PT - JOURNAL ARTICLE AU - Hiroyuki Takuwa AU - Asumi Orihara AU - Yuhei Takado AU - Takuya Urushihata AU - Masafumi Shimojo AU - Ai Ishikawa AU - Manami Takahashi AU - Anna M. Barron AU - Maiko Ono AU - Jun Maeda AU - Kazuto Masamoto AU - Hiroyasu Akatsu AU - Aviva M. Tolkovsky AU - Bin Ji AU - Yutaka Tomita AU - Hiroshi Ito AU - Ming-Rong Zhang AU - Michel Goedert AU - Maria Grazia Spillantini AU - Virginia M. -Y. Lee AU - John Q. Trojanowski AU - Taketoshi Maehara AU - Tetsuya Suhara AU - Naruhiko Sahara AU - Makoto Higuchi TI - Tracking tau fibrillogenesis and consequent primary phagocytosis of neurons mediated by microglia in a living tauopathy model AID - 10.1101/2020.11.04.368977 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.11.04.368977 4099 - http://biorxiv.org/content/early/2020/11/05/2020.11.04.368977.short 4100 - http://biorxiv.org/content/early/2020/11/05/2020.11.04.368977.full AB - Fibrillary tau pathologies have been implicated in Alzheimer’s and allied neurodegenerative diseases, while mechanisms by which neurons bearing tau tangles die remain enigmatic. To address this issue, we pursued tau and related key pathologies macroscopically by PET and MRI and microscopically by intravital two-photon laser optics. Time-course macroscopic assays of tau transgenic mice demonstrated intimate associations of tau deposition and increase of an inflammatory microglial marker, translocator protein (TSPO), with regional brain atrophy. Longitudinal microscopy of these mice revealed a rapid turnover of tau lesions resulting from continuous generation of new tau aggregates followed by loss of neurons and their fibrillar contents. This technology also allowed the capturing of the disappearance of tangle-bearing neurons several days after being engulfed by activated microglia. Notably, a therapeutic TSPO ligand profoundly suppressed the mobility and phagocytotic activity of microglia and improved neuronal survival in this model, supporting the involvement of primary phagocytosis of viable neurons by microglia in tau-primed neuronal death. Finally, partial depletion of microglia revealed roles of immune factors, MFG-E8 and C1q, as ‘eat-me’ signals for an immediate attraction of phagocytic microglia towards the elimination of tangle-loaded neurons.Competing Interest StatementThe authors have declared no competing interest.