Folate Deficiency Increased Microglial Amyloid-β Phagocytosis via the RAGE Receptor in Chronic Unpredictable

Junting Fan1,2, Zewei Ma1,2, Yunqin Zheng1,2

  • 1Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China.

Nutrients
|August 26, 2023
PubMed

Insights

Folate deficiency worsens depression and Alzheimer's disease (AD) symptoms by affecting microglia. This study reveals folate deficiency promotes Aβ clearance via RAGE regulation in microglia.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Pathology

Background:

  • Depression is a common neuropsychiatric symptom in Alzheimer's disease (AD).
  • Impaired beta-amyloid (Aβ) metabolism and microglia phagocytosis are implicated in AD and depression.
  • Folate deficiency (FD) is a known risk factor for both depression and AD.

Purpose of the Study:

  • To investigate the mechanisms by which folate deficiency (FD) influences depression and Alzheimer's disease (AD).
  • To explore the role of microglia phagocytosis and specific receptors in the context of FD, depression, and AD.

Main Methods:

  • Utilized a chronic unpredictable mild stress (CUMS) rat model to assess depressive behavior and microglial activation.
  • Employed an in vitro BV2 cell model to study Aβ phagocytosis under folate-deficient conditions.
  • Investigated the expression of receptors like RAGE, TLR4, and CHC, and used a RAGE-specific inhibitor (FPS-ZM1).

Main Results:

  • FD exacerbated depressive behavior and activated microglia in CUMS rats, increasing intracellular Aβ and RAGE expression.
  • In vitro, FD upregulated RAGE and M2 marker CD206 in BV2 cells, enhancing Aβ phagocytosis.
  • Inhibition of RAGE abolished differences in Aβ uptake between folate-normal and folate-deficient cells.

Conclusions:

  • Folate deficiency may promote Aβ phagocytosis by microglia.
  • This process appears to be mediated through the regulation of RAGE expression or microglia phenotype.
  • Findings suggest a potential therapeutic target for managing depression and AD comorbidities related to folate deficiency.

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