The evolving biology of microglia in Alzheimer's disease

Tarja M Malm1, Taylor R Jay, Gary E Landreth

  • 1A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland, tarja.malm@uef.fi.

Insights

Alzheimer's disease (AD) involves chronic microglial inflammation that impairs cognition. Modulating microglial function to enhance their protective roles offers potential therapeutic benefits for AD.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Alzheimer's disease (AD) is characterized by significant microglial activation and neuroinflammation.
  • Microglia, the brain's immune cells, accumulate around amyloid plaques in AD pathology.
  • Despite their potential to clear amyloid, microglia in AD become dysfunctional, promoting cognitive decline and neurotoxicity.

Purpose of the Study:

  • To review current knowledge on microglial homeostatic mechanisms in Alzheimer's disease.
  • To explore mechanisms regulating microglial phenotype in the context of AD.
  • To identify therapeutic strategies targeting microglial dysfunction in AD.

Main Methods:

  • Literature review of studies on microglial biology in Alzheimer's disease.
  • Analysis of research on microglial activation states and their functional consequences.
  • Synthesis of information on factors influencing microglial phenotype and homeostatic functions.

Main Results:

  • Microglia in AD exhibit a pro-inflammatory phenotype, contributing to disease progression.
  • Dysfunctional microglial phagocytosis fails to clear amyloid-beta plaques effectively.
  • Chronic microglial activation leads to impaired cognition and neuronal damage.

Conclusions:

  • Altering microglial function to restore homeostatic and phagocytic capabilities is a promising therapeutic avenue for AD.
  • Targeting the regulation of microglial phenotype could mitigate neuroinflammation and neurotoxicity in AD.
  • Further research into microglial mechanisms is crucial for developing effective Alzheimer's disease treatments.

Related Concept Videos

Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and...
7
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
2.0K
Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
6
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
1.3K