Defining the Spatial Relationship Between Early Endosomal Abnormalities, Amyloid Pathology and Early-Stage Tau Hyperphosphorylation in Primate Models of Sporadic Alzheimer's Disease
openNIA - National Institute on Aging
Sporadic Alzheimer’s disease (sAD) affects millions worldwide, yet the earliest molecular events that drive its
progression remain poorly understood. Hallmark pathologies—amyloid-β (Aβ) plaques and tau neurofibrillary
tangles (NFTs)—develop decades after subtle cellular changes have already begun. One of the strongest
emerging biomarkers of preclinical AD is soluble phosphorylated tau at threonine 217 (pT217Tau), which
appears in cerebrospinal fluid and plasma years before overt symptoms or brain pathology. Endosomal
enlargement, a robust early abnormality linked to Aβ42 generation from amyloid precursor protein (APP), is also
present in at-risk individuals. However, the spatial and temporal relationship between early-stage tau
hyperphosphorylation, amyloid pathology, and endosomal changes has never been directly visualized in human
or nonhuman primate brains. This gap limits the development of early diagnostic tools and therapies. The overall
goal of this project is to define the earliest molecular convergence points between soluble pT217Tau, APP/Aβ42,
and endosomal abnormalities across human postmortem tissue, aging nonhuman primates, and human induced
pluripotent stem cell (hiPSC)–derived neurons. This multiscale approach is uniquely enabled by (1) postmortem
human tissue spanning Braak stages I–VI, (2) perfusion-fixed rhesus macaque brains that preserve soluble
phosphorylation states and native ultrastructure, and (3) mechanistic testing in hiPSC-derived neurons including
SORL1-deficient lines, which model genetic risk for endolysosomal dysfunction. Aim 1 will define the spatial
relationship between pT217Tau, endosomal enlargement, and APP/Aβ42 in early human AD stages using
quantitative immunofluorescence across vulnerable (entorhinal cortex, hippocampus, dorsolateral prefrontal
cortex) and resilient (primary visual cortex) regions. Aim 2 will examine age-related associations between
pT217Tau, APP/Aβ42 and endosomal abnormalities in rhesus macaque cortex, applying dual-label immuno-
electron microscopy to achieve nanoscale resolution of tau–endosome interactions. Aim 3 will determine
whether promoting tau hyperphosphorylation in hiPSC-derived neurons is sufficient to induce endosomal
abnormalities and altered APP/Aβ42 trafficking, with particular emphasis on retromer dysfunction in SORL1-
deficient cells. By combining observational and experimental systems, this project will directly test the hypothesis
that soluble pT217Tau—but not fibrillar tau—is preferentially associated with APP/Aβ42-containing endosomes
in neurons of vulnerable cortical regions, and that this phenotype can be recapitulated in vitro. The proposed
studies are highly innovative in their integration of human, nonhuman primate, and cellular models, and in their
use of cutting-edge nanoscale imaging to capture disease processes at unprecedented resolution. Results will
illuminate the etiology of sAD pathogenesis, identify the earliest cellular events linking tau and amyloid pathology,
and reveal new targets for early intervention. Ultimately, this work has the potential to transform how we detect
and treat sAD by focusing on the earliest and potentially reversible stages of the disorder.
Up to $508K
health research