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Single-nucleus brain transcriptomics reveals microglia dysfunction in multiple system atrophy

delete2026-04-15
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OA
AI
R
Rasmus Rydbirk
F
Frederik N. F. Sørensen
J
Jonas Folke
H
Henriette Haukedal
A
Andrea Asenjo-Martínez
I
Irene Lisa Vargas
S
Simone McGarry
O
Oline Chantell Hollmann
C
Camila Gherardelli
S
Sofia Sepulveda
A
Adam T. Szafran
M
Michael A. Mancini
S
Sanne S. Kaalund
T
Tomasz Brudek
L
Lisette Salvesen
S
Sára Bech
J
Justyna Okarmus
P
Peter V. Kharchenko
M
Morten Meyer
C
Claudio Soto
K
Kristine Freude
A
Abhisek Mukherjee
S
Susana Aznar *
K
Konstantin Khodosevich *
DOI:10.1038/s41467-026-71525-6delete
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Abstract

Abstract

En 中文
Multiple system atrophy (MSA) is a rare, age-related neurodegenerative disease that shares clinical and pathological features with Parkinson’s disease (PD) but presents a more devastating disease course. To elucidate the distinct cellular pathophysiology, we performed single-nucleus RNA sequencing on postmortem striatal brain tissue from 7 MSA and 12 PD patients, and 10 non-neurological cases. Here, we show significant compositional differences in astroglia and microglia subtypes, while oligodendroglia and neurons are comparable. PD brains show abundant microglia expressing MHC class II HLA haplotypes, indicative of a proinflammatory state, alongside more homeostatic astrocytes. In contrast, MSA lack activated microglia but has more reactive astrocytes compared to PD. Transcriptomic analysis suggests compromised oligodendrocyte signaling in MSA, with microglia being in a state of immune tolerance or exhaustion. Microglia derived from iPSC exposed to patient cerebrospinal fluid exhibit reduced phagocytic activity, especially in MSA. These findings underscore a dysfunctional immune response in MSA as a potential contributor to the more severe pathophysiology of MSA. Multiple system atrophy (MSA) is a neurodegenerative disease with unclear cellular drivers and mechanisms. Here, the authors use single nucleus RNAseq and show dysfunctional, immune tolerant microglia in MSA distinguishing it from Parkinson’s disease.
Keywords:
Molecular neuroscience
Neurodegeneration
Parkinson's disease
Science
Humanities and Social Sciences
multidisciplinary

Journal

Nature Communications cover
Nature Communications
IF:
15.7
Papers:
9.2W
Citations:
91.2W

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C
Copenhagen University Hospital
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University of Copenhagen
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Harvard University
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University of Texas Health Science Center at Houston
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Baylor College of Medicine
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university of southern denmark
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