Amyloid β Induces Lipid Droplet-Mediated Microglial Dysfunction in Alzheimer's Disease

Priya Prakash1, Palak Manchanda1, Evi Paouri2

  • 1Department of Chemistry, Purdue University, West Lafayette, IN 47907, USA.

Insights

Alzheimer's disease risk genes impair microglia by promoting lipid droplet formation, hindering amyloid-beta clearance. Targeting DGAT2 enzyme improves microglial function and reduces amyloid plaques, offering a new therapeutic avenue.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Biochemistry

Background:

  • Microglia-expressed genes are linked to Alzheimer's disease (AD) risk.
  • Impaired microglial phagocytosis is a proposed mechanism for neurodegeneration in AD.
  • The precise mechanisms linking AD-risk genes to microglial dysfunction are unknown.

Purpose of the Study:

  • To investigate the role of lipid metabolism in microglial dysfunction in Alzheimer's disease.
  • To identify the molecular mechanisms by which AD-risk genes affect microglial function.
  • To explore DGAT2 as a potential therapeutic target for AD.

Main Methods:

  • Microglial lipid droplet formation was assessed upon amyloid-beta exposure in AD mouse models and human brains.
  • Lipidomic analysis was performed to identify metabolic changes.
  • DGAT2 enzyme activity was modulated (inhibition/degradation) to evaluate its impact on microglial function and AD pathology.

Main Results:

  • Microglia form lipid droplets upon amyloid-beta exposure, with increased load near plaques in AD models and human brains.
  • Lipid droplet formation is associated with decreased free fatty acids and increased triacylglycerols, mediated by DGAT2.
  • LD-laden microglia show impaired amyloid-beta phagocytosis.
  • DGAT2 inhibition or degradation improved phagocytosis and reduced amyloid plaque burden in AD mice.

Conclusions:

  • Lipid droplet accumulation, driven by DGAT2, is a novel mechanism of microglial dysfunction in Alzheimer's disease.
  • Targeting DGAT2 can restore microglial phagocytic function and ameliorate AD pathology.
  • This study identifies a new lipid-mediated pathway as a potential therapeutic target for Alzheimer's disease.