Microglia-Derived Interleukin 23: A Crucial Cytokine in Alzheimer's Disease?

Louisa Nitsch1, Linda Schneider2, Julian Zimmermann1

  • 1Department of Neurology, University Hospital Bonn, Bonn, Germany.

Frontiers in Neurology
|April 26, 2021
PubMed

Insights

Interleukin 23 (IL-23) plays a key role in Alzheimer's disease (AD) pathogenesis by promoting inflammation and plaque formation. Targeting IL-23 with antibodies reduced amyloid plaques and improved cognition in animal models.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Alzheimer's disease (AD) is characterized by neuronal death, amyloid plaques, and neurofibrillary tangles.
  • Inflammatory processes, including microglia and astrocyte activation, are critical in AD pathogenesis.
  • Cytokines are key immune mediators in the AD inflammatory response.

Purpose of the Study:

  • To investigate the role of interleukin 23 (IL-23) and its p40 subunit in Alzheimer's disease (AD) pathogenesis.
  • To explore the potential of targeting IL-23 as a therapeutic strategy for AD.

Main Methods:

  • Review of current literature on IL-23 and its involvement in AD.
  • Discussion of pathomechanisms of IL-23 mediated inflammation in AD.
  • Analysis of data from animal models investigating the effects of anti-p40 antibodies.

Main Results:

  • IL-23 and its p40 subunit are implicated in AD pathogenesis, particularly in microglia activation and amyloid β plaque formation.
  • In animal models, anti-p40 antibody injection reduced amyloid β plaque load.
  • Treatment with anti-p40 antibodies led to improved cognitive performance in AD animal models.

Conclusions:

  • IL-23 is a significant mediator of inflammation in Alzheimer's disease.
  • Targeting the IL-23/p40 pathway presents a promising therapeutic avenue for AD treatment.
  • Further research into IL-23's role could lead to novel AD interventions.