Early intraneuronal amyloid triggers neuron-derived inflammatory signaling in APP transgenic rats and human brain

Lindsay A Welikovitch1, Sonia Do Carmo2, Zsófia Maglóczky3

  • 1Department of Neurology and Neurosurgery, McGill University, Montreal, QC H3G 1Y6, Canada.

Insights

Neurons burdened with amyloid-beta (Aβ) initiate inflammation in Alzheimer's disease (AD) before plaque formation. This neuron-driven immune response precedes typical AD pathologies, revealing a new therapeutic target.

Area of Science:

  • Neuroscience
  • Immunology
  • Alzheimer's Disease Research

Background:

  • Chronic inflammation, primarily microglial activation, is a hallmark of Alzheimer's disease (AD), typically linked to amyloid-beta (Aβ) plaques and neuronal death.
  • However, inflammation and microgliosis occur in AD models lacking these pathologies, suggesting earlier, plaque-independent inflammatory triggers.
  • Soluble and oligomeric forms of Aβ are considered the most neurotoxic species, potentially initiating immune responses within neurons.

Purpose of the Study:

  • To investigate the role of neurons as a source of inflammation in early Alzheimer's disease.
  • To determine if intraneuronal amyloid-beta accumulation precedes and drives neuroinflammation independently of extracellular plaques.
  • To identify a unique neuronal inflammatory signature in the early stages of AD pathogenesis.

Main Methods:

  • Utilized laser microdissection to isolate neurons from preplaque amyloid precursor protein (APP) transgenic rats.
  • Analyzed gene and protein expression of immune factors in isolated neurons.
  • Correlated neuron-derived cytokine levels with microglial activation and presence of extracellular Aβ and tau pathology in both animal models and human brain tissue.

Main Results:

  • Neurons from preplaque APP transgenic rats produced significant levels of immune factors (cytokines) at both transcript and protein levels.
  • Neuron-derived cytokines correlated with microglial activation and mobilization, even without observable plaques or cell death.
  • Identified a distinct inflammatory profile in Aβ-burdened neurons, not mirrored in surrounding glial cells.
  • Demonstrated in human brain tissue that neuron-specific inflammation can precede the formation of insoluble Aβ plaques and tau tangles.

Conclusions:

  • Intraneuronal accumulation of amyloid-beta (Aβ) in neurons acts as a primary driver of inflammation in early Alzheimer's disease.
  • This neuron-centric inflammatory response precedes and potentially contributes to the development of extracellular Aβ plaques and tau pathology.
  • Targeting intraneuronal Aβ accumulation represents a novel therapeutic strategy for mitigating early-stage Alzheimer's disease neuroinflammation.

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