%0 Journal Article %T Neurofibrillary tangle-bearing neurons have reduced risk of cell death in mice with Alzheimer's pathology. %A Zwang TJ %A Sastre ED %A Wolf N %A Ruiz-Uribe N %A Woost B %A Hoglund Z %A Fan Z %A Bailey J %A Nfor L %A Buée L %A Nilsson KPR %A Hyman BT %A Bennett RE %J Cell Rep %V 43 %N 8 %D 2024 Aug 27 %M 39096489 暂无%R 10.1016/j.celrep.2024.114574 %X A prevailing hypothesis is that neurofibrillary tangles play a causal role in driving cognitive decline in Alzheimer's disease (AD) because tangles correlate anatomically with areas that undergo neuronal loss. We used two-photon longitudinal imaging to directly test this hypothesis and observed the fate of individual neurons in two mouse models. At any time point, neurons without tangles died at >3 times the rate as neurons with tangles. Additionally, prior to dying, they became >20% more distant from neighboring neurons across imaging sessions. Similar microstructural changes were evident in a population of non-tangle-bearing neurons in Alzheimer's donor tissues. Together, these data suggest that nonfibrillar tau puts neurons at high risk of death, and surprisingly, the presence of a tangle reduces this risk. Moreover, cortical microstructure changes appear to be a better predictor of imminent cell death than tangle status is and a promising tool for identifying dying neurons in Alzheimer's.