Microglial efferocytosis: Diving into the Alzheimer's disease gene pool

Carmen Romero-Molina1, Francesca Garretti1, Shea J Andrews2

  • 1Ronald M. Loeb Center for Alzheimer's Disease, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA; Department of Genetics & Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Neuron
|November 3, 2022
PubMed

Insights

Alzheimer's disease (AD) risk is linked to genes in brain macrophages called microglia. These genes control pathways crucial for microglial function, suggesting a key role in AD.

Area of Science:

  • Neuroscience
  • Genetics
  • Immunology

Background:

  • Genome-wide association studies (GWAS) and functional genomics link specific genes and pathways to Alzheimer's disease (AD) risk.
  • AD risk alleles predominantly impact genes in macrophages, particularly microglia (brain-resident macrophages), implicating them in AD pathogenesis.
  • These AD-associated genes converge on critical macrophage functions like endocytosis, phagocytosis, cholesterol metabolism, and immune response.

Purpose of the Study:

  • To review pathways implicated in Alzheimer's disease (AD) pathogenesis by genetic and genomic studies.
  • To highlight key genes identified in recent AD genetics and genomics research.
  • To elucidate the role of microglial gene function in AD risk and therapeutic development.

Main Methods:

  • Review of existing literature on Alzheimer's disease genetics and functional genomics.
  • Analysis of gene pathways converging on microglial functions (e.g., efferocytosis, cholesterol metabolism, immune response).
  • Integration of findings from GWAS and functional genomics studies related to AD risk alleles.

Main Results:

  • AD risk genes primarily affect gene expression in macrophages, with a strong emphasis on microglia.
  • Key pathways involved in AD pathogenesis include endocytosis/phagocytosis, cholesterol metabolism, and immune response.
  • These pathways are critical for core microglial functions, suggesting their dysregulation contributes to AD.

Conclusions:

  • Microglia play a central role in Alzheimer's disease (AD) etiology due to the impact of AD risk alleles on their gene activity.
  • Understanding the functional consequences of AD-associated variants and genes in microglia is crucial.
  • Targeting microglial pathways offers a promising avenue for developing effective Alzheimer's disease therapeutics.