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Peer-reviewedCC BY 4.0Frontiers in Neuroscience

Regional tau burden tracks with lower microglial HLA class II transcription in the human brain

  1. 1Department of Neurology, The Second Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University
  2. 2Department of Endocrinology, The Second Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University
  3. 3Department of Pulmonary and Critical Care Medicine, The Second Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University

Abstract

Background: Human leukocyte antigen class II (HLA-II) genes mark several microglial states in Alzheimer’s disease, but it remains unclear how their average transcription relates to tau measured in the same brain region.

Methods: We used a locked 13-gene HLA-II panel selected by biological function, cross-cohort detection, and variance, without considering effect estimates. The primary analysis was conducted using the Seattle Alzheimer’s Disease Brain Cell Atlas (SEA-AD): 361 donor-region observations from 79 donors across 6 cortical regions were modeled with within-donor pathology decomposition, region fixed effects, and a donor random intercept. A paired entorhinal-versus-somatosensory analysis in GSE160936 (11 donors) provided additional support for our findings. Sensitivity analyses addressed amyloid-β, RNA quality, neuronal-nuclei enrichment, microglial-state composition, published state annotations, alternative panels, region omission, and assay modality. Public human induced pluripotent stem cell (iPSC)-microglia data were used to provide a distinct tau-exposure context.

Results: In the SEA-AD study, a higher local AT8-positive area within a donor was associated with a lower expanded HLA-II score ( β = −0.174, 95% confidence interval [CI]: −0.297 to −0.052; p = 0.005). The estimate remained negative after adjusting for local amyloid-β, RNA integrity number, and the NeuN-positive fluorescence-activated nuclei sorting (FANS) fraction ( β = −0.167, 95% CI: −0.289 to −0.045; p = 0.007). This result was consistent after adjusting for the proportion of a published Damage-Associated Microglia (DAM)-enriched state. A formal tau-minus-amyloid-β contrast was not significant. In GSE160936, the expanded-panel pTau coefficient was negative ( β = −0.533); however, the primary exact test was not significant after the two-test correction ( p = 0.083; q = 0.166). Fibrillar tau exposure lowered the score derived from the 12 detectable panel genes in iPSC-microglia (difference = −1.343; exact p = 0.029).

Conclusion: In a larger multi-region cohort and a smaller paired cohort, we observed that regional tau burden was associated with lower levels of pooled microglial HLA-II transcription. The association was not explained solely by the measured proportion of the DAM-like state. However, the data do not establish tau specificity, direct suppression, protein-level antigen presentation, or a causal mechanism.

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BibTeX
@article{li2026regional,
  title = {{Regional tau burden tracks with lower microglial HLA class II transcription in the human brain}},
  author = {Fan Li and Suqin Jin and Ping Wang and Hui Yang and Xianghua Zhuang and Feifei Feng and Peng Cheng},
  journal = {Frontiers in Neuroscience},
  year = {2026},
  month = oct,
  doi = {10.3389/fnins.2026.1979981},
  url = {https://www.frontiersin.org/articles/10.3389/fnins.2026.1979981/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Regional tau burden tracks with lower microglial HLA class II transcription in the human brain
AU  - Fan Li
AU  - Suqin Jin
AU  - Ping Wang
AU  - Hui Yang
AU  - Xianghua Zhuang
AU  - Feifei Feng
AU  - Peng Cheng
PY  - 2026
DA  - 2026/10/07
JO  - Frontiers in Neuroscience
DO  - 10.3389/fnins.2026.1979981
UR  - https://www.frontiersin.org/articles/10.3389/fnins.2026.1979981/full
AB  - Background: Human leukocyte antigen class II (HLA-II) genes mark several microglial states in Alzheimer’s disease, but it remains unclear how their average transcription relates to tau measured in the same brain region.  Methods: We used a locked 13-gene HLA-II panel selected by biological function, cross-cohort detection, and variance, without considering effect estimates. The primary analysis was conducted using the Seattle Alzheimer’s Disease Brain Cell Atlas (SEA-AD): 361 donor-region observations from 79 donors across 6 cortical regions were modeled with within-donor pathology decomposition, region fixed effects, and a donor random intercept. A paired entorhinal-versus-somatosensory analysis in GSE160936 (11 donors) provided additional support for our findings. Sensitivity analyses addressed amyloid-β, RNA quality, neuronal-nuclei enrichment, microglial-state composition, published state annotations, alternative panels, region omission, and assay modality. Public human induced pluripotent stem cell (iPSC)-microglia data were used to provide a distinct tau-exposure context.  Results: In the SEA-AD study, a higher local AT8-positive area within a donor was associated with a lower expanded HLA-II score ( β = −0.174, 95% confidence interval [CI]: −0.297 to −0.052; p = 0.005). The estimate remained negative after adjusting for local amyloid-β, RNA integrity number, and the NeuN-positive fluorescence-activated nuclei sorting (FANS) fraction ( β = −0.167, 95% CI: −0.289 to −0.045; p = 0.007). This result was consistent after adjusting for the proportion of a published Damage-Associated Microglia (DAM)-enriched state. A formal tau-minus-amyloid-β contrast was not significant. In GSE160936, the expanded-panel pTau coefficient was negative ( β = −0.533); however, the primary exact test was not significant after the two-test correction ( p = 0.083; q = 0.166). Fibrillar tau exposure lowered the score derived from the 12 detectable panel genes in iPSC-microglia (difference = −1.343; exact p = 0.029).  Conclusion: In a larger multi-region cohort and a smaller paired cohort, we observed that regional tau burden was associated with lower levels of pooled microglial HLA-II transcription. The association was not explained solely by the measured proportion of the DAM-like state. However, the data do not establish tau specificity, direct suppression, protein-level antigen presentation, or a causal mechanism.
SN  - 1662-453X
SN  - 1662-4548
ER  -