AUTHOR=Basheer Neha , Muhammadi Muhammad Khalid , Freites Carlos Leandro , Avila Martin , Momand Miraj Ud Din , Hryntsova Natalia , Smolek Tomas , Katina Stanislav , Zilka Norbert TITLE=TLR4-mediated chronic neuroinflammation has no effect on tangle pathology in a tauopathy mouse model JOURNAL=Frontiers in Aging Neuroscience VOLUME=Volume 16 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/aging-neuroscience/articles/10.3389/fnagi.2024.1468602 DOI=10.3389/fnagi.2024.1468602 ISSN=1663-4365 ABSTRACT=Alzheimer's disease (AD) is characterized by a stereotypical accumulation of fibrillary aggregates composed of pathological tau proteins. Although neuroinflammation is commonly associated with tau pathology, the current preclinical evidence is insufficient to establish its direct causal role in tau tangle formation. This study aimed to determine whether chronic stimulation of Toll-like receptor 4 (TLR4), induced by a high dose of lipopolysaccharide (LPS, 5mg/kg), could exacerbate neurofibrillary tangle (NFT) pathology in a transgenic mouse model of sporadic AD expressing human truncated 151-391/3R tau. As expected, we observed a sustained elevation in the number of Iba-1 + -microglia in the LPS-treated group, compared with the sham group (p < 0.0001). Notably, there was a 1.5-1.7-fold increase in microglia per tangle-bearing neuron in the LPS-treated group. These microglia displayed a reactive yet exhaustive phenotype, evidenced by a significant decrease in cell area (p < 0.0001), without discernible changes in other morphometric parameters (perimeter, circumference, circularity, solidity, aspect ratio, or arborization degree). Despite the significant increase in reactive microglia, their phagocytic and clearance potential proved inefficient in reducing the tau hyperphosphorylation or tangle formation in the brainstem. Taken together, these findings suggest that chronic TLR4 stimulation in tau-transgenic mice does not affect the formation of tau tangles, despite extensive microglial activation.