Patterns of pathological tau deposition reflect the dynamics of cortical brain activity.

ABSTRACT: Cortical tau deposition begins in higher-order association regions and spreads to lower-order primary sensory-motor networks in moderate/advanced Alzheimer's dementia. The neural mechanisms underlying this spatiotemporal pattern remain elusive. Initial evidence has shown that coupled dynamic, low-frequency (<0.1 Hz) brain activity in cerebrospinal fluid (CSF) flow and gray matter (global brain-CSF coupling) might be related to CSF clearance and thus β-amyloid accumulation. Here, we report that tau deposition in higher-order regions, particularly individuals with evaluated β-amyloid, is related to decreased global brain-CSF coupling in humans. Brain dynamics manifesting as propagating waves between higher- and lower-order regions mediate the association between tau and global brain-CSF coup

SUBMITTER: Han F 

PROVIDER: S-EPMC12356599 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature