Microglial mTOR Activation Upregulates Trem2 and Enhances β-Amyloid Plaque Clearance in the 5XFAD Alzheimer's Disease

Qian Shi1, Cheng Chang1, Afaf Saliba1

  • 1Department of Cellular and Integrative Physiology, Long School of Medicine, University of Texas Health Science Center, San Antonio, Texas 78229.

Insights

Activating the mTOR pathway in microglia enhances Alzheimer's disease (AD) pathology clearance by upregulating Trem2. Inhibiting mTOR with rapamycin worsens AD by reducing Trem2 and Aβ clearance.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Immunology

Background:

  • The mechanistic target of rapamycin (mTOR) pathway regulates critical cellular functions, but its role in microglia and Alzheimer's disease (AD) is unclear.
  • Microglia, the brain's immune cells, are increasingly implicated in AD pathogenesis.
  • Trem2 is a microglial receptor crucial for clearing amyloid-beta (Aβ) plaques.

Purpose of the Study:

  • To investigate the role of mTOR signaling in microglia within the context of Alzheimer's disease.
  • To determine the impact of mTOR activation and inhibition on microglial function and Aβ pathology.
  • To explore the relationship between mTOR, Trem2, and lysosomal activity in AD.

Main Methods:

  • Utilized Tsc1 conditional knockout mice to selectively activate mTOR in microglia.
  • Administered rapamycin (mTOR inhibitor) to 5XFAD AD mouse models.
  • Performed in vitro studies with Tsc1-deficient microglia to assess phagocytosis and lysosomal activity.
  • Quantified Aβ plaque burden, spine loss, and cognitive function in mouse models.

Main Results:

  • Microglial mTOR activation via Tsc1 deletion enhanced Aβ clearance, reduced spine loss, and improved cognition in 5XFAD mice.
  • mTOR activation upregulated Trem2 expression in microglia, which was found to function downstream of mTOR.
  • Tsc1-deficient microglia exhibited increased phagocytosis, lysosomal activity, and Aβ uptake, effects blunted by rapamycin.
  • Rapamycin treatment in 5XFAD mice reduced microglial activity, decreased Trem2 expression, and exacerbated Aβ plaque burden.

Conclusions:

  • mTOR signaling in microglia is essential for Trem2 regulation and lysosomal biogenesis, impacting Aβ clearance.
  • Activating microglial mTOR may offer a therapeutic strategy for Aβ-related AD pathologies by enhancing Trem2-mediated clearance.
  • Inhibiting mTOR with rapamycin could be detrimental in AD patients, potentially worsening Aβ pathology.