20Microglia are the tissue-resident macrophages of the central nervous system (CNS). Recent 21 studies based on bulk and single-cell RNA sequencing in mice indicate high relevance of 22 microglia with respect to risk genes and neuro-inflammation in Alzheimer's disease. Here, we 23 investigated microglia transcriptomes at bulk and single cell level in non-demented elderly and 24 AD donors using acute human post-mortem cortical brain samples. We identified 9 human 25 microglial subpopulations with heterogeneity in gene expression. Notably, gene expression 26 profiles and subcluster composition of microglia did not differ between AD donors and non-27 demented elderly in bulk RNA sequencing nor in single-cell sequencing. 28 human 30 31 Introduction 32Alzheimer's disease (AD), one of the most prevalent age-related neurodegenerative disorders, 33 is characterized by extracellular deposition of β-amyloid protein (Aβ) and intra-neuronal 34 neurofibrillary tangles in the neocortex [1].
35Functional changes occurring in microglia cells have been proposed as an important factor in 36 AD pathology [2,3]. AD single nucleotide polymorphism (SNP) heritability was recently found 37 to be highly enriched in microglia enhancers [4]. Multiple genes associated with increased 38 susceptibility for sporadic AD are preferentially expressed in microglia, including APOE, CR1, 39 CD33, INPP5D, PLCG2, MS4A6A and TREM2 [5,6]. In AD mouse models, microglia have 40 been implicated in Aβ seeding, Aβ plaques are surrounded by activated microglia, microglia 41 protrusions physically interact with insoluble Aβ aggregates and microglia around plaques 42 undergo transcriptional changes [7-12]. Sustained depletion of microglia in 5xFAD mice 43 prevents Aβ plaque formation in parenchymal tissue, rather showing Aβ accumulation in the 44 brain vasculature [13]. The functional changes occurring in microglia during AD pathology 45seem to be diverse [14] and the exact role that microglia play in AD pathology is still unknown. 46 Many efforts have been made in AD mouse models to identify subpopulations of microglia that 47 are associated with AD pathology. A microglial neurodegenerative subpopulation was 48 discovered by Krasemann and colleagues that was associated with Aβ plaques and triggered by 49 phagocytosis of apoptotic neurons [9]. This transcriptional phenotype was characterized by 50 increased Spp1, Itgax, Axl, Lilrb4, Clec7a, Ccl2, Csf1, and Apoe and decreased P2ry12, 51 3 Tmem119, Olfml3, Csf1r, Rhob, Cx3cr1, Tgfb1, Mef2a, Mafb, and Sall1 expression levels [9]. 52 At the same time, a highly similar gene expression change, associated with microglia 53 surrounding Aβ plaques was reported by Keren-Shaul and colleagues [8], termed disease-54 associated microglia (DAMs). Using single-cell RNA-sequencing these DAMs were 55subdivided into two sequential stages, a Trem2-independent stage, marked by increased 56 expression of Tyrobp, Apoe, and B2m and decreased expression of homeostatic genes, followed 57 by a Trem2-dependent activation stage marked ...