Brain hypothyroidism leads to immune tolerance in microglia in Alzheimer's disease [scRNA-seq]

An imbalance in thyroid hormones (THs) is associated with reversible dementia and Alzheimer's disease (AD) pathogenesis. Whether hypothyroidism occurs in AD brains and how it affects AD pathology remain largely unknown. Here, we find that reduced conversion of thyroxine (T4) to tri-iodothyronine (T3) in the brain by decreased iodothyronine deiodinase 2 (DIO2) leads to hippocampal hypothyroidism in early AD model mice prior to TH changes in the blood. A TH deficiency causes immune tolerance with decreased phagocytic activity in microglia, thereby aggravating AD pathology. We demonstrate that microglial ecto-5'-nucleotidase (CD73) is reduced in the hypothyroid state and that its inhibition contributes to immune tolerance in microglia. Thus, our data define a molecular mechanism through which decreased conversion of T4 to T3 in the early AD brain, and consequent brain hypothyroidism causes microglial dysfunction and exacerbates AD pathology. Overall design: Comparative gene expression profiling analysis of single cell RNA-seq data for the brains of wild-type mice and AD model mice fed with control or iodine deficient diet.