Alzheimer's disease modification mediated by bone marrow-derived macrophages via a TREM2-independent pathway in mouse

Raz Dvir-Szternfeld1,2, Giulia Castellani1, Michal Arad1

  • 1Department of Neurobiology, Weizmann Institute of Science, Rehovot, Israel.

Nature Aging
|April 28, 2023
PubMed

Insights

Monocyte-derived macrophages (MDM) improve cognition in Alzheimer

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Microglia and monocyte-derived macrophages (MDM) are crucial in Alzheimer's disease (AD) pathogenesis.
  • Microglial activation in AD models is often TREM2-dependent.
  • The role of MDM in AD, particularly concerning TREM2, requires further elucidation.

Purpose of the Study:

  • To investigate if MDM exert their effects through a TREM2-dependent pathway in AD.
  • To evaluate the impact of targeting the PD-L1 immune checkpoint on AD pathology and cognition in a TREM2-deficient model.

Main Methods:

  • Utilized Trem2 knockout (Trem2-/-) 5xFAD mice, an AD amyloidosis model.
  • Administered anti-PD-L1 treatment and assessed cognitive function and amyloid-beta levels.
  • Employed single-cell RNA sequencing to analyze MDM gene expression.
  • Investigated monocyte trafficking using anti-CCR2 antibody blockade.

Main Results:

  • Anti-PD-L1 treatment improved cognition and reduced soluble amyloid-beta in Trem2-/- 5xFAD mice, without altering plaque load.
  • MDM from both Trem2-/- and Trem2+/+ 5xFAD mice expressed unique scavenger receptor genes.
  • Anti-CCR2 blockade abolished the cognitive benefits of anti-PD-L1 treatment in Trem2-/- 5xFAD mice, and partially in Trem2+/+ 5xFAD mice.

Conclusions:

  • MDM demonstrate TREM2-independent, disease-modifying activity in this AD mouse model.
  • Targeting PD-L1 offers a potential therapeutic strategy for AD by modulating MDM function.
  • Monocyte trafficking is critical for the therapeutic efficacy of anti-PD-L1 treatment in AD.