Multiregional single-cell profiling reveals shared and specialized cellular vulnerability in Alzheimer's disease

Alzheimer's disease (AD) is defined and staged by the stereotyped, progressive accumulation of amyloid-beta (A{beta}) plaques and hyperphosphorylated tau (pTau) tangles across brain regions. These regions differ substantially in their architecture and function but share largely conserved cellular composition, with some regional specialization. As pathology accumulates, specific neurons are lost and non-neuronal cells shift toward disease-associated states, but whether the cell types affected in any one region are the same across the others has remained unclear. Here we extended the Seattle Alzheimer's Disease Brain Cell Atlas (SEA-AD) to ten neo- and allocortical regions spanning the cortica