Peripheral mononuclear cell rejuvenation for senescence surveillance in Alzheimer disease

Marco Malavolta1, Andrea Basso, Francesco Piacenza

  • 1Translational Research Ctr. of Nutrition and Ageing, IRCCS-INRCA, via Birarelli 8, Ancona, Italy. m.malavolta@inrca.it

Insights

Senescent cells in the brain contribute to Alzheimer's disease (AD). Peripheral immune cells may help clear these cells, offering a potential therapeutic target for neurodegeneration.

Area of Science:

  • Neuroscience
  • Immunology
  • Cellular Biology

Background:

  • Cellular senescence in microglia, astrocytes, and endothelial cells is linked to Alzheimer's disease (AD) onset and progression.
  • Accumulation of senescent cells in the central nervous system (CNS) may drive neurodegeneration and age-related cognitive decline.
  • Efficient clearance of senescent cells is crucial for preventing or delaying neurodegeneration.

Purpose of the Study:

  • Investigate the clearance mechanisms of senescent cells within the CNS.
  • Hypothesize the role of peripheral mononuclear phagocytes (MP) in senescent cell surveillance in AD.
  • Explore therapeutic interventions targeting peripheral MP function for AD treatment.

Main Methods:

  • Literature review and synthesis of current research on cellular senescence in AD.
  • Analysis of the potential involvement of microglia and peripheral MP in senescent cell removal.
  • Hypothetical modeling of immune cell interactions in the AD brain.

Main Results:

  • Resident microglia are implicated in clearing senescent cells in the CNS.
  • Peripheral MP may assist microglia in managing brain inflammation and amyloid-beta (Abeta) deposits in AD.
  • Age-related dysfunction of innate immunity cells can exacerbate AD progression alongside cellular senescence.

Conclusions:

  • Peripheral MP may play a vital role in CNS senescence surveillance, especially when microglia function is impaired.
  • Targeting and rejuvenating peripheral MP function presents a promising therapeutic strategy for AD.
  • Further research is needed to elucidate the precise mechanisms of senescence clearance in the brain and develop effective interventions.

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