Replacing microglia to treat Alzheimer's disease

Peng Jiang1, Mengmeng Jin1

  • 1Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, NJ 08854, USA.

Cell Stem Cell
|August 4, 2023
PubMed

Insights

Replacing dysfunctional microglia with healthy ones in a mouse model of amyloidosis restored normal function. This suggests microglia replacement therapy could be a promising treatment for Alzheimer's disease.

Area of Science:

  • Neuroscience
  • Immunology
  • Stem Cell Biology

Background:

  • Microglial dysfunction is implicated in Alzheimer's disease pathogenesis.
  • Triggering receptor expressed on myeloid cells 2 (Trem2) plays a critical role in microglial function.
  • Genetic defects in Trem2 are associated with increased risk of Alzheimer's disease.

Purpose of the Study:

  • To investigate the therapeutic potential of microglia replacement therapy for Alzheimer's disease.
  • To determine if replacing Trem2-deficient microglia can restore normal microglial function.
  • To assess the efficacy of microglia-like cells derived from hematopoietic stem cells.

Main Methods:

  • Utilized a mouse model of amyloidosis with Trem2 knockout microglia.
  • Derived microglia-like cells from systemically transplanted hematopoietic stem cells.
  • Transplanted these cells into the Trem2 knockout mouse model to replace endogenous microglia.

Main Results:

  • Successful replacement of Trem2 knockout microglia with wild-type microglia-like cells.
  • Rectification of microglial dysfunction observed in the amyloidosis model.
  • Restoration of normal microglial functions, potentially mitigating disease pathology.

Conclusions:

  • Microglia replacement therapy is a viable strategy for treating Alzheimer's disease.
  • Hematopoietic stem cell-derived microglia-like cells can effectively replace dysfunctional microglia.
  • Targeting microglial function through cell replacement holds therapeutic promise for neurodegenerative diseases.