TFEB enhances astroglial uptake of extracellular tau species and reduces tau spreading
Open accessAbstract
The progression of tau pathology in Alzheimer’s disease follows a stereotyped pattern, and recent evidence suggests a role of synaptic connections in this process. Astrocytes are well positioned at the neuronal synapse to capture and degrade extracellular tau as it transits the synapse and hence could potentially have the ability to inhibit tau spreading and delay disease progression. Our study shows increased expression and activity of Transcription Factor EB (TFEB), a master regulator of lysosomal biogenesis, in response to tau pathology in both human brains with dementia and transgenic mouse models. Exogenous TFEB expression in primary astrocytes enhances tau fibril uptake and lysosomal activity, while TFEB knockout has the reverse effect. In vivo, induced TFEB expression in astrocytes reduces pathology in the hippocampus of PS19 tauopathy mice, as well as prominently attenuates tau spreading from the ipsilateral to the contralateral hippocampus in a mouse model of tau spreading. Our study suggests that astrocytic TFEB plays a functional role in modulating extracellular tau and the propagation of neuronal tau pathology in tauopathies such as Alzheimer’s disease.
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Previous studies have shown that astrocytes can internalize tau monomers, truncated pre-formed fibrils (PFFs), and tau oligomers through HSPG-independent mechanisms.
“Previous studies have shown that astrocytes can internalize tau monomers, 13 truncated pre‐formed fibrils (PFFs), 12 and tau oligomers 11 , 41 through HSPG‐independent mechanisms. 28”
From Protective mechanisms against Alzheimer's disease in APOE3‐Christchurch homozygous astrocytes (2025) · cites this paper as [12]
Citation 28 is attached to the claim that uptake occurs through HSPG-independent mechanisms. The Results section (page not available in our copy) says instead that tau fibril uptake involves interaction with cell-surface HSPGs and reports that heparin, used to inhibit that interaction, reduces fibril uptake in primary astrocytes. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredAstrocytes are active participants in tau clearance, a process critical for limiting the spread of pathological tau aggregates in AD and related tauopathies.
“astrocytes are increasingly recognized as active participants in tau clearance, a process critical for limiting the spread of pathological tau aggregates in AD and related tauopathies.”
From Protective mechanisms against Alzheimer's disease in APOE3‐Christchurch homozygous astrocytes (2025) · cites this paper as [12]
Astrocytes phagocytose extracellular tau and contribute to tau spreading through transcription factor EB.
“Similar to microglia, astrocytes can also phagocytose extracellular tau and contribute to tau spreading through transcription factor EB [435].”
From Molecular and cellular mechanisms underlying the pathogenesis of Alzheimer’s disease (2020) · cites this paper as [435]
TFEB induces astrocytic trafficking of tau fibrils via macropinocytosis, possibly through interaction with heparan sulfate proteoglycans (HSPGs).
“TFEB induces astrocytic trafficking of tau fibrils via macropinocytosis, possibly through interaction with heparan sulfate proteoglycans (HSPGs) [200, 201].”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [201]
Overexpression of TFEB in astrocytes promotes tau fibril species uptake and lysosomal activity as well as attenuates tau spreading and pathology in the hippocampus of P301S tauopathy mice.
“Overexpression of transcription factor EB (TFEB, a regulator of lysosomal biogenesis) in astrocytes promotes tau fibril species uptake and lysosomal activity as well as attenuates tau spreading and pathology in the hippocampus of P301S tauopathy mice [201] (Fig. 1).”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [201]
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- Authors
- Martini-Stoica, H., Cole, A. L., Swartzlander, D. B., Chen, F., Wan, Y.-W., Bajaj, L., Bader, D. A., Lee, V. M. Y., Trojanowski, J. Q., Liu, Z., Sardiello, M., & Zheng, H.
- Affiliations
- Huffington Center on Aging, Baylor College of Medicine, Houston, TX 1
- Baylor College of Medicine (US)
- University of Pennsylvania (US)
- Corresponding author
- Zheng, Hui
- ORCID
- Venue
- Journal of Experimental Medicine
- Publisher
- Rockefeller University Press
- Published
- 2018-08-14
- Volume
- 215
- Issue
- 9
- Pages
- 2355-2377
- ISSN
- 0022-1007 (ISSN-L)
- 1540-9538
- PMC
- PMC6122971
- OpenAlex
- W2887230896
- Cited by
- 253
- References
- 81
- Citations by year
- 2026: 26 · 2025: 23 · 2024: 40 · 2023: 32 · 2022: 30 · 2021: 45 · 2020: 34 · 2019: 22
- FWCI
- 17.31
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Journal of Experimental Medicine (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (P30 AI036211, P30 CA125123, S10 RR024574)
- NIH (P30 CA125123, R01 NS093652, R01 AG020670, RF1 AG054111, ADCC AG010124, FTD PPG AG17586, F30 AG050412)
- Wyncote Foundation
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Keywords
- TFEB, astrocytes, tau propagation, extracellular tau, lysosomal biogenesis, Alzheimer's disease, tauopathy, hippocampus, PS19 mice, transgenic mouse model
- MeSH terms
- Alzheimer Disease, Animals, Astrocytes, Disease Models, Animal, Hippocampus, Lysosomes, Synapses, tau Proteins, Mice, Basic Helix-Loop-Helix Leucine Zipper Transcription Factors, Gene Knockdown Techniques
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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