Diabetic phenotype in mouse and humans reduces the number of microglia around β-amyloid plaques

Teemu Natunen1, Henna Martiskainen1, Mikael Marttinen1

  • 1Institute of Biomedicine, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland.

Molecular Neurodegeneration
|November 10, 2020
PubMed
Abstract

Insights

A Western diet exacerbates Alzheimer's disease (AD) and type 2 diabetes (T2D) pathology by impairing microglial function. This study reveals shared molecular mechanisms linking T2D and AD, highlighting altered brain immune responses.

Area of Science:

  • Neuroscience
  • Immunology
  • Metabolic Disorders

Background:

  • Alzheimer's disease (AD) is a leading neurodegenerative disorder, with type 2 diabetes (T2D) significantly increasing its risk.
  • Despite shared characteristics, the underlying molecular mechanisms connecting AD and T2D remain largely unknown.
  • Investigating these shared pathways is crucial for understanding disease progression and developing targeted therapies.

Purpose of the Study:

  • To investigate the impact of a Western diet (TWD) on AD and tauopathy mouse models.
  • To elucidate the molecular mechanisms linking T2D and AD, focusing on microglial function.
  • To assess the translational relevance of findings in human patient samples.

Main Methods:

  • Mice with AD and/or tauopathy genetic backgrounds were fed a standard or Western diet (TWD) for six months.
  • Behavioral, metabolic, gene expression, and neuropathological assessments were performed.
  • Mechanistic studies in mouse microglia and analysis of human cortical biopsies were conducted.

Main Results:

  • TWD induced obesity and diabetic phenotypes in all mice, exacerbating cognitive deficits in AD models.
  • TWD impaired microglial responses to AD pathology, linked to altered Trem2/PI3K-Akt signaling, resulting in fewer microglia and more dystrophic neurites.
  • Human studies showed reduced microglia per amyloid plaque in obese T2D patients, supporting the mouse model findings.

Conclusions:

  • The diabetic phenotype is mechanistically linked to reduced microglial responses to amyloid pathology in both mice and humans.
  • AD and T2D share overlapping pathomechanisms, particularly involving dysregulated brain immune function.
  • These findings underscore the importance of metabolic health in neurodegenerative disease prevention and treatment.