A&#x03B2; IF.area per mouse. Each biological replicate represents one mouse. Data are presented as mean &#x00B1; SEM (&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05; Mann Whitney U test). <bold>(C)</bold> Representative images of sagittal sections from 24&#x202F;months old WT (n&#x202F;=&#x202F;5) and TauKO (<italic>n</italic>&#x202F;=&#x202F;5) mouse brains. The sections were labeled with the anti-A&#x03B2; antibody 4G8. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 20&#x202F;&#x03BC;m. <bold>(D)</bold> Quantification of IF intensity and the area of A&#x03B2; plaques from 24&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;5) and TauKO (<italic>n</italic>&#x202F;=&#x202F;5) mouse brains. Graph shows the mean of A&#x03B2; IF.area per category. Each biological replicate represents one mouse. Data are presented as mean &#x00B1; SEM (&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05; Mann Whitney U test). <bold>(E)</bold> Representative images of sagittal sections from 24&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;5) and TauKO (<italic>n</italic>&#x202F;=&#x202F;5) mouse brains. The sections were labeled with the anti-TTR antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 20&#x202F;&#x03BC;m. <bold>(F)</bold> The intensity of the TTR IF signals were quantified within CP epithelial cells from 24&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;5) and TauKO (<italic>n</italic>&#x202F;=&#x202F;5) mouse brains. Graph shows the mean of TTR fluorescence per mouse. Each biological replicate represents one mouse. Data are presented as mean &#x00B1; SEM (&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05; Mann Whitney U test).</p>
</caption>
<graphic xlink:href="fnagi-17-1656850-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Fluorescence microscopy and bar graphs comparing wild-type (WT) and Tau knockout (TauKO) samples. Panels A and C show Abeta plaques in the hippocampus using MOAB2 and 4G8 staining, respectively. Panels B and D present bar graphs indicating significant increases in Abeta plaque areas in TauKO mice. Panel E shows images of TTR expression in choroid plexus epithelial cells. Panel F displays a bar graph illustrating reduced TTR immunofluorescence in TauKO mice. Statistical significance is noted with asterisks and p-values. Scale bars indicate 20 micrometers.</alt-text>
</graphic>
</fig>
<p>For comparison, we also evaluated TTR protein level, and it was downregulated in CP epithelial cells from 24&#x202F;months-old TauKO mouse brains (mean intensity WT: 102.7%; TauKO: 69.42%) (<xref ref-type="fig" rid="fig5">Figures 5E</xref>,<xref ref-type="fig" rid="fig5">F</xref>) in a similar range as previously observed in 12&#x202F;months-old TauKO mice (<xref ref-type="fig" rid="fig4">Figures 4E</xref>,<xref ref-type="fig" rid="fig4">F</xref>), showing that the regulatory role of tau on TTR protein expression is conserved during aging. Altogether these results show that tau deletion potentiates A&#x03B2; deposit formation of endogenous A&#x03B2; peptide in aged mice, and that this correlates with a decrease in TTR expression.</p>
</sec>
<sec id="sec25">
<label>3.4</label>
<title>Regulation of TTR by tau</title>
<p>To explore the interconnectedness between tau (<italic>Mapt</italic>), APP (presumably A&#x03B2;), and TTR, we submitted those genes plus our DE gene lists, by genotype, to GeneMANIA (<xref ref-type="bibr" rid="ref76">Warde-Farley et al., 2010</xref>). The output graphics are shown in <xref ref-type="fig" rid="fig6">Figure 6</xref>. There were no known direct linkages between tau and TTR, neither physical nor predicted. No transcription factors were revealed by this analysis either. However, there was an indirect link between tau, APP (A&#x03B2;), and TTR. Stringdb analysis produced similar results (data not shown). It appears that the shortest connection between Ttr and tau is through A&#x03B2;.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>GeneMANIA networks. <bold>(A)</bold> Graphic representation of Mapt, APP (A&#x03B2;), TTR, and both DE gene lists from Tau22 mice. <bold>(B)</bold> Graphic representation of Mapt, APP (Ab), TTR, and both DE gene lists from TauKO mice.</p>
</caption>
<graphic xlink:href="fnagi-17-1656850-g006.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Network diagrams labeled "Tau22" (A) and "TauKO" (B) depicting molecular interactions. Circles represent proteins with lines indicating interactions. Colors denote types: pink for physical, orange for predicted, purple for co-expression, and green for genetic interactions.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="sec26">
<label>4</label>
<title>Discussion</title>
<p>Collectively, ST and IF reveal a new regulatory role of tau on the expression of TTR. In connection with these findings, this study highlights the key protective role of murine tau on endogenous A&#x03B2; deposition in mouse brain. Our data provides novel insight into the physiological role of tau in regulating TTR protein level in CP epithelial cells and the gain of this function associated with tau pathology.</p>
<p>We should note that while this paper was in preparation, <xref ref-type="bibr" rid="ref2">Ali et al. (2024)</xref> reported single-cell analysis results performed on the cortex of 7-month-old Tau22 and wild type littermate mice, an early time point of pathological development in the cortex of THY-Tau22 mice. <italic>Ttr</italic> RNA expression was increased in Tau22 in neurons in multiple cell types, astrocytes, microglial cells, and oligodendrocytes. This goes in the same direction as our IF results in 12-month-old Tau22 mice. Together, this reinforces the correlation between the development of pathological forms of tau and altered expression of TTR in the mouse brain.</p>
<p>Proteins synthetized in CP epithelial cells are directly secreted into the CSF, which bathes the entire brain. Therefore, any variation in the expression of secreted proteins from CP epithelial cells can have important consequences throughout the brain. Changes in the TTR level in CP epithelial cells of tau transgenic mice likely leads to alteration of TTR in the CSF. Notably, clinical studies in humans have shown that TTR levels in CSF may vary with the stage of pathology (<xref ref-type="bibr" rid="ref10">Buxbaum, 2023</xref>). In a recent paper by <xref ref-type="bibr" rid="ref67">Tijms et al. (2024)</xref>, using mass spectrometry proteomics in human cerebrospinal fluid from 187 controls and 419&#x202F;AD patients, the authors defined five AD molecular subtypes including a new one related to CP dysfunction. Importantly, our results suggest that the contribution of CP dysfunction, in a subgroup of AD patients, may be linked to tau pathology. We should note that while it is tempting to speculate that our results may pertain to human disease, further analysis is warranted to validate whether this is so. Nonetheless, the relationship between CP dysfunction, TTR expression, and tau pathology in AD warrants further investigation.</p>
<p>It has been previously shown that tau deletion increases A&#x03B2; plaques when human A&#x03B2; is overexpressed in mouse brain (<xref ref-type="bibr" rid="ref43">Lonskaya et al., 2014</xref>), but ours is the first description that reports tau deletion potentiates endogenous mouse A&#x03B2; deposition. Interestingly we show decreased TTR levels in CP epithelial cells from tau-deleted mice, and this correlates with an accumulation of A&#x03B2; deposits in the hippocampus of aged mice. Our results suggest that a reduction of TTR, induced by the loss of tau, may participate to promote accumulation of A&#x03B2; peptide in the brain. However, the involvement of murine TTR in murine A&#x03B2; aggregation requires further investigation. Furthermore, different approaches such as Western blot or ELISA would be needed to clarify which A&#x03B2; form (monomeric, oligomeric or fibrillar) was identified by IF.</p>
<p>Here, we propose that late tau pathology of the transgenic mouse model THY-Tau22 promotes increased TTR protein expression, indicating a gain of tau function. Besides A&#x03B2;, TTR can prevent the amyloidogenesis of various unstructured proteins (<xref ref-type="bibr" rid="ref45">Magalhaes et al., 2021</xref>; <xref ref-type="bibr" rid="ref78">West et al., 2021</xref>). Notably, tau is also an intrinsically unstructured protein which can form intraneuronal amyloid fibrils and is present with high molecular weight species in the brain interstitial fluid (ISF) in pathological conditions (<xref ref-type="bibr" rid="ref66">Takeda et al., 2015</xref>), and the ability of TTR to inhibit tau aggregation has not been mentioned in the literature. Here we observe that in response to late tau pathology, TTR protein level is increased in CP epithelial cells from Tau22 mouse brains. Surprisingly, tau aggregation peaks at 12&#x202F;months old in Tau22 mouse brains and no longer progresses as mice age suggesting that mechanisms are induced to block the progression of the pathology (<xref ref-type="bibr" rid="ref58">Schindowski et al., 2006</xref>). Therefore, it is tempting to speculate that increasing the amount of TTR in the CP epithelial cells of Tau22 mouse brain is a backup mechanism to slow down amyloid protein aggregation processes including tau. It would be worth testing this hypothesis and establish if TTR can directly bind to tau and inhibit its aggregation process, but that is beyond the scope of this work.</p>
<p>Although CP epithelium cell failure is described as an early sign in the etiology of AD (<xref ref-type="bibr" rid="ref29">Giao et al., 2022</xref>), potential alteration of TTR levels in the CSF of AD patients is still controversial (<xref ref-type="bibr" rid="ref7">Bergen et al., 2015</xref>; <xref ref-type="bibr" rid="ref56">Riisoen, 1988</xref>; <xref ref-type="bibr" rid="ref60">Serot et al., 1997</xref>; <xref ref-type="bibr" rid="ref67">Tijms et al., 2024</xref>). <xref ref-type="bibr" rid="ref55">Raha-Chowdhury et al. (2019)</xref> suggested that the presence of insoluble phosphorylated tau in CP epithelial cells from AD brains may favor A&#x03B2; aggregation. Conversely, in our transgenic mouse model Tau22 where pathological forms of tau are not detected in the CP, results show no effect of tau pathology on A&#x03B2; agglomeration in the brain. Of course, we cannot exclude that in late phases of AD, when they invade the CP, insoluble forms of tau disrupt the functionality of CP epithelial cells, and particularly the synthesis of TTR, thus promoting A&#x03B2; peptide aggregation. In view of our results, it is important to unambiguously evaluate the level of TTR in CP epithelial cells and in the CSF of AD and other tauopathies patients.</p>
<p>Previously, genome wide analysis demonstrated that nuclear tau could bind to a fraction of genic protein-coding DNA sequences in neurons (<xref ref-type="bibr" rid="ref6">Benhelli-Mokrani et al., 2018</xref>). Tau was not found to bind to the DNA of <italic>Ttr</italic> RNA based on the ChIP-on-chip results in neurons (<xref ref-type="bibr" rid="ref6">Benhelli-Mokrani et al., 2018</xref>). However, regulation of <italic>Ttr</italic> transcription may vary according to cell type (hepatocytes, CP epithelial cells, or neurons) (<xref ref-type="bibr" rid="ref20">Costa et al., 1988</xref>; <xref ref-type="bibr" rid="ref24">Dickson et al., 1986</xref>; <xref ref-type="bibr" rid="ref75">Wang et al., 2014</xref>). Nevertheless, the absence of detection of phosphorylated tau in the CP epithelial cells of Tau22 mice suggests that the effect is likely not direct. To further investigate the relationship between tau, A&#x03B2;, and TTR, we constructed GeneMANIA interaction networks with those genes plus the DE genes (<xref ref-type="fig" rid="fig6">Figure 6</xref>). No transcription factors or obvious candidate proteins were seen in these graphics to explain how changes in tau modulates the transcription or protein levels of TTR in the brain. However, we note that we have long non-coding RNA (lncRNA) in our DE gene lists and lncRNAs can modulate transcription and act at a distance via transport in extracellular vesicles. Using human iPSC-neurons with Mapt variants, <xref ref-type="bibr" rid="ref8">Bhagat et al. (2023)</xref> found that the Mapt variants also showed altered expression of Malat1 and Meg3. Further, Malat1 is altered in AD patient plasma and CSF (<xref ref-type="bibr" rid="ref85">Zhuang et al., 2020</xref>) and has been found in glioma stem cell-derived extracellular vesicles (<xref ref-type="bibr" rid="ref82">Yang et al., 2019</xref>). We have no knowledge whether Gm42418, Malat1, or Meg3 can alter TTR protein expression. This warrants further investigation.</p>
<p>In addition, a surprising point in this study is that, although the level of the TTR protein is markedly reduced in CP epithelial cells of tau-deleted mice, the dysregulation of the expression of the <italic>Ttr</italic> RNA in the ventricles is not apparent from the ST analysis. Either there was a technical limitation in the sensitivity of detection of mRNAs at the level of CP epithelial cells or something masked the effect of tau on the transcription of the <italic>Ttr</italic> RNA, or the regulatory role of tau is not at the transcriptional level. Tau could modulate the translation, transport, or the degradation of TTR. Indeed, the molecular mechanisms underlying the changes in tau-dependent TTR protein expression in CP epithelial cells remain uncovered.</p>
<p>Our results open new perspectives on the regulation of TTR by tau expression in the brain and for the first time link TTR and tau in neuronal functioning and TTR dysregulation in the context of tauopathies, see <xref ref-type="fig" rid="fig1">Figure 1</xref> for a graphic summation of the study. The ramifications of the associations between tau, TTR, and A&#x03B2; warrant further investigation regarding A&#x03B2; clearance and cognition.</p>
</sec>
<sec id="sec27">
<label>5</label>
<title>Limitations of the study</title>
<p>ST is a formidable technique for obtaining information that is inaccessible by global transcriptional analysis approaches, the fact remains that it still has limitations. This study was initiated when the size of the array spots was 100&#x202F;&#x03BC;m, which is much larger than current ST methodologies (10-50x). We believe, however, that the 1&#x202F;K arrays still provide valuable and powerful data.</p>
<p>We recognize that the experiments were conducted using only 12&#x202F;m and 24&#x202F;m old mice. Since disease progression is not static, and insights may be missed by snapshot analyses, in future studies we suggest including multiple time points (e.g., 3, 6, 18, or 24&#x202F;months) which could provide a more comprehensive understanding of the temporal dynamics of the tau-TTR-A&#x03B2; relationships, but this is beyond the scope of this paper.&#x201D; Further, this option was not available to us because of limited resources.</p>
<p>Another limitation of this study is the use of females exclusively. We recognize that we may have missed sex-based differences since we did not use male mice and further that our findings may not entirely translation to males. Further, since our findings are in mice, and while it is tempting to speculate that our results may pertain to human disease, further analysis is warranted to validate whether this is so.&#x201D;</p>
<p>We also acknowledge that the use of 4G8 to detect murine &#x0391;&#x03B2; is controversial. However, it has been used previously in APOE transgenic mice to detect mouse A&#x03B2; (<xref ref-type="bibr" rid="ref25">Ding et al., 2008</xref>). Further, the most abundant pattern identified by 4G8 is F-x-A (<xref ref-type="bibr" rid="ref5">Baghallab et al., 2018</xref>) which is highly conserved across species including in the mouse A&#x03B2; (<xref ref-type="bibr" rid="ref27">Flemmig et al., 2018</xref>).</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec28">
<title>Data availability statement</title>
<p>All the data and images used in the analyses are available at Mendeley Data (<ext-link xlink:href="https://doi.org/10.17632/myby6tfnh7.1" ext-link-type="uri">10.17632/myby6tfnh7.1</ext-link>). The code used in the analysis and to generate the figures is available at: <ext-link xlink:href="https://github.com/jfnavarro/TAU22_KOTAU" ext-link-type="uri">https://github.com/jfnavarro/TAU22_KOTAU</ext-link>.</p>
</sec>
<sec sec-type="ethics-statement" id="sec29">
<title>Ethics statement</title>
<p>The animal study was approved by Animals were maintained in compliance with institutional protocols (Comit&#x00E9; d&#x2019;&#x00E9;thique en exp&#x00E9;rimentation animale du Nord Pas-de-Calais, no. 0508003). All the animal experiments were performed in compliance with and following the approval of the local Animal Ethical Committee (agreement #12787-2, 015, 101, 320, 441, 671 v9nfrom CEEA75, Lille, France), standards for the care and use of laboratory animals, and the French and European Community rules. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec30">
<title>Author contributions</title>
<p>DC: Methodology, Data curation, Investigation, Writing &#x2013; review &#x0026; editing, Supervision, Software, Visualization, Conceptualization, Writing &#x2013; original draft, Formal analysis, Project administration, Funding acquisition, Formal analysis. JN: Methodology, Data curation, Investigation, Writing &#x2013; review &#x0026; editing, Supervision, Software, Conceptualization, Writing &#x2013; original draft, Formal analysis, Visualization, Funding acquisition. TC: Writing &#x2013; original draft, Data curation, Writing &#x2013; review &#x0026; editing, Formal analysis, Methodology. ZA: Methodology, Writing &#x2013; review &#x0026; editing. AJ: Methodology, Writing &#x2013; review &#x0026; editing. EB: Writing &#x2013; review &#x0026; editing, Software, Writing &#x2013; original draft, Formal analysis. LB: Resources, Data curation, Funding acquisition, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft. VB: Conceptualization, Funding acquisition, Writing &#x2013; review &#x0026; editing, Supervision, Resources, Project administration, Writing &#x2013; original draft. JL: Funding acquisition, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft. M-CG: Conceptualization, Validation, Project administration, Writing &#x2013; review &#x0026; editing, Investigation, Visualization, Methodology, Writing &#x2013; original draft, Funding acquisition, Supervision, Data curation, Formal analysis.</p>
</sec>
<sec sec-type="funding-information" id="sec31">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported, in part, by the Intramural Research Program of the National Institutes of Health (NIH). The contributions of the NIH author(s) were made as part of their official duties as NIH federal employees, are in compliance with agency policy requirements and are considered Works of the United States Government. However, the findings and conclusions presented in this paper are those of the author(s) and do not necessarily reflect the views of the NIH or the U.S. Department of Health and Human Services. This work was supported by grants from the program Investisement d&#x2019;avenir LabEx (Laboratory Excellence) DISTALZ (Development of Innovative Strategies for a Transdisciplinary approach to ALZheimer&#x2019;s disease). Our laboratories are also supported by LICEND (Lille Centre of Excellence in Neurodegenerative Disorders), CNRS, Inserm, M&#x00E9;tropole Europ&#x00E9;enne de Lille, Univ. Lille, FEDER and DN2M. M-CG, JL, and VB were also supported by INSTALZ, an EU Joint Programme - Neurodegenerative Disease Research (JPND) project. The INSTALZ project is supported through the following funding organizations under the aegis of JPND - &#x201C;<ext-link xlink:href="http://www.jpnd.eu" ext-link-type="uri">http://www.jpnd.eu</ext-link>&#x201D; (Belgium, Research Foundation Flanders; Denmark, Innovation Fund Denmark; France, Agence Nationale de la Recherche; Sweden, Swedish Research Council; United Kingdom, Medical Research Council). The project has received funding from the European Union&#x2019;s Horizon 2020 research and innovation programme under grant agreement No 643417.</p>
</sec>
<ack>
<p>We are grateful to the UAR2014/US41 &#x2013; PLBS (Plateformes lilloises en Biologie-Sant&#x00E9;, Lille, France) for access to the bioimaging center platform and the animal facility. We are grateful to M. Tardivel and A. Bongiovanni for their assistance with confocal microscopy analyses. We thank M. H. Gevaert (Laboratoire d&#x2019;Histologie, Facult&#x00E9; de M&#x00E9;decine, Lille), Claire Schirmer and Marie-Line Reynaert for technical assistance. <ext-link xlink:href="http://BioRender.com" ext-link-type="uri">BioRender.com</ext-link> was used to create diagrams. We thank David Taylor, Marc Raley, and Tom Wynn (NIA Arts and Photography) for graphics assistance. We would also like to thank Drs. Lehrman and Akbar Ali for critically reading the manuscript.</p>
</ack>
<sec sec-type="COI-statement" id="sec32">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec sec-type="ai-statement" id="sec33">
<title>Generative AI statement</title>
<p>The authors declare that no Gen AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="sec34">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec35">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fnagi.2025.1656850/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fnagi.2025.1656850/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY FIGURE S1</label>
<caption>
<p>Quality control for of the ST analysis. <bold>(A)</bold> Average number of counts per spot in each Tau22 mouse. <bold>(B)</bold> Average number of RNAs detected per spot in each Tau22 mouse. <bold>(C)</bold> Average number of counts per spot in each TauKO mouse. <bold>(D)</bold> Average number of RNAs detected per spot in each TauKO mouse.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Data_Sheet_2.pdf" id="SM2" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY FIGURE S2</label>
<caption>
<p>Graphic representation of Tau22 mouse data. <bold>(A)</bold> UMAP plots colored by total number of counts per total RNAs detected, per mouse, and genotype. <bold>(B)</bold> H&#x0026;E-stained brain sections for Tau22 mice. <bold>(C)</bold> Spatial representation of spots colored by cluster in Tau22 mouse brains.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Data_Sheet_3.pdf" id="SM3" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY FIGURE S3</label>
<caption>
<p><bold>(A)</bold> UMAP plots colored by total number of counts per total RNAs detected, per mouse and genotype. <bold>(B)</bold> H&#x0026;E-stained brain sections for TauKO mice. <bold>(C)</bold> Spatial representation of spots colored by cluster in TauKO mouse brains.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Data_Sheet_4.pdf" id="SM4" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY FIGURE S4</label>
<caption>
<p>RNA ontology analysis. <bold>(A)</bold> RNA set enrichment analysis (GSEA) of the top GO biological process terms from TauKO hippocampus dataset. <bold>(B)</bold> Heatmap of the significantly changed DE RNAs found in various terms. <bold>(C)</bold> GSEA of the top GO biological process terms from TauKO ventricles dataset.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Data_Sheet_5.pdf" id="SM5" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY FIGURE S5</label>
<caption>
<p>Heatmaps of top Spatial DE and DE RNAs. <bold>(A)</bold> Top DE RNAs from Tau22 mice. <bold>(B)</bold> Intersection of top spatial DE and DE RNAs from Tau22 mice. <bold>(C)</bold> Top DE RNAs from TauKO. <bold>(D)</bold> Intersection of top spatial DE and DE RNAs from TauKO mice.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Data_Sheet_6.pdf" id="SM6" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY FIGURE S6</label>
<caption>
<p>Tau alterations do not affect TTR expression in hippocampal cells from Tau22 mouse brains. <bold>(A)</bold> Schematic representation of the hippocampus from mouse brain. <bold>(B)</bold> Representative image of sagittal sections from 12&#x202F;months-old Tau22 mouse hippocampus. The section was labeled with the phospho-dependent anti-tau AT8 antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bar represents 200&#x202F;&#x03BC;m. <bold>(C)</bold> Representative images of sagittal sections from Tau22 (<italic>n</italic>&#x202F;=&#x202F;12) mouse brains. The sections were labeled with the phospho-dependent anti-tau AT8 and the anti-TTR antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 50&#x202F;&#x03BC;m. <bold>(D)</bold> Representative images of sagittal sections from WT (<italic>n</italic>&#x202F;=&#x202F;13) and Tau22 (<italic>n</italic>&#x202F;=&#x202F;12) mouse brains. The sections were labeled with the anti-TTR antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 50&#x202F;&#x03BC;m. <bold>(E)</bold> The intensity of the TTR IF signals were quantified within hippocampal CA1 cells from WT (<italic>n</italic>&#x202F;=&#x202F;13) and Tau22 (<italic>n</italic>&#x202F;=&#x202F;12) mouse brains. Graph shows the mean of TTR fluorescence per genotype. Each biological replicate represents one mouse. Data are presented as mean &#x00B1; SEM (ns: <italic>p</italic>&#x202F;&#x003E;&#x202F;0.05; Mann Whitney U test). <bold>(F)</bold> Representative images of sagittal sections from 12&#x202F;months-old WT (<italic>n</italic>&#x202F;=&#x202F;15) and TauKO (<italic>n</italic>&#x202F;=&#x202F;13) mouse brains. The sections were labeled with the anti-TTR antibody. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 50&#x202F;&#x03BC;m. <bold>(G)</bold> The intensity of the TTR IF signals were quantified within hippocampal CA1 cells from WT (<italic>n</italic>&#x202F;=&#x202F;15) and TauKO (<italic>n</italic>&#x202F;=&#x202F;13) mouse brains. Graph shows the mean of TTR fluorescence per category. Each biological replicate represents one mouse. Data are presented as mean &#x00B1; SEM (ns: <italic>p</italic>&#x202F;&#x003E;&#x202F;0.05; Mann Whitney U test).</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Data_Sheet_7.pdf" id="SM7" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY FIGURE S7</label>
<caption>
<p>A&#x03B2; deposits are only weakly detected in 12&#x202F;months old Tau22 and WT littermate mouse brains. Representative images of sagittal sections from 12&#x202F;months old WT (<italic>n</italic>&#x202F;=&#x202F;15) and TauKO (<italic>n</italic>&#x202F;=&#x202F;13) mouse brains. The sections were labeled with the anti-A&#x03B2; antibody MOAB2. IF signals were analyzed by clsm (z projection). Nuclei were detected with DAPI staining. The scale bars represent 50&#x202F;&#x03BC;m.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Table_1.xlsx" id="SM8" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>SUPPLEMENTARY Table 1</label>
<caption>
<p>List of DE genes per region.</p>
</caption>
</supplementary-material>
</sec>
<fn-group>
<title>Abbreviations</title>
<fn fn-type="abbr">
<p>TTR, transthyretin; AD, Alzheimer&#x2019;s disease; CP, choroid plexus; Tau22, THY-Tau22; TauKO, tau deletion; Abeta, A&#x03B2;: amyloid beta; CSF, cerebrospinal fluid; ptau, phosphorylated tau; IF, immunofluorescence.</p>
</fn>
</fn-group>
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