Microglial morphology in Alzheimer's disease and after Aβ immunotherapy

Diana K Franco-Bocanegra1, Yamina Gourari1, Ciaran McAuley1

  • 1Clinical Neurosciences, Clinical and Experimental Sciences School, Faculty of Medicine, University of Southampton, Southampton, UK.

Scientific Reports
|August 6, 2021
PubMed

Insights

Microglia morphology changes with Alzheimer's disease (AD). Immunotherapy against amyloid-beta (Aβ) in AD patients restores ramified microglia, indicating brain immune cell plasticity.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Microglia are the primary immune cells in the brain, crucial for neuronal health.
  • Microglial function is intrinsically linked to their motility and morphology.
  • Morphological changes in microglia are hypothesized to correlate with altered motility and function, particularly in neurodegenerative diseases.

Purpose of the Study:

  • To investigate the morphological characteristics of microglia in controls, Alzheimer's disease (AD) patients, and AD patients treated with Aβ42 immunotherapy (iAD).
  • To determine if microglial morphology correlates with disease state and Aβ pathology.
  • To assess the impact of Aβ immunotherapy on microglial morphology and plasticity.

Main Methods:

  • Comparative analysis of microglial morphology using 2D and 3D imaging techniques.
  • Quantification of microglial numbers and morphological types (e.g., ramified, reactive/amoeboid).
  • Correlation analysis between microglial morphology and Aβ load in brain tissue.

Main Results:

  • Alzheimer's disease (AD) brains showed decreased ramified microglia and larger cell bodies compared to controls.
  • Immunotherapy against Aβ (iAD) resulted in an increased number of microglia and a higher proportion of ramified microglia compared to AD and control groups.
  • Aβ load negatively correlated with microglial process length and number of primary processes in AD and iAD groups, respectively.

Conclusions:

  • Reactive/amoeboid microglia are prevalent in the aged human brain.
  • AD pathology alters microglial morphology, reducing ramified forms and increasing reactive states.
  • Aβ immunotherapy promotes a shift towards ramified microglia, demonstrating their plasticity in an aged, diseased brain.

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