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Amyloid beta pathology induces astrocytic pTDP-43 mislocalization and disrupts TDP-43-regulated cryptic exon transcripts

Rafiee, Zeinab LU ; Santiago, Jessica LU orcid ; Andersson, Emelie LU orcid ; Hansson, Oskar LU orcid and Wennström, Malin LU (2026) In Frontiers in Aging Neuroscience 18.
Abstract

Background – While amyloid-β (Aβ) and tau are hallmark pathologies of Alzheimer’s disease (AD), TDP-43 proteinopathy is increasingly recognized as an important contributor, occurring in up to 57% of AD cases and associated with accelerated cognitive decline. TDP-43 regulates RNA splicing, and its mislocalization leads to cryptic exon inclusion and loss of canonical protein function. While neuronal TDP-43 pathology has been well studied, its role in astrocytes remains less understood. Recent findings suggest increased phosphorylated TDP-43 (pTDP-43) inclusions in astrocytic endfeet in AD and a bidirectional interaction between Aβ and TDP-43, promoting mutual aggregation. Methods – We analyzed pTDP-43 immunoreactivity (IR) in astrocytic... (More)

Background – While amyloid-β (Aβ) and tau are hallmark pathologies of Alzheimer’s disease (AD), TDP-43 proteinopathy is increasingly recognized as an important contributor, occurring in up to 57% of AD cases and associated with accelerated cognitive decline. TDP-43 regulates RNA splicing, and its mislocalization leads to cryptic exon inclusion and loss of canonical protein function. While neuronal TDP-43 pathology has been well studied, its role in astrocytes remains less understood. Recent findings suggest increased phosphorylated TDP-43 (pTDP-43) inclusions in astrocytic endfeet in AD and a bidirectional interaction between Aβ and TDP-43, promoting mutual aggregation. Methods – We analyzed pTDP-43 immunoreactivity (IR) in astrocytic perivascular end-feet, nuclei, and cytosol in hippocampal sections from 3-month-old and 18-month-old AppNL–F/NL–F mice and 18-month-old wild-type controls using ImageJ. In vitro, primary fetal human astrocytes were exposed to oligomeric Aβ42, and changes in cytosolic and nuclear pTDP-43 IR were quantified via ImageJ, while TDP-43 and pTDP-43 protein levels were measured using an in-house ELISA. Expression of canonical transcripts ATG4B and KALRN, involved in autophagy and synaptic support, was assessed by qPCR. Corresponding protein-level changes were evaluated using in-house ELISA. Results – Our findings demonstrate significantly higher pTDP-43 accumulations in astrocytic nuclei, cytosol, and endfeet in 18-month-old AppNL–F/NL–F mice compared to age-matched wild-type mice. Astrocytes exposed to oligomeric Aβ42 showed elevated cytosolic pTDP-43 IR and total pTDP-43 protein levels. Concurrently, expression of canonical ATG4B and KALRN transcripts was significantly reduced, which was accompanied by corresponding decreases in protein levels. Conclusion – Our findings demonstrate that pTDP-43 accumulates in astrocytic nuclei, cytosol, and endfeet in the presence of AD pathology. The observed Aβ-induced increase in cytosolic pTDP-43 and transcript disruption suggests a mechanistic link contributing to autophagy impairment and cytoskeletal changes in astrocytes, potentially exacerbating AD progression.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alzheimer’s disease, amyloid-beta, cryptic exon splicing, proteinopathy, pTDP-43
in
Frontiers in Aging Neuroscience
volume
18
article number
1766448
publisher
Frontiers Media S. A.
external identifiers
  • pmid:42063624
  • scopus:105040925861
ISSN
1663-4365
DOI
10.3389/fnagi.2026.1766448
language
English
LU publication?
yes
id
a449af74-3050-4871-85ab-a917a3d41865
date added to LUP
2026-06-30 11:09:27
date last changed
2026-07-01 15:09:47
@article{a449af74-3050-4871-85ab-a917a3d41865,
  abstract     = {{<p>Background – While amyloid-β (Aβ) and tau are hallmark pathologies of Alzheimer’s disease (AD), TDP-43 proteinopathy is increasingly recognized as an important contributor, occurring in up to 57% of AD cases and associated with accelerated cognitive decline. TDP-43 regulates RNA splicing, and its mislocalization leads to cryptic exon inclusion and loss of canonical protein function. While neuronal TDP-43 pathology has been well studied, its role in astrocytes remains less understood. Recent findings suggest increased phosphorylated TDP-43 (pTDP-43) inclusions in astrocytic endfeet in AD and a bidirectional interaction between Aβ and TDP-43, promoting mutual aggregation. Methods – We analyzed pTDP-43 immunoreactivity (IR) in astrocytic perivascular end-feet, nuclei, and cytosol in hippocampal sections from 3-month-old and 18-month-old App<sup>NL–F/NL–F</sup> mice and 18-month-old wild-type controls using ImageJ. In vitro, primary fetal human astrocytes were exposed to oligomeric Aβ42, and changes in cytosolic and nuclear pTDP-43 IR were quantified via ImageJ, while TDP-43 and pTDP-43 protein levels were measured using an in-house ELISA. Expression of canonical transcripts ATG4B and KALRN, involved in autophagy and synaptic support, was assessed by qPCR. Corresponding protein-level changes were evaluated using in-house ELISA. Results – Our findings demonstrate significantly higher pTDP-43 accumulations in astrocytic nuclei, cytosol, and endfeet in 18-month-old App<sup>NL–F/NL–F</sup> mice compared to age-matched wild-type mice. Astrocytes exposed to oligomeric Aβ42 showed elevated cytosolic pTDP-43 IR and total pTDP-43 protein levels. Concurrently, expression of canonical ATG4B and KALRN transcripts was significantly reduced, which was accompanied by corresponding decreases in protein levels. Conclusion – Our findings demonstrate that pTDP-43 accumulates in astrocytic nuclei, cytosol, and endfeet in the presence of AD pathology. The observed Aβ-induced increase in cytosolic pTDP-43 and transcript disruption suggests a mechanistic link contributing to autophagy impairment and cytoskeletal changes in astrocytes, potentially exacerbating AD progression.</p>}},
  author       = {{Rafiee, Zeinab and Santiago, Jessica and Andersson, Emelie and Hansson, Oskar and Wennström, Malin}},
  issn         = {{1663-4365}},
  keywords     = {{Alzheimer’s disease; amyloid-beta; cryptic exon splicing; proteinopathy; pTDP-43}},
  language     = {{eng}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Aging Neuroscience}},
  title        = {{Amyloid beta pathology induces astrocytic pTDP-43 mislocalization and disrupts TDP-43-regulated cryptic exon transcripts}},
  url          = {{http://dx.doi.org/10.3389/fnagi.2026.1766448}},
  doi          = {{10.3389/fnagi.2026.1766448}},
  volume       = {{18}},
  year         = {{2026}},
}