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Selective reduction of KCNA4 in vulnerable glutamatergic–serotonin neurons of the dorsal raphe nucleus in Alzheimer's disease
Journal article   Open access   Peer reviewed

Selective reduction of KCNA4 in vulnerable glutamatergic–serotonin neurons of the dorsal raphe nucleus in Alzheimer's disease

Louis J. Kolling, Nagalakshmi Balasubramanian, Shafa Ismail, Alexander J. Feller, Jessica Marie Hunter Alberhasky, Ruixiang Wang, Luke Jennings, Marco Hefti and Catherine Anne Marcinkiewcz
Alzheimer's & dementia, Vol.22(5), e71317
05/2026
DOI: 10.1002/alz.71317
PMCID: PMC13162231
PMID: 42117485
url
https://doi.org/10.1002/alz.71317View
Published (Version of record) Open Access

Abstract

INTRODUCTION Our previous studies demonstrate that htau mice recapitulate many of the neuropsychiatric features of early Alzheimer's disease (AD), and that the dorsal raphe nucleus (DRN) contains distinct subregions. Herein, we investigate the vulnerability of the centromedial DRN to pathologically phosphorylated tau (p-tau), a region composed predominantly of dually serotonergic/glutamatergic (5HT/glut) neurons. METHODS We use a battery of computational, molecular, biophysical, and behavioral techniques to assess molecular changes in the centromedial DRN across preclinical and post mortem settings. RESULTS The centromedial DRN contains 5HT/glut neurons that differentially express ion-channel genes in the htau mouse. This is associated with increased neuronal excitability, which may promote p-tau accumulation. At Braak II, KCNA4 is reduced in 5HT/glut neurons in AD, which are especially vulnerable to p-tau compared to 5HT-nonglut neurons. DISCUSSION Tau-mediated dysfunction of the DRN may be driven by changes in ion channel activity that concomitantly promote the spread of p-tau in Braak progression.
Alzheimer's disease dorsal raphe nucleus spatial transcriptomics tau 5HT/glut neurons

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