ArticleCommunications biology2026
Transcriptional analyses identify pericyte-centered signaling programs altered by sex and brain region in Alzheimer's Disease.
Article in Communications biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Pericytes are critical components of the neurovascular unit (NVU), regulating endothelial cell stability, blood-brain barrier (BBB) integrity, and neuroimmune signaling. Their role in Alzheimer's Disease (AD), particularly regarding sex differences and brain region specificity, remains poorly defined. Using single-nucleus RNA sequencing analysis and cell-cell communication tools (LIANA, Tensor-cell2cell), we characterize pericyte transcriptional and signaling changes across the middle temporal gyrus (MTG) and dorsolateral prefrontal cortex (DLPFC) of AD and non-AD donors stratified by sex. We identify a pericyte-endothelial TGFβ signaling program upregulated in female AD donors specifically in the MTG, and a downregulated estrogen pathway involving pericyte-astrocyte ligand-receptor interactions, supported by increased pericyte-astrocyte separation in spatial transcriptomics. We also identify a microglia-to-pericyte program enriched for hypoxia and p53 pathways that is elevated in both sexes with regional specificity. Our findings implicate pericyte-driven communication as a mechanistic contributor to female-biased AD vulnerability, and support sex- and region-aware approaches in neurodegeneration research.
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