A microglia clonal inflammatory disorder in Alzheimer’s disease

  1. Rocio Vicario  Is a corresponding author
  2. Stamatina Fragkogianni
  3. Leslie Weber
  4. Tomi Lazarov
  5. Yang Hu
  6. Samantha Y Hayashi
  7. Barbara Craddock
  8. Nicholas D Socci
  9. Araitz Alberdi
  10. Ann Baako
  11. Oyku Ay
  12. Masato Ogishi
  13. Estibaliz Lopez-Rodrigo
  14. Rajya Kappagantula
  15. Agnes Viale
  16. Christine A Iacobuzio-Donahue
  17. Ting Zhou
  18. Richard M Ransohoff
  19. Richard Chesworth
  20. Netherlands Brain Bank
  21. Omar Abdel-Wahab
  22. Bertrand Boisson
  23. Olivier Elemento
  24. Jean-Laurent Casanova
  25. W Todd Miller
  26. Frédéric Geissmann  Is a corresponding author
  1. Immunology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, United States
  2. Department of Physiology and Biophysics, Institute for Computational Biomedicine, Weill Cornell New York, United States
  3. Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, United States
  4. Marie-Josée & Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, United States
  5. St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, United States
  6. Human Oncology & Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, United States
  7. Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, United States
  8. SKI Stem Cell Research Core, Memorial Sloan Kettering Cancer Center, New York, United States
  9. Third Rock Ventures, United States
  10. Netherlands Brain Bank, Netherlands
5 figures, 1 table and 10 additional files

Figures

Figure 1 with 1 supplement
Detection of mutations in brain cell types and blood.

(A) Table with patient and sample information. (B) Schematic represents the isolation and labeling of nuclei from post-mortem frozen brain samples from controls and Alzheimer’s disease patients with DAPI and antibodies against PU.1+ (myeloid/microglia) and NeuN+ (neurons). Representative flow cytometry dot-plot of nuclei separation. Double negative nuclei are labeled ‘DN.’ (C) Percentage of cell types obtained in sorted PU.1+ nuclei determined by single-nuclei RNAseq in five brain samples from four individuals. (D) Schematic represents the sequencing strategy. Two algorithms (ShearwaterML and Mutect1) were used for variant calling. After annotation, pathogenicity was determined using OncoKb and ClinVar. (E) Venn diagram represents the number of variants and overlap between the ShearwaterML and Mutect1. Numbers in red indicate pathogenic variants (P-SNV). Validation of variants was performed by droplet digital (dd)PCR on pre-amplified DNA when available. (F) Venn diagrams represent the repartition per cell type of the 826 single-nucleotide variations (SNVs) identified in NeuN+: Neurons, PU.1+: microglia, DN: glia, and matching blood. [Numbers] in red indicate pathogenic variants P-SNV.

Figure 1—figure supplement 1
Quality control for DNA analysis and snRNA-seq.

(A) Patients characterisitic: age and sex distribution of young controls, age-matched control,s and Alzheimer’s disease (AD) patients, Statistics: two-way Anova. (B) Distribution of apolipoprotein E (APOE) genotype in a historical cohort of controls and AD patients (Karch and Goate, 2015) (Left) and the present series (Right) of Control, AD and AD without and with pathogenic (P-SNV) microglia variants. Numbers on top of the bars show patient number in each group. (C) Sorting strategy to separate PU.1+, NEUN+ , and DN nuclei from post-mortem brain samples. Boxplot represents relative frequencies, median, mean, 25-75th quartiles (boxes) and minimum/maximum (whiskers) of nuclei for each cell type in controls (n=63 brain samples) and AD patients (n=99 brain samples). (D) SnRNA-seq analysis of Facs-sorted PU.1+nuclei from four donors. Table indicate donor characteristics, number of nuclei analyzed after quality control (see methods) and cell types as determined by unsupervised clustering of normalized and integrated gene expression of nuclei from five PU.1+ samples. (E) Uniform Manifold Approximation and Projection (UMAP) representation of cell types from (C). (E) Cell proportion plot of the 5 PU.1+ samples from (C). (F) Boxplot showing the coverage of targeted DNA deep sequencing per cell type in AD and control samples. Box plots show median (+mean) and 25th and 75th percentiles; whiskers extend to the largest and smallest values. Dots show outliers. (G) Expresion of microglia markers by snRNA-seq across samples and clusters. (H) Number (TOP) and proportiton (BOTTOM) of cells from each sample, per-cluster. (I) Boxplot showing the coverage of targeted DNA deep sequencing per cell type in AD and control samples. Box plots show median (+mean) and 25th and 75th percentiles; whiskers extend to the largest and smallest values. Dots show outliers.

Figure 1—figure supplement 1—source data 1

Source data corresponding to panels A, B, C, and I.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig1-figsupp1-data1-v1.xlsx
Figure 2 with 2 supplements
Pathogenic variants are enriched in microglia from Alzheimer’s disease (AD) patients.

(A) Correlation plot represents the mean number of variants per cell type and donor (n=89) (Y-axis), as a function of age (X-axis). Each dot represents mean value for a donor. Statistics: fitted lines, the correlation coefficients (rs), and associated p-values were obtained by linear regression (Spearman’s correlation). (B) Number of single-nucleotide-variation (SNV) per Mb and cell types per donor, of age-matched controls (n=27) and AD patients (n=45). Each dot represents mean value for a donor. Statistics: p-values are calculated with unpaired two-tailed Mann-Whitney U. Note: non-parametric tests were used when data did not follow a normal distribution (D'Agostino-Pearson normality test). (C) Number of SNV per Mb in PU.1+ samples across brain regions, of age-matched controls (n=27) and AD patients (n=45). Each dot represents a sample. Statistics: p-values are calculated with Kruskal–Wallis, multiple comparisons. Note: non-parametric tests were used when data did not follow a normal distribution (D'Agostino-Pearson normality test). (D) Correlation plot represents the mean number of pathogenic variants (P-SNV) as determined by ClinVar and/or OncoKB, per cell type and donor (n=89) (Y-axis), as a function of age (X-axis). Each dot represents mean value for a donor. Statistics: fitted lines, the correlation coefficients (rs) and associated p values were obtained by linear regression (Spearman’s correlation). (E) Number of P-SNV per Mb and cell types per sample, of age-matched controls (n=27) and AD patients (n=45). Each dot represents a sample. Statistics: p-values are calculated with unpaired two-tailed Mann-Whitney U. Note: non-parametric tests were used when data did not follow a normal distribution (D'Agostino-Pearson normality test). (F) Number of P-SNV per Mb in PU.1 samples across brain regions, of age-matched controls (n=27) and AD patients (n=45). Each dot represents a sample. Statistics: p-values for comparison within each group (controls and patients) are calculated with Kruskal–Wallis test and Dunn’s test for multiple comparisons. p-values for the comparison of P-SNV between the cortex of C and the cortex of AD (0.01) was calculated with unpaired two-tailed Mann-Whitney U. Note: non-parametric tests were used when data did not follow a normal distribution (D'Agostino-Pearson normality test). (G) Number of P-SNV per Mb and cell types per donor for age-matched controls (n=27) and AD patients (n=45). Each dot represents mean value for a donor. Statistics: p-values are calculated with unpaired two-tailed Mann-Whitney U test. Odds ratio (95% CI, 2.049–29.02) and p values for the association between AD and the presence of pathogenic variants are calculated by multivariate logistic regression, with age and sex as covariates. (H) P-SNV burden as a function of age and disease status (age-matched controls and AD). Linear lines represent trend lines from mixed-effects linear regression that incorporates individual donor as a random effect (blue, control: p=0.0025, R^2=0.13; red, NDD: P=9.1 × 10^–16, R^2=0.50 by Pearson’s correlation). The model’s total explanatory power is substantial (conditional R^2=0.48). Both age and AD are associated with a significant increase in SNV burden in this model (P<1 × 10^–4 and P=1 × 10^–4, respectively, by likelihood ratio test). Anatomical regions of the brain specimen and originating brain banks were not incorporated because the models incorporating those parameters did not significantly improve the overall model fitting by likelihood ratio test (see Methods). Graph depicts SNV burden corrected by the mixed-effects model (See Figure 2—figure supplement 1E for observed P-SNV burden).

Figure 2—source data 1

Data corresponding to panels A, B, C, D, E, F, G, and H.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig2-data1-v1.xlsx
Figure 2—figure supplement 1
Analysis of pathogenic variants.

(A) Number of single-nucleotide-variation (SNV) per Mb, per donor, and cell types. Each dot represents the mean of a donor. NeuN n=226, DN n=229, PU.1 n=225, Blood n=66). Values (color, italics) indicate the mean number of variants /Mb per cell type. Statistics: p-value are calculated by Kruskal–Wallis test and Dunn’s test for multiple comparisons. (B) Number of SNV (Left) and P-SNV (right) per Mb in controls (age-matched with the patients) with or without cancer per sample and cell types. Each dot represents a sample. Statistics: p-values within each group are calculated with Kruskal–Wallis, multiple comparisons. (C) Number of SNV per Mb in PU.1 samples across cortical samples, of age-matched controls (n=27) and Alzheimer’s disease (AD) patients (n=45). Each dot represents a sample. Statistics: p-values within each group are calculated with Kruskal–Wallis, multiple comparisons. (D) Receiver operating characteristic (ROC) curve showing the accuracy of the multivariate logistic regression model in predicting the association of AD and the presence or not of pathogenic variants in PU.1+ nuclei. Note: non-parametric tests were used as data did not follow a normal distribution (D'Agostino-Pearson normality test). (E) Observed SNV burden for Figure 2H. (F) Expression of pathogenic genes in microglia and whole brain tissue, reported in Koh et al., 2018 (TOP, sorted microglia n=39, and whole brain n=16) and Lim et al., 2015 (BOTTOM, sorted microglia n=3 and whole brain n=1. (G) Graph depicts mean number of pathogenic variants in a group of control genes not expressed by the brain or by microglia (see Supplementary file 3), per Mb, and samples (LEFT) and donor (RIGHT), in NEUN, DN, PU.1 nuclei and matching blood from all controls and AD patients. Each dot represents the mean for each donor. Statistics: p-values are calculated with unpaired two-tailed Mann-Whitney U test comparing AD to controls.

Figure 2—figure supplement 1—source data 1

Data corresponding to panels A, B, C, D, E, and G.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig2-figsupp1-data1-v1.xlsx
Figure 2—figure supplement 2
Summary of Alzheimer’s disease (AD) patients characteristics and pathogenic variants.

Table shows for all AD patients studied, the detection of pathogenic variants by targeted deep sequencing (TDS), candidates identified by whole exome sequencing (WES), categories of gene functions (MAPK pathway, DNA repair, DNA/Histone methylation), expression in microglia, and patient information (age/sex/Apoe genotype/braak status/CERAD score/presence of lewis bodies/presence of amyloid angiopathy). #Brain regions: number of brain regions where variant was detected. GOF (G, Gain of Function)/LOF (L, Loss of Function) as reported in bibliography (see manuscript for references). gnomeAD shows the minor allele frequency of each variant in the population. VAF: variant allelic frequency (%) by BRAIN-PACT in brain cell types and matching-blood when available. CADD score (Combined Annotation Dependent Depletion) of each variant. Notes: (1) Trisomy 21, Down syndrome. (2) familial history of AD, no variant in AD-associated genes. (3) MAPK docking protein. (4) cooperative interaction with ELK1 on chromatin. (5) inhibits JNK activation, murine KO has a neurological phenotype (Turner et al., 2013; Martin et al., 2018) (6) microtubule binding, involved in b-amyloid aggregation. (7) DNA repair gene. (8) Mosaic trisomy 21.

Figure 3 with 1 supplement
Somatic microglial clones with multiple and recurrent CBL and MAP-Kinase pathway activating variants.

(A) Pathway enrichment analysis for the genes target of pathogenic variants (P-SNVs) using the panel of 716 genes as background set. Graph shows the most enriched pathways by: Reactome Gene Sets, GO Molecular Functions, Canonical Pathways and KEGG Pathway (see complete list in Supplementary file 4). (B) Bar plot indicates the genes carrying P-SNV (y-axis) and the % of Alzheimer’s disease (AD) patients carrying P-SNV for each gene (x-axis). Genes are color-coded by pathway. (C) Representation of the classical MAPK pathway, the six genes mutated in AD patients are labeled in red, TEK is labeled in blue, and larger font size indicate reccurence of variants in a given gene. Violin plot shows distribution of P-SNV in genes from classical MAPK pathway per Mb sequenced and per sample in patients and controls, p-value: unpaired two-tailed Mann-Whitney U test. (D) Summary Table showing patients carrying P-SNV in the classical RTK/MAPK pathway and Chronic Myeloid Leukemia (CML)-associated genes (see Supplementary file 3) and indicating the detection of variants in blood, and their association with other variants in microglia. (E) Recurrent variants in the ring-like domain of CBL are indicated in red on the diagram structure of gene, above representative Western blot from cell lysates from HEK293T cells expressing WT, positive control (Y371H), or CBL variants alleles found in patients, and stimulated with EGF or control, probed with antibodies against Phospho-p44/42 MAPK (Erk 1/2, Thr202/Tyr204), total p44/42 MAPK (Erk1/2), HA-tag, and tubulin (BOTTOM). Histogram (RIGHT) represents quantification of the increase of the Phospho-ERK1/2/total ERK1/2 ratio in western blots in n=5 independent experiments, statistics: unpaired one-tailed t-test. (F) RIT1 M90I and F82L are represented on the 3D structure of the gene (pdb code: 4klz, F82 is within a segment whose structure was not resolved) and representative western blot from HEK293T cells expressing Flag-RIT1 (WT and mutants) and treated -/+ 20% FBS before harvesting. Lysates were probed with antibodies against Phospho-p44/42 MAPK (Erk 1/2, Thr202/Tyr204), total p44/42 MAPK (Erk1/2, (MAPK)), Flag, and tubulin. Histogram (RIGHT) represents quantification of the increase of the Phospho-ERK1/2/total ERK1/2 ratio in western blots in n=4 independent experiments, statistics: unpaired one-tailed t-test. (G) Variant allelic frequency (VAF, %) for the BRAFV600E allele in PU.1+ nuclei from brain samples from histiocytosis patients (each dot represents a sample) and for P-SNVs in in PU.1+ nuclei from brain of AD patients (each dot represent a variant). Note: non-parametric tests were used when data did not follow a normal distribution (D'Agostino-Pearson normality test). (H) Percentage of P-SNVs detected by targeted deep sequencing (TDS) which were also detected by Whole-Exome-Sequencing (WES).

Figure 3—source data 1

Data corresponding to panels A, B, C, E, F, and G.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig3-data1-v1.xlsx
Figure 3—source data 2

Original PNG files for western blot analysis, indicating the relevant bands and treatments, displayed in panel E and F.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig3-data2-v1.zip
Figure 3—source data 3

Unedited western blot JPEGs.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig3-data3-v1.zip
Figure 3—figure supplement 1
Functional analysis of variants in HEK293 and BV2 cell lines.

(A) CHEK2 R346H is a loss-of-function mutant. The R346H variant is located within the catalytic loop of the protein kinase domain and shown in red on the 3D structure of CHEK2 kinase domain (pdb code: 2cn5) (LEFT). CHEK2 R346 Lysates from HEK293T cells expressing Flag-WT or CHEK2 R346 were probed with antibodies that recognizes the auto phosphorylated and activated form of CHEK2 and Flag (MIDDLE). Flag-tagged WT and R346H CHK2 were expressed in HEK293T cells, proteins were isolated by immunoaffinity capture using anti-Flag resin. CHK2 activity was measured with (Zar, 2010 P)-labeled ATP and a synthetic CHEK2 substrate peptide. Wild-type CHEK2 showed robust activity, while the R346H mutant was inactive (RIGHT). (B) Western-blot analysis of CBL expression (TOP), pMAPK and total MAPK (MIDDLE) and respective quantification (BOTTOM) in BV2 cell lines transduced with empty vector, CBLWT, CBLY371H, CBLI383M, CBLC384Y, CBLC404Y, and CBLC416S. For MIDDLE panel, cells were treated with M-CSF1 100 ng/ml for 5 min. Statistics: p-values are calculated with t-test. n=3.

Figure 3—figure supplement 1—source data 1

Data corresponding to panel B.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig3-figsupp1-data1-v1.xlsx
Figure 3—figure supplement 1—source data 2

Original PNG files for western blot analysis, indicating the relevant bands and treatments, displayed in panel A and B.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig3-figsupp1-data2-v1.zip
Figure 3—figure supplement 1—source data 3

Unedited western blot JPEGs.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig3-figsupp1-data3-v1.zip
Figure 4 with 1 supplement
MAPK pathway activating variants in mouse macrophages and human induced Pluripotent Stem Cells (iPSC)-derived microglia-like cells.

(A) Representative western-blot analysis (Top panels) and quantification (Middle panels) of phospho- and total-ERK in lysates from a murine CSF-1 dependent macrophage cell line expressing CBLWT, CBLI383M, CBLC384Y, CBLC404Y, CBLC416S (n=3–6), and RIT1WT, RIT1F82L and RIT1M90I (n=3), KRASWT, and KRASA59G (n=3). Bottom panels depicts flow cytometry analysis of EdU incorporation in the same lines. Statistics, Unpaired t-test. (B) HALLMARK and KEGG pathways (FDR/adj.p value <0.25, selected from Supplementary file 7) enriched in gene set enrichment analysis (GSEA) of RNAseq from mutant CSF-1 dependent macrophages lines CBLI383M, CBLC384Y, CBLC404Y, CBLC416S, CBLR420Q, RIT1F82L RIT1M90I, KRASA59G, and PTPN11T73I (n=3–6) in comparison with their wt controls. NES: normalized enrichment score. (C) Sanger sequencing of 2 independent hiPSC clones (#93 and #91) of CBL404C/Y heterozygous mutant carrying the c.1211G/A transition on one allele and 2 independent isogenic control CBL404C/C clones (#71 and #89) all obtained by prime editing. (D) Photomicrographs in CBL404C/C and CBL404C/Y iPSC-derived microglia-like cells.(E) Quantification of leading edge and lateral lamellipodia in CBL404C/C and CBL404C/Y iPSC-derived microglia-like cells. n=3–7, statistics: p-value are obtained by nested one-way ANOVA. (F) Flow cytometry analysis of cell size for the same lines (n>3) statistics: p-value are obtained with nested one-way ANOVA. (G) Flow cytometry analysis of EdU incorporation in CBL404C/C and CBL404C/Y microglia-like cells after a 2 hr EdU pulse. n=3, unpaired t-test. (H) Western-blot analysis (left) and quantification (right) of phospho- and total-ERK proteins in lysates from CBL404C/C and CBL404C/Y microglia-like cells starved of CSF-1 for 4 hr and stimulated with CSF-1 (5 min, 100 ng/mL) (n=4), statistics: p-value are obtained with two-way ANOVA.

Figure 4—source data 1

Data corresponding to panels A, D, E, F, and G.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig4-data1-v1.xlsx
Figure 4—source data 2

Original PNG files for western blot analysis, indicating the relevant bands and treatments, displayed in A and G.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig4-data2-v1.zip
Figure 4—source data 3

Unedited western blot JPEGs.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig4-data3-v1.zip
Figure 4—figure supplement 1
Analysis of mouse and human microglia-like cells.

(A) Western-blot analysis of CBL, RIT1, and KRAS expression in lysates from a growth factor-dependent macrophage cell line expressing CBLWT, CBLI383M, CBLC384Y, CBLC404Y, CBLC416S, CBLR420Q, RIT1WT, RIT1F99C, RIT1M107V, KRASWT, and KRASA59G alleles (TOP), and ddPCR analysis of wt and mutant alleles in DNA from the same cell lines (BOTTOM). (B) Western-blot analysis of PTPN11 expression and phospho- and total-ERK in lysates from growth factor-dependent macrophage cell line expressing PTPN11WT or PTPN11T73I alleles, and ddPCR analysis of wt and variant alleles in DNA from the same lines. (C) Genomic DNA ddPCR of two independent hiPSC clones (#1 and #2) of CBL404C/Y heterozygous mutant carrying the c.1211G/A transition on one allele and two independent isogenic control CBL404C/C clones all obtained by prime editing. (D) CBL and CBL-B mRNA expression assessed by Taqman assay in CBL404C/C and CBL404C/Y iPSC-derived microglia-like cells. Unpaired t-test. (E) RT-ddPCR of CBL reference allele (CBL c.1211A) and CBL variant CBL c.1211G transcripts in CBL404C/C and CBL404C/Y iPSC-derived macrophages. n=4–6 independent experiments. (F) Western-blot analysis of CBL expression in lysates from CBL404C/C and CBL404C/Y iPSC-derived microglia-like cells. (G) Representative flow cytometry analysis of the expression of surface receptors and Iba1 in CBL404C/C and CBL404C/Y cells (n=3) (H) Viability of CBL404C/C and CBL404C/Y iPSC-derived microglia-like cells estimated by flow cytometry analysis after DAPI staining. Unpaired t-test. n=6. (I) Western-blot analysis and quantification of phospho- and total-ERK proteins in lysates from CBL404C/C and CBL404C/Y iPSC-derived microglia-like cells untreated or re-stimulated with CSF-1 cells (5 min, 100 ng/mL). (Two-way ANOVA, n=6–7).

Figure 4—figure supplement 1—source data 1

Data corresponding to panels B, D, E, H, I.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig4-figsupp1-data1-v1.xlsx
Figure 4—figure supplement 1—source data 2

Original PNG files for western blot analysis, indicating the relevant bands and treatments, displayed in panels A, B, F, and I.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig4-figsupp1-data2-v1.zip
Figure 4—figure supplement 1—source data 3

Unedited western blot JPEGs.

https://cdn.elifesciences.org/articles/96519/elife-96519-fig4-figsupp1-data3-v1.zip
Figure 5 with 1 supplement
CBL404C/Y microglia signature.

(A) HALLMARK and KEGG pathways (FDR /adj.p value <0.25, selected from Supplementary file 8) enriched in gene set enrichment analysis (GSEA) of RNAseq from from CBL404C/Y induced Pluripotent Stem Cells (iPSC)-derived macrophages and isogenic controls NES, normalized enrichment score. (B) ELISA for pro-inflammatory cytokines (n=3) and complement proteins (n=2) in the supernatant from CBL404C/Y iPSC-derived microglial-like cells and isogenic controls. Statistics: p-value are obtained by nonparametric Mann-Whitney U test,* 0.05, ** 0.01, *** 0.001, **** 0.0001. (C) GSEA analysis for enrichment of the human AD-microglia snRNA-seq signature (MIC1) Mathys et al., 2019 in differentially expressed genes between CBL404Y/C microglial-like cells and isogenic controls. (D) Dot plot represents the GSEA analysis of HALLMARK and KEGG pathways enriched in snRNAseq microglia clusters (samples from all donors). Genes are pre-ranked per cluster using differential expression analysis with SCANPY and the Wilcoxon rank-sum method. Statistical analyses were performed using the fgseaMultilevel function in fgsea R package for HALLMARK and KEGG pathways. Selected gene-sets with p-value <0.05 and adjusted p-value <0.25 are visualized using ggpubr and ggplot2 R package (gene sets/pathways are selected from Figure 5—figure supplement 1B, Supplementary file 9). (E) Dot plot represents the GSEA analysis (as in (E)) of HALLMARK and KEGG pathways enriched in cluster 2/2 B and deconvoluted by donor samples (selected from Figure 5—figure supplement 1A).

Figure 5—figure supplement 1
snRNA-seq analysis of microglia.

(A) Dot plot represents the significant pathways by Gene Set Enrichment Analysis (GSEA) of HALLMARK and KEGG pathways of snRNAseq analysis of microglia, by samples and clusters. Genes from all samples are pre-ranked per cluster using differential expression analysis with SCANPY Mass et al., 2017 and the Wilcoxon rank-sum method. Statistical analysis were performed using the fgseaMultilevel function in fgsea R package (Askew et al., 2017) for HALLMARK and KEGG pathways. Only HALLMARK and KEGG gene sets with p-value <0.05 and adjusted p-value <0.25 are visualized, using ggpubr and ggplot2 (Réu et al., 2017) R package. (B) Dot plot represents the same GSEA analysis of HALLMARK and KEGG pathways enriched in snRNA-seq microglia clusters as in A, but samples from all donors are grouped by microglia clusters.

Tables

Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Cell line (Homo sapiens)293T cell lineATCCRRID:CVCL_0063
Cell line (Mus musculus)BV2 microglial cell lineARP American Research Products, IncRRID:CVCL_0182inmortalized with v-raf
Cell line (Mus musculus)Mouse primary CSF-1gift of Dr. E. R. Stanley (Albert Einstein College of Medicine, Bronx, NY).immortalized with the SVU19-5 retrovirus
Cell line (Homo sapiens)C12 induced Pluripotent Stem Cells (iPSCs) (female)Derived from peripheral blood mononuclear cells (PBMCs)Used as a healthy wildtype control iPSC line (WT CBL)
Cell line (Homo sapiens)293T- Flag-tagged WT and 293 T-R346H CHK2This papergenerated by transfection
Cell line (Homo sapiens)293T-Flag-tagged WT, 293T- RIT1 F82L, 293T-RIT1 M90IThis papergenerated by transfection
Cell line (Homo sapiens)293T-CBL, 293T-CBLI383M, 293T-CBLC404Y, 293T-CBLC416S, 293T-CBLC384Y, 293T-CBLY371HThis papergenerated by transfection
Cell line (Mus musculus)BV2-empty vector, BV2-CBL, BV2-CBLI383M, BV2-CBLC404Y,BV2-CBLC416S, BV2-CBLC384Y, BV2-CBLY371HThis papergenerated by viral transduction
Cell line (Mus musculus)MAC-RIT1, MAC-RIT1 F82L, MAC-RIT1 M90IThis papergenerated by viral transduction
Cell line (Homo sapiens)MAC-CBL, MAC-CBLI383M, MAC-CBLC404Y, MAC-CBLC416S, MAC-CBLC384Y, MAC-CBLY371HThis papergenerated by viral transduction
Cell line (Homo sapiens)MAC-KRAS, MAC-KRASA59GThis papergenerated by viral transduction
Cell line (Homo sapiens)MAC-PTPN11, MAC- PTPN11T73IThis papergenerated by viral transduction
Cell line (Homo sapiens)IPSC-CBLC404YThis paperC12 line genetically modified to contain CBLC404Y
Transfected construct (human)Flag-tagged CHK2Sino Biological
Transfected construct (human)Flag-tagged RIT1Origene
Transfected construct (human)Flag-tagged RIT1M90I and Flag-tagged RIT1F82LThis papergenerated by site-directed mutagenesis using the QuikChange Kit
Transfected construct (human)pcDNA3-HA-tagged c-Cblgift from Dr. Nicholas Carpino (Stony Brook)
Transfected construct (human)pcDNA3-HA-tagged- CBLI383M, CBLC404Y, CBLC416S, CBLC384Y, CBLY371HThis papergenerated by site-directed mutagenesis using the QuikChange Kit
Transfected construct (human)pHAGE_purogift from Christopher VakocAddgene plasmid # 118692; http://n2t.net/addgene:118692; RRID:Addgene_118692
Transfected construct (human)pHAGE-KRASgift from Gordon Mills & Kenneth ScottAddgene plasmid # 116755; http://n2t.net/addgene:116755; RRID:Addgene_116755
Transfected construct (human)pHAGE-PTPN11gift from Gordon Mills & Kenneth ScottAddgene plasmid # 116782; http://n2t.net/addgene:116782; RRID:Addgene_116782
Transfected construct (human)pHAGE-PTPN11-T73Igift from Gordon Mills & Kenneth ScottAddgene plasmid # 116647; http://n2t.net/addgene:116647; RRID:Addgene_116647
Transfected constructs (human)Phage-CBL, Phage-CBLI383M, Phage-CBLC404Y, Phage-CBLC416S, Phage-RIT1, Phage-RIT1M90I, Phage-RIT1F82L, phage-KRASA59G and pHAGE-CBLC384YThis papergenerated by Azenta Life Sciences via a PCR cloning approach and targeted mutagenesis
Transfected construct (human)pDONR223_KRAS_p.A59Ggift from Jesse Boehm & William Hahn & David RootAddgene plasmid # 81662; http://n2t.net/addgene:81662; RRID:Addgene_81662
Biological samples (Homo-sapiens)Biological samples (brain tissue and blood) from patients and controlsSee ‘Human sample collection and consent information’ in methods for details
Biological samples (Mus musculus)CF1 Mouse Embryonic Fibroblasts, irradiatedThermo Fisher ScientificA34181
AntibodyNeuN-PE. Mouse monoclonalMilli-MarkCat# FCMAB317PE, RRID:AB_11212465used at 1:500 dilution
AntibodyPu.1-AlexaFluor 647. Rabbit monoclonalCell SignalingCat# 2240, RRID:AB_2186911used at 1:50 dilution
Antibodyanti-Cdc42, rabbit polyclonalSanta CruzCat# sc-87, RRID:AB_6312131 µg
AntibodyPhospho-p44/42 MAPK (Thr202/Tyr204) mouse monoclinalCell SignalingCat# 4370, RRID:AB_2315112used at 1:1000 dilution
Antibodytotal p44/42 MAPK, rabbit polyclonalCell SignalingCat# 9102, RRID:AB_330744used at 1:1000 dilution
AntibodyHA, mouse monoclonalMilliporeCat# 05–904, RRID:AB_417380used at 1:1000 dilution
AntibodyFlag, mouse monoclonalSigmaCat# A8592, RRID:AB_439702used at 1:1000 dilution
AntibodypCHEK2 (T383), Rabbit PolyclonaAbcamCat# ab59408, RRID:AB_942224used at 1:500 dilution
AntibodyAnti-γ-Tubulin, mouse monoclonalSigmaCat# T6557, RRID:AB_477584used at 1:10000 dilution
Antibodyanti-c-CBL, Rabbit PolyclonalCell SignalingCat# 2747, RRID:AB_2275284used at 1:1000 dilution
Antibodyanti-RIT1, Rabbit PolyclonalAbcamCat# ab53720, RRID:AB_882379used at 1:1000 dilution
Antibodyanti-KRAS, Rabbit PolyclonalSigmaCat# H00003845-M01, RRID:AB_5400781 μg/mL
Antibodyanti-Actin, mouse monoclonalSigmaCat# MAB1501, RRID:AB_2223041used at 1:10,000 dilution
Antibodyanti-rabbit IgG HRP-linked, goat polyclonalCell SignalingCat# 7074, RRID:AB_2099233used at 1:1000 dilution
Antibodyanti-mouse IgG HRP-linked, horse polyclonalCell SignalingCat# 7076, RRID:AB_330924used at 1:1000 dilution
AntibodyPE- anti-CD115 (CSF1-R), rat monoclonalBDCat# 565368, RRID:AB_2739206used at 1:100 dilution
AntibodyPE/Cy7-conjugated anti-CD11b, mouse monoclonalBD Biosciencesat# 557743, RRID:AB_396849used at 1:100 dilution
AntibodyAlexa Fluor 488-conjugated-anti-CD206, mouse monoclonalThermo Fisher ScientificCat# 53-2069-42, RRID:AB_2574416used at 1:100 dilution
AntibodyPE-conjugated anti-integrin, mouse monoclonalR&D systemsCat# FAB3050P, RRID:AB_920540used at 1:100 dilution
AntibodyPE/Cy5-conjugated anti-CD11c, mouse monoclonalBD BiosciencesCat# 551077, RRID:AB_394034used at 1:100 dilution
AntibodyAPC-conjugated anti-Tim4, mouse monoclonalBiolegendCat# 354007, RRID:AB_2564543used at 1:100 dilution
AntibodyPE/Cy7-conjugated anti-HLA-DR, mouse monoclonalBD BiosciencesCat# 560651, RRID:AB_1727528used at 1:100 dilution
AntibodyBV650-conjugated anti-CD45, mouse monoclonalThermo Fisher ScientificCat# 416-0459-42, RRID:AB_2925684used at 1:100 dilution
AntibodyAPC/Cy7-conjugated anti-CD14, rat monoclonalBiolegendCat# 123317, RRID:AB_10900813used at 1:100 dilution
AntibodyPE-conjugated anti-NGFR, mouse monoclonaleBioscienceCat# 12-9400-42, RRID:AB_2572710used at 1:100 dilution
AntibodyAlexa Fluor 647-conjugated anti-EGFR, mouse monoclonalBD PharmigenCat# 563577, RRID:AB_2738288used at 1:100 dilution
AntibodyAPC/Cy7-conjugated anti- CD36, mouse monoclonalBiolegendCat# 336213, RRID:AB_2072512used at 1:100 dilution
AntibodyAPC-conjugated anti-CD172a (SIRPa), mouse monoclonalThermo Fisher ScientificCat# 17-1729-42, RRID:AB_1944409used at 1:100 dilution
AntibodyAlexa Fluor 555-conjugated anti-Iba1 antibody, Rabbit monoclonalCell SignalingCat# 36618, RRID:AB_2943227used at 1:100 dilution
Commercial assay or kitKAPA Hyper Prep KitKapa BiosystemsKK8504
Software, algorithmmuTect 1https://github.com/soccin/BIC-variants_pipeline and https://github.com/soccin/Variant-PostProcess; doi:10.1016/j.jmoldx.2014.12.006v1.1.7
Software, algorithmShearwaterMLMartincorena, I. et al.
Software, algorithmFlowJoBD10.6.2
Commercial assay or kitQIAamp DNA Micro KitQiagenCat#56304
Commercial assay or kitHiSeq 3000/4000 SBS KitIllumina
Sequence-based reagentKRAS_G12D, ddPCRBio-RadUnique Assay ID: dHsaMDV2510596
Sequence-based reagentMTOR_Arg1616His_c.4847G>ABio-RadUnique Assay ID: dHsaMDV2510596
Commercial assay or kit10 X genomics Reagent Kit 3’ v3.110 X genomics
Software, algorithmSeurat v4.0.3https://github.com/satijalab; Hao et al., 2021
Commercial assay or kitNovaSeq 6000 S4 Reagent Kit (200 Cycles)Illumina
Commercial assay or kitRNeasy Mini kitQiagen
Sequence-based reagentCBL_I383MThermo Fisher ScientificdHsaMDS675699482
Sequence-based reagentCBL_C384YThermo Fisher ScientificdHsaMDS386449640
Sequence-based reagentCBL_C404YThermo Fisher ScientificdHsaMDS437459772
Sequence-based reagentCBL_mRNA_C404YThermo Fisher ScientificdMDS334857054
Sequence-based reagentCBL_C416SThermo Fisher ScientificdHsaMDS613275900
Sequence-based reagentRIT1_ F82LThermo Fisher ScientificdMDS959028273
Sequence-based reagentRIT1_M90IThermo Fisher ScientificdHsaMDS133045056
Sequence-based reagentc-CBL FAMThermo Fisher ScientificHs01011446_m1
Sequence-based reagentCBLb FAMThermo Fisher ScientificHs00180288_m1
Sequence-based reagentGAPDH VICThermo Fisher ScientificHs02786624_g1
Commercial assay or kitZombie Violet ViabilityBiolegend
Commercial assay or kitCytofix/Cytoperm solutionBD Pharmingen
Commercial assay or kitClick-iT Plus EdU Alexa Fluor 647 Flow Cytometry Assay KitThermo Fisher Scientific
Commercial assay or kitmiRNeasy Mini KitQiagen
Commercial assay or kitMagMAX mirVana Total RNA Isolation KitThermo Fisher Scientific
Commercial assay or kitKingFisher Flex Magnetic Particle ProcessorThermo Fisher Scientific
Commercial assay or kitTruSeq Stranded mRNA LT KitIllumina
Software, algorithmR/Bioconductor package DESeqEMBL Heidelberghttps://bioconductor.org/packages//2.10/bioc/html/DESeq.html

Additional files

Supplementary file 1

Characteristics of Alzheimer’s disease (AD) and control donors and samples.

https://cdn.elifesciences.org/articles/96519/elife-96519-supp1-v1.xlsx
Supplementary file 2

Targeted-sequencing gene panel.

https://cdn.elifesciences.org/articles/96519/elife-96519-supp2-v1.xlsx
Supplementary file 3

Variants identified in Alzheimer’s disease and control brain samples.

https://cdn.elifesciences.org/articles/96519/elife-96519-supp3-v1.xlsx
Supplementary file 4

Pathway enrichment analysis for genes target of pathogenic variants in PU.1 samples.

https://cdn.elifesciences.org/articles/96519/elife-96519-supp4-v1.xlsx
Supplementary file 5

BRAFV600E in brain PU.1+ cells from Histiocytosis patients.

https://cdn.elifesciences.org/articles/96519/elife-96519-supp5-v1.xlsx
Supplementary file 6

Predicted deleterious variants by whole exome sequencing (WES).

https://cdn.elifesciences.org/articles/96519/elife-96519-supp6-v1.xlsx
Supplementary file 7

RNAseq analysis of mouse cell lines: Differential expressed genes and GSEA analysis.

https://cdn.elifesciences.org/articles/96519/elife-96519-supp7-v1.xlsx
Supplementary file 8

RNAseq analysis of human induced Pluripotent Stem Cells (hIPSC) derived microglial-like cells: Differential expressed genes and gene set enrichment analysis (GSEA).

https://cdn.elifesciences.org/articles/96519/elife-96519-supp8-v1.xlsx
Supplementary file 9

Single nuclei RNAseq analysis of control and Alzheimer’s disease (AD) microglia: Differential expressed genes per clusters and gene set enrichment analysis (GSEA).

https://cdn.elifesciences.org/articles/96519/elife-96519-supp9-v1.xlsx
MDAR checklist
https://cdn.elifesciences.org/articles/96519/elife-96519-mdarchecklist1-v1.docx

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  1. Rocio Vicario
  2. Stamatina Fragkogianni
  3. Leslie Weber
  4. Tomi Lazarov
  5. Yang Hu
  6. Samantha Y Hayashi
  7. Barbara Craddock
  8. Nicholas D Socci
  9. Araitz Alberdi
  10. Ann Baako
  11. Oyku Ay
  12. Masato Ogishi
  13. Estibaliz Lopez-Rodrigo
  14. Rajya Kappagantula
  15. Agnes Viale
  16. Christine A Iacobuzio-Donahue
  17. Ting Zhou
  18. Richard M Ransohoff
  19. Richard Chesworth
  20. Netherlands Brain Bank
  21. Omar Abdel-Wahab
  22. Bertrand Boisson
  23. Olivier Elemento
  24. Jean-Laurent Casanova
  25. W Todd Miller
  26. Frédéric Geissmann
(2025)
A microglia clonal inflammatory disorder in Alzheimer’s disease
eLife 13:RP96519.
https://doi.org/10.7554/eLife.96519.3