A deficiency in CCR2+ monocytes: the hidden side of Alzheimer's disease
1Neuroscience Laboratory, CHU de Québec Research Center and Department of Molecular Medicine, Faculty of Medicine, Laval University, 2705 Laurier Boulevard, Québec, QC, Canada G1V 4G2.
Abstract:
Alzheimer's disease (AD) is a neurodegenerative disorder characterized by intracellular neurofibrillary tangle formation and extracellular amyloid-β (Aβ) deposition. To date, microglia seem to act as double-edged swords, being either beneficial (e.g. clearance of Aβ) or detrimental (e.g. secretion of neurotoxic factors) in AD. Following a rather intense debate on the question, a consensus has emerged that microglia can renew themselves via proliferation of already differentiated microglia as well as via the de novo recruitment of monocytes of mouse models of AD. However, recent advances suggest distinct function for resident and bone marrow-derived microglia (BMDM), and have emphasized the neuroprotective functions of BMDM. BMDM is the only subset of cells that restrict cerebral amyloidosis in the AD brain, which has been recently attributed to CCR2(+) monocytes. Moreover, an impaired recruitment of CCR2(+) monocytes has been reported in AD patients, as seen from the CCR2(+) monocytopenia found in the bloodstream and BM. The present review summarizes the current knowledge on the roles and dysfunctions of CCR2(+) monocytes in AD and their potential as key therapeutic targets.
Insights
Bone marrow-derived microglia (BMDM) show neuroprotective functions in Alzheimer's disease (AD) by restricting amyloidosis. Impaired recruitment of CCR2(+) monocytes, essential for BMDM, is linked to AD progression.
Area of Science:
- Neuroscience
- Immunology
Background:
- Alzheimer's disease (AD) involves amyloid-β (Aβ) plaques and neurofibrillary tangles.
- Microglia play dual roles in AD, potentially clearing Aβ or secreting neurotoxins.
- Recent research highlights distinct functions of resident and bone marrow-derived microglia (BMDM).
Purpose of the Study:
- To review the current understanding of CCR2(+) monocyte roles in AD.
- To explore the dysfunctions of CCR2(+) monocytes in Alzheimer's disease.
- To identify CCR2(+) monocytes as potential therapeutic targets for AD.
Main Methods:
- Review of existing literature on microglia and monocyte involvement in AD.
- Analysis of studies investigating CCR2(+) monocyte recruitment and function.
- Synthesis of findings on the neuroprotective and amyloid-restricting capabilities of BMDM.
Main Results:
- BMDM are identified as the primary cell type restricting cerebral amyloidosis in AD.
- CCR2(+) monocytes are crucial for the beneficial functions of BMDM.
- Impaired CCR2(+) monocyte recruitment is observed in AD patients, indicated by monocytopenia.
Conclusions:
- CCR2(+) monocytes and their recruitment are critical for neuroprotection in AD.
- Dysfunctional CCR2(+) monocyte pathways represent a significant aspect of AD pathogenesis.
- Targeting CCR2(+) monocyte pathways offers a promising therapeutic strategy for Alzheimer's disease.
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