A single-cell, long-read, isoform-resolved case-control study of FTD reveals cell-type-specific and broad splicing dysregulation in human brain

Cell Rep. 2025 Sep 23;44(9):116198. doi: 10.1016/j.celrep.2025.116198. Epub 2025 Sep 5.

Abstract

Progranulin-deficient frontotemporal dementia (GRN-FTD) is a major cause of familial FTD with TAR DNA-binding protein 43 (TDP-43) pathology, which is linked to exon dysregulation. However, little is known about this dysregulation in glial and neuronal cells. Here, using splice-junction-covering enrichment probes, we introduce single-nuclei long-read RNA sequencing 2 (SnISOr-Seq2), targeting 3,630 high-interest genes without loss of precision, and complete the first single-cell, long-read-resolved case-control study for neurodegeneration. Exons affected by FTD-associated skipping are shorter than those whose inclusion is increased. Up to 30% of cell-(sub)type-specific splicing dysregulation is masked by other cell types or cortical layers. Surprisingly, strong splicing dysregulation events can occur in select but not all cell types. In some cases, a cell type switches in FTD to the splicing pattern of a different cell type. In addition, in separate GRN-FTD samples, the more FTD-prone frontal cortex exhibits more FTD-associated splicing patterns than the occipital cortex. Our methodologies are widely applicable to brain and other diseases.

Keywords: CP: Neuroscience; RNA isoform; TDP-43; frontotemporal dementia; frontotemporal lobar degeneration; long read; neurodegeneration; progranulin; single cell; single nucleus; splicing.

MeSH terms

  • Brain* / metabolism
  • Brain* / pathology
  • Case-Control Studies
  • Exons / genetics
  • Female
  • Frontotemporal Dementia* / genetics
  • Frontotemporal Dementia* / metabolism
  • Frontotemporal Dementia* / pathology
  • Humans
  • Male
  • Middle Aged
  • Neurons / metabolism
  • Progranulins / genetics
  • Protein Isoforms / genetics
  • Protein Isoforms / metabolism
  • RNA Splicing* / genetics
  • Single-Cell Analysis* / methods

Substances

  • Protein Isoforms
  • Progranulins