Vania Ferreira Prado
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Previous Organizations / Institutes
The organizations / institutes from the scholar's other articles in the past ten years
Research Subjects
Vania Ferreira Prado has a total of 891 co-authors. Here are the top co-authors by number of shared publications:
- Marco Antonio Maximo Prado
Western University
131 shared publications - Robert Gros
University of Western Ontario
19 shared publications - Silvia Guatimosim
Universidade Federal de Minas Gerais
12 shared publications Flavio H. Beraldo
Robarts Research Institute, Schulich School of Medicine, The University of Western Ontario
11 shared publications- Mohammed A. Al-Onaizi
Robarts Research Institute
11 shared publications - Timothy J. Bussey
Department of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, Western University, London, Canada
11 shared publications
Latest Publications
- 1 November 2026
- Published by American Physiological Society in American Journal of Physiology-Cell Physiology
- Vol. 331 (5) , C1205-C1215
STIP1 signaling drives protein synthesis in pathological cardiomyocyte hypertrophy
Although STIP1 is expressed in the heart and known for neuroprotection, its cardiac role remains undefined. We show that STIP1 is reduced in failing human hearts and that its deficiency in mice impairs resilience to adrenergic overload. Mechanistically, STIP1 loss disrupts the protein synthesis required for cardiomyocyte hypertrophy, positioning this co-chaperone as a hub of the heart’s adaptive response to injury. Clinically, reduced STIP1 in heart failure may worsen dysfunction, underscoring its relevance to disease.
- 1 November 2026
- Published by American Physiological Society in American Journal of Physiology-Cell Physiology
- Vol. 331 (5) , C1205-C1215
STIP1 signaling drives protein synthesis in pathological cardiomyocyte hypertrophy
Although STIP1 is expressed in the heart and known for neuroprotection, its cardiac role remains undefined. We show that STIP1 is reduced in failing human hearts and that its deficiency in mice impairs resilience to adrenergic overload. Mechanistically, STIP1 loss disrupts the protein synthesis required for cardiomyocyte hypertrophy, positioning this co-chaperone as a hub of the heart’s adaptive response to injury. Clinically, reduced STIP1 in heart failure may worsen dysfunction, underscoring its relevance to disease.
- 16 September 2026
- Published by Springer Nature in Psychopharmacology
- p. 1-25
Differential contributions of striatal dopaminergic pathways to visuomotor conditional learning
- 16 September 2026
- Published by Springer Nature in Psychopharmacology
- p. 1-25
Differential contributions of striatal dopaminergic pathways to visuomotor conditional learning
- Open Access
α-synuclein pathology drives multi-scale reorganization of fronto-limbic networks and cognitive flexibility in the common marmoset
Understanding how α-synuclein misfolding and spreading affect brain systems is central to synucleinopathy research, yet evidence from primate models remains limited. Here, we combined histology, awake structural MRI, awake resting-state fMRI, regional homogeneity, actimetry and touchscreen behavioral testing to longitudinally track the consequences of striatal α-synuclein seeding in the common marmoset. Phosphorylated α-synuclein inclusions were detected from 2 months post-injection and spread progressively to distributed cortical and subcortical regions bilaterally, accompanied by regionally specific structural atrophy. Functional imaging revealed widespread disruption of large-scale networks, particularly within fronto-limbic circuits, alongside reductions in local functional coherence. Despite the absence of overt motor or sleep deficits, animals exhibited a selective impairment in cognitive flexibility, with preserved learning and task engagement. These findings indicate that striatal α-synuclein seeding induces a multi-scale reorganization of brain networks preferentially affecting circuits supporting cognitive flexibility and limbic processing, establishing a primate platform for studying early stages of synucleinopathy.
Open Accessα-synuclein pathology drives multi-scale reorganization of fronto-limbic networks and cognitive flexibility in the common marmoset
Understanding how α-synuclein misfolding and spreading affect brain systems is central to synucleinopathy research, yet evidence from primate models remains limited. Here, we combined histology, awake structural MRI, awake resting-state fMRI, regional homogeneity, actimetry and touchscreen behavioral testing to longitudinally track the consequences of striatal α-synuclein seeding in the common marmoset. Phosphorylated α-synuclein inclusions were detected from 2 months post-injection and spread progressively to distributed cortical and subcortical regions bilaterally, accompanied by regionally specific structural atrophy. Functional imaging revealed widespread disruption of large-scale networks, particularly within fronto-limbic circuits, alongside reductions in local functional coherence. Despite the absence of overt motor or sleep deficits, animals exhibited a selective impairment in cognitive flexibility, with preserved learning and task engagement. These findings indicate that striatal α-synuclein seeding induces a multi-scale reorganization of brain networks preferentially affecting circuits supporting cognitive flexibility and limbic processing, establishing a primate platform for studying early stages of synucleinopathy.
- Open Access
- 10 March 2026
- Published by Elsevier in SSRN Electronic Journal
STIP1-PrPc signaling axis drives pathological cardiomyocyte hypertrophy
Background: Stress-inducible phosphoprotein 1 (STIP1) is a co-chaperone involved in neuronal proteostasis and stress resilience. Although expressed in the heart, its role remains undefined. We assessed whether STIP1 deficiency impacts cardiac physiology and stress responses.Methods: STIP1 expression was analyzed in cardiac tissue from heart failure patients. Haploinsufficient STIP1 mice (STIP1+/−) received 7 days of isoproterenol (ISO) to induce cardiac injury, followed by proteomics, histology, and western blot analysis. In vitro, neonatal rat cardiomyocytes (NRCMs) underwent STIP1 or prion protein (PrPC) silencing and were evaluated using molecular assays and total internal reflection fluorescence (TIRF) microscopy.Results: STIP1 levels were reduced in cardiac tissue from heart failure patients, a pattern mirrored in STIP1+/- mice. While STIP1+/- hearts developed normally, ISO exposure led to increased inflammation and fibrosis compared with wild-type. Despite elevated injury markers, STIP1+/- cardiomyocytes failed to undergo hypertrophy in response to ISO. Proteomic profiling identified impaired protein synthesis as the dominant signature in STIP1+/-/ISO hearts, explaining the blunted hypertrophic response. To define STIP1´s contribution to hypertrophy, we silenced STIP1 in NRCMs. Recapitulating in vivo findings, STIP1 silencing blocked ISO‑induced hypertrophy, and also inhibited AngII and phenylephrine hypertrophic responses. Consistent with proteomics, ISO failed to increase protein synthesis or eIF4 expression in STIP1-deficient NRCMs. STIP1 localized to exocytic vesicles, consistent with its secretion visualized by TIRF. Co‑immunoprecipitation confirmed its interaction with PrPC. PrPC silencing abrogated ISO- or AngII-induced hypertrophy, phenocopying STIP1-deficiency.Conclusion: STIP1 engages PrPC in cardiomyocytes to form a receptor‑linked axis that drives pathological hypertrophy through protein‑synthesis–dependent mechanisms.
- 10 March 2026
- Published by Elsevier in SSRN Electronic Journal
Open AccessSTIP1-PrPc signaling axis drives pathological cardiomyocyte hypertrophy
Background: Stress-inducible phosphoprotein 1 (STIP1) is a co-chaperone involved in neuronal proteostasis and stress resilience. Although expressed in the heart, its role remains undefined. We assessed whether STIP1 deficiency impacts cardiac physiology and stress responses.Methods: STIP1 expression was analyzed in cardiac tissue from heart failure patients. Haploinsufficient STIP1 mice (STIP1+/−) received 7 days of isoproterenol (ISO) to induce cardiac injury, followed by proteomics, histology, and western blot analysis. In vitro, neonatal rat cardiomyocytes (NRCMs) underwent STIP1 or prion protein (PrPC) silencing and were evaluated using molecular assays and total internal reflection fluorescence (TIRF) microscopy.Results: STIP1 levels were reduced in cardiac tissue from heart failure patients, a pattern mirrored in STIP1+/- mice. While STIP1+/- hearts developed normally, ISO exposure led to increased inflammation and fibrosis compared with wild-type. Despite elevated injury markers, STIP1+/- cardiomyocytes failed to undergo hypertrophy in response to ISO. Proteomic profiling identified impaired protein synthesis as the dominant signature in STIP1+/-/ISO hearts, explaining the blunted hypertrophic response. To define STIP1´s contribution to hypertrophy, we silenced STIP1 in NRCMs. Recapitulating in vivo findings, STIP1 silencing blocked ISO‑induced hypertrophy, and also inhibited AngII and phenylephrine hypertrophic responses. Consistent with proteomics, ISO failed to increase protein synthesis or eIF4 expression in STIP1-deficient NRCMs. STIP1 localized to exocytic vesicles, consistent with its secretion visualized by TIRF. Co‑immunoprecipitation confirmed its interaction with PrPC. PrPC silencing abrogated ISO- or AngII-induced hypertrophy, phenocopying STIP1-deficiency.Conclusion: STIP1 engages PrPC in cardiomyocytes to form a receptor‑linked axis that drives pathological hypertrophy through protein‑synthesis–dependent mechanisms.
- Open Access
- 9 January 2026
- Published by Springer Nature in Translational Psychiatry
- Vol. 16 (1)
Impairment in stimulus-response learning as a cognitive biomarker in a model of synucleinopathy
Translating findings from preclinical assessments of cognitive function relevant to synucleinopathies into successful clinical trials poses significant challenges. In this study, we examined the effectiveness of human-relevant touchscreen cognitive assessments in detecting the impact of α-synuclein pathology in a mouse model of synucleinopathy on the emergence of stimulus-response learning impairments as a potential cognitive biomarker. We generated two types of α-synuclein pre-formed fibrils, each displaying distinct biophysical characteristics in vitro and biochemical properties when stereotaxically injected in vivo. These two types of fibrils were capable of triggering impairments in stimulus-response learning in pre-motor, prodromal disease stages, akin to what is observed in humans with synucleinopathy. This work supports the use of touchscreen cognitive assessments in conjunction with robust preclinical rodent models for identifying targets and testing therapeutic strategies for synucleinopathic diseases.
- 9 January 2026
- Published by Springer Nature in Translational Psychiatry
- Vol. 16 (1)
Open AccessImpairment in stimulus-response learning as a cognitive biomarker in a model of synucleinopathy
Translating findings from preclinical assessments of cognitive function relevant to synucleinopathies into successful clinical trials poses significant challenges. In this study, we examined the effectiveness of human-relevant touchscreen cognitive assessments in detecting the impact of α-synuclein pathology in a mouse model of synucleinopathy on the emergence of stimulus-response learning impairments as a potential cognitive biomarker. We generated two types of α-synuclein pre-formed fibrils, each displaying distinct biophysical characteristics in vitro and biochemical properties when stereotaxically injected in vivo. These two types of fibrils were capable of triggering impairments in stimulus-response learning in pre-motor, prodromal disease stages, akin to what is observed in humans with synucleinopathy. This work supports the use of touchscreen cognitive assessments in conjunction with robust preclinical rodent models for identifying targets and testing therapeutic strategies for synucleinopathic diseases.
- Open Access
- 29 August 2025
- Published by Springer Nature in Communications Biology
- Vol. 8 (1) , 1-16
Stress-inducible phosphoprotein 1 (STIP1) is a critical stemness regulator in mouse embryonic stem cells and early mammalian development
Proteostasis, maintained by a network of molecular chaperones, plays a central role in cell biology, and has emerged as a critical mechanism underlying pluripotency and development. The stress-inducible phosphoprotein 1 (STIP1) is a co-chaperone essential for proteostasis. STIP1 knockout causes embryonic lethality in mice, but its precise function during embryogenesis remains poorly understood. Here, we investigate the role of STIP1 in early development using in silico and cell-based approaches. Single-cell RNA sequencing data reveals that Stip1 is co-expressed with pluripotency genes in mouse embryos, suggesting a role in stem cell maintenance. To test this, we generated mouse embryonic stem cells (mESCs) from genetically modified mice with altered Stip1/STIP1 expression. STIP1 depletion in mESCs decreases the expression of pluripotency markers, reduces proliferation, and induces apoptosis and genomic instability, whereas its overexpression enhances pluripotency markers expression, promotes proliferation, and confers protection against cellular stress. Moreover, proteins involved in cell cycle progression and DNA damage response are differentially regulated in mESCs, depending on STIP1 levels. Our findings highlight STIP1 as a pivotal regulator of the pluripotent phenotype, early embryogenesis, and cellular resilience, advancing our understanding of proteostasis in stem cell biology and organismal development, with potential implications for disease modeling and regenerative medicine.
- 29 August 2025
- Published by Springer Nature in Communications Biology
- Vol. 8 (1) , 1-16
Open AccessStress-inducible phosphoprotein 1 (STIP1) is a critical stemness regulator in mouse embryonic stem cells and early mammalian development
Proteostasis, maintained by a network of molecular chaperones, plays a central role in cell biology, and has emerged as a critical mechanism underlying pluripotency and development. The stress-inducible phosphoprotein 1 (STIP1) is a co-chaperone essential for proteostasis. STIP1 knockout causes embryonic lethality in mice, but its precise function during embryogenesis remains poorly understood. Here, we investigate the role of STIP1 in early development using in silico and cell-based approaches. Single-cell RNA sequencing data reveals that Stip1 is co-expressed with pluripotency genes in mouse embryos, suggesting a role in stem cell maintenance. To test this, we generated mouse embryonic stem cells (mESCs) from genetically modified mice with altered Stip1/STIP1 expression. STIP1 depletion in mESCs decreases the expression of pluripotency markers, reduces proliferation, and induces apoptosis and genomic instability, whereas its overexpression enhances pluripotency markers expression, promotes proliferation, and confers protection against cellular stress. Moreover, proteins involved in cell cycle progression and DNA damage response are differentially regulated in mESCs, depending on STIP1 levels. Our findings highlight STIP1 as a pivotal regulator of the pluripotent phenotype, early embryogenesis, and cellular resilience, advancing our understanding of proteostasis in stem cell biology and organismal development, with potential implications for disease modeling and regenerative medicine.
- Open Access
- 23 August 2025
- Published by Wiley in Journal of Neurochemistry
- Vol. 169 (8) , e70204
A Longitudinal Study of Sex Differences in a TDP‐43 Mouse Model Reveals STI1 Regulation of TDP‐43 Proteinopathy and Motor Deficits
Amyotrophic lateral sclerosis (ALS) is a disease influenced by a complex interplay of age, genetics, and sex. Most ALS cases are sporadic, and individuals with this disease show elevated levels of TDP‐43 in their central nervous system and aggregated cytoplasmic inclusions containing TDP‐43 in neurons. Misfolded and aggregated proteins like TDP‐43 can be refolded or marked for degradation by molecular chaperones and their co‐chaperone partners. In this study, we use a mouse model of ALS that mildly overexpresses human wild‐type TDP‐43 in neurons to explore how aging affects the onset of motor abnormalities and proteinopathy in male and female mice. We found that the age‐dependent onset of motor symptoms is more pronounced in male mice, despite both sexes sharing similar TDP‐43 pathology. Further, we found that reducing the activity of STI1, an Hsp90 co‐chaperone, was associated with reduced mislocalized TDP‐43 in the brain and spinal cord and partially rescued some motor deficits. By contrast, overexpressing STI1 seemed to be deleterious, exacerbating the levels of C‐terminal TDP‐43 fragments in the cytoplasm, worsening motor abnormalities and reducing lifespan. Our findings reveal that sex is a key biological factor in an ALS mouse model of TDP‐43 overexpression and provide novel insights on the role of STI1 and proteostasis in mediating TDP‐43 pathology. image
- 23 August 2025
- Published by Wiley in Journal of Neurochemistry
- Vol. 169 (8) , e70204
Open AccessA Longitudinal Study of Sex Differences in a TDP‐43 Mouse Model Reveals STI1 Regulation of TDP‐43 Proteinopathy and Motor Deficits
Amyotrophic lateral sclerosis (ALS) is a disease influenced by a complex interplay of age, genetics, and sex. Most ALS cases are sporadic, and individuals with this disease show elevated levels of TDP‐43 in their central nervous system and aggregated cytoplasmic inclusions containing TDP‐43 in neurons. Misfolded and aggregated proteins like TDP‐43 can be refolded or marked for degradation by molecular chaperones and their co‐chaperone partners. In this study, we use a mouse model of ALS that mildly overexpresses human wild‐type TDP‐43 in neurons to explore how aging affects the onset of motor abnormalities and proteinopathy in male and female mice. We found that the age‐dependent onset of motor symptoms is more pronounced in male mice, despite both sexes sharing similar TDP‐43 pathology. Further, we found that reducing the activity of STI1, an Hsp90 co‐chaperone, was associated with reduced mislocalized TDP‐43 in the brain and spinal cord and partially rescued some motor deficits. By contrast, overexpressing STI1 seemed to be deleterious, exacerbating the levels of C‐terminal TDP‐43 fragments in the cytoplasm, worsening motor abnormalities and reducing lifespan. Our findings reveal that sex is a key biological factor in an ALS mouse model of TDP‐43 overexpression and provide novel insights on the role of STI1 and proteostasis in mediating TDP‐43 pathology. image
- 24 July 2025
- Published by Springer Nature in Lab Animal
- Vol. 54 (8) , 207-217
Characterization of a novel transgenic mouse model to investigate brain-wide activation of astrocyte Gq signaling
Astrocytes sense and modify neuronal activity, and accumulating evidence suggests a role for these cells in the modulation of neuroinflammation and cognition. Most experiments investigating the in vivo role of astrocytic signaling use viral vectors to drive astrocyte-specific expression of receptors in localized regions of the brain. However, viral vector-mediated delivery of receptors can lead to off-target inflammation and impact neurogenesis, neuronal function and behavior. Here, we used transgenic mice expressing Cre-inducible hM3Dq, a designer receptor exclusively activated by designer drugs (DREADD), to target the Gq-coupled receptor hM3Dq specifically in astrocytes without the use of viral transduction. We showed that in vitro administration of clozapine N-oxide to primary astrocytes derived from astro-hM3Dq mice increased intracellular calcium levels. Similarly, acute in vivo activation of astrocytic hM3Dq induced time-dependent changes in resting-state brain function as well as increased c-Fos expression throughout the brain. Acute astrocyte-specific hM3Dq activation increased synthesis of cortical mRNA of proinflammatory cytokines TNF, IL-1β and IL-6, while chronic activation did not greatly impact proinflammatory cytokine expression. Importantly, however, acute global activation of astrocyte-specific hM3Dq did not adversely affect behavior in a battery of tasks. Taken together, we conclude that the astro-hM3Dq mouse line can serve as a reliable model for studying the brain-wide role of astrocytic muscarinic and Gq signaling in neuroinflammation, behavior and neuronal activity, mitigating the potential negative effects associated with the use of viral transduction.
- 24 July 2025
- Published by Springer Nature in Lab Animal
- Vol. 54 (8) , 207-217
Characterization of a novel transgenic mouse model to investigate brain-wide activation of astrocyte Gq signaling
Astrocytes sense and modify neuronal activity, and accumulating evidence suggests a role for these cells in the modulation of neuroinflammation and cognition. Most experiments investigating the in vivo role of astrocytic signaling use viral vectors to drive astrocyte-specific expression of receptors in localized regions of the brain. However, viral vector-mediated delivery of receptors can lead to off-target inflammation and impact neurogenesis, neuronal function and behavior. Here, we used transgenic mice expressing Cre-inducible hM3Dq, a designer receptor exclusively activated by designer drugs (DREADD), to target the Gq-coupled receptor hM3Dq specifically in astrocytes without the use of viral transduction. We showed that in vitro administration of clozapine N-oxide to primary astrocytes derived from astro-hM3Dq mice increased intracellular calcium levels. Similarly, acute in vivo activation of astrocytic hM3Dq induced time-dependent changes in resting-state brain function as well as increased c-Fos expression throughout the brain. Acute astrocyte-specific hM3Dq activation increased synthesis of cortical mRNA of proinflammatory cytokines TNF, IL-1β and IL-6, while chronic activation did not greatly impact proinflammatory cytokine expression. Importantly, however, acute global activation of astrocyte-specific hM3Dq did not adversely affect behavior in a battery of tasks. Taken together, we conclude that the astro-hM3Dq mouse line can serve as a reliable model for studying the brain-wide role of astrocytic muscarinic and Gq signaling in neuroinflammation, behavior and neuronal activity, mitigating the potential negative effects associated with the use of viral transduction.
- Open Access
- 2 June 2025
- Published by Wiley in Genes, Brain and Behavior
- Vol. 24 (3) , e70024
Impaired Cognitive Flexibility With Preserved Learning in an Amyloid Precursor Protein Knock‐In Mouse Model of Amyloidopathy
Alzheimer's disease is a debilitating neurodegenerative condition characterized by amyloid beta plaques and tau neurofibrillary tangles, which leads to progressive cognitive decline. Several new mouse models of fast amyloid deposition have been generated with compound mutations, but how these affect high‐level cognitive function is still not fully understood. Four cohorts of a second‐generation amyloid precursor protein knock‐in mouse model, AppNL‐G‐F/NL‐G‐F, which develops aggressive amyloidopathy, were compared with two different control groups that do not produce plaques (AppNL/NL and wildtype littermates), on touchscreen‐based tests of learning and cognitive flexibility. AppNL‐G‐F/NL‐G‐F mice learned to discriminate between two visual stimuli during the pairwise visual discrimination (PVD) task but were impaired when the reward contingencies were reversed (the PVR task). Analyses of the correction trials indicated perseverative behavior. One cohort was further tested on the touchscreen Extinction test, which isolates the ability to withhold responding to a previously rewarded stimulus. The AppNL‐G‐F/NL‐G‐F mice extinguished their responding no differently than the AppNL/NL control group. These results indicate that compound mutations in App driving fast accumulation of plaques in this mouse model impair cognitive flexibility and may serve as a preclinical target for putative therapeutic drugs.
- 2 June 2025
- Published by Wiley in Genes, Brain and Behavior
- Vol. 24 (3) , e70024
Open AccessImpaired Cognitive Flexibility With Preserved Learning in an Amyloid Precursor Protein Knock‐In Mouse Model of Amyloidopathy
Alzheimer's disease is a debilitating neurodegenerative condition characterized by amyloid beta plaques and tau neurofibrillary tangles, which leads to progressive cognitive decline. Several new mouse models of fast amyloid deposition have been generated with compound mutations, but how these affect high‐level cognitive function is still not fully understood. Four cohorts of a second‐generation amyloid precursor protein knock‐in mouse model, AppNL‐G‐F/NL‐G‐F, which develops aggressive amyloidopathy, were compared with two different control groups that do not produce plaques (AppNL/NL and wildtype littermates), on touchscreen‐based tests of learning and cognitive flexibility. AppNL‐G‐F/NL‐G‐F mice learned to discriminate between two visual stimuli during the pairwise visual discrimination (PVD) task but were impaired when the reward contingencies were reversed (the PVR task). Analyses of the correction trials indicated perseverative behavior. One cohort was further tested on the touchscreen Extinction test, which isolates the ability to withhold responding to a previously rewarded stimulus. The AppNL‐G‐F/NL‐G‐F mice extinguished their responding no differently than the AppNL/NL control group. These results indicate that compound mutations in App driving fast accumulation of plaques in this mouse model impair cognitive flexibility and may serve as a preclinical target for putative therapeutic drugs.
- Open Access
Cholinergic synaptic plasticity shapes resilience and vulnerability to tau
Synaptic dysfunction is a hallmark of Alzheimer’s disease (AD). Yet due to their plasticity, synapses may also adapt to early AD pathology. Here, we demonstrate that cholinergic neurons mount a presynaptic response to tau pathology in the living human brain. Using multi-tracer positron emission tomography in cognitively normal older adults at risk for AD, we observe that cholinergic neurons increase presynaptic vesicular acetylcholine transporter (VAChT) protein levels when colocalized to tau, but not amyloid. Notably, stronger VAChT responses were associated with cognitive resilience over a decade. Whole-brain single-nucleus RNA sequencing in human and mouse tissue reveal that cholinergic neurons are enriched for a plasticity gene-network anchored to the microtubule-associated protein tau ( MAPT ) gene. In mice, forebrain-specific deletion of VAChT impairs cortical plasticity and hippocampal structural integrity. Overall, our findings identify cholinergic synaptic plasticity, and its failure, as a fundamental mechanism of resilience and vulnerability to tau in presymptomatic AD.
Open AccessCholinergic synaptic plasticity shapes resilience and vulnerability to tau
Synaptic dysfunction is a hallmark of Alzheimer’s disease (AD). Yet due to their plasticity, synapses may also adapt to early AD pathology. Here, we demonstrate that cholinergic neurons mount a presynaptic response to tau pathology in the living human brain. Using multi-tracer positron emission tomography in cognitively normal older adults at risk for AD, we observe that cholinergic neurons increase presynaptic vesicular acetylcholine transporter (VAChT) protein levels when colocalized to tau, but not amyloid. Notably, stronger VAChT responses were associated with cognitive resilience over a decade. Whole-brain single-nucleus RNA sequencing in human and mouse tissue reveal that cholinergic neurons are enriched for a plasticity gene-network anchored to the microtubule-associated protein tau ( MAPT ) gene. In mice, forebrain-specific deletion of VAChT impairs cortical plasticity and hippocampal structural integrity. Overall, our findings identify cholinergic synaptic plasticity, and its failure, as a fundamental mechanism of resilience and vulnerability to tau in presymptomatic AD.