Exosomes Derived from M2 Microglial Cells Modulated by 1070-nm Light Improve Cognition in an Alzheimer's Disease

Chengwei Chen1,2,3,4,5, Yuting Bao1,2,3,4,5, Lu Xing1,2,3,4,5

  • 1Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.

Insights

Near-infrared photobiomodulation therapy shifts microglia to an anti-inflammatory state, releasing exosomes that reduce Alzheimer's disease pathology and improve cognitive function in mice.

Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Cell Biology

Background:

  • Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by amyloid-beta plaques and neuroinflammation.
  • Near-infrared photobiomodulation (NIR-PBM) shows promise for AD treatment, but its underlying mechanisms require elucidation.
  • Microglia play a crucial role in AD pathogenesis, with their phenotypes (M1/M2) influencing disease progression.

Purpose of the Study:

  • To investigate the molecular mechanisms by which 1070-nm light photobiomodulation impacts microglia and affects Alzheimer's disease pathology.
  • To determine if NIR-PBM can modulate microglial phenotype and influence exosome secretion for therapeutic benefit in AD models.

Main Methods:

  • Utilized 5xFAD mouse model of Alzheimer's disease.
  • Applied 1070-nm light photobiomodulation at 4 J/cm² and 10 Hz frequency.
  • Analyzed microglial morphology and phenotype (M1/M2 markers).
  • Quantified exosome secretion and characterized their miRNA content (miR-7670-3p).
  • Assessed the impact on endoplasmic reticulum (ER) stress, neuronal dendritic spine plasticity, and cognitive function.

Main Results:

  • 1070-nm light induced a phenotypic switch of microglia from M1 (inflammatory) to M2 (anti-inflammatory) state.
  • M2 microglia secreted exosomes enriched with miR-7670-3p.
  • miR-7670-3p targeted and reduced activating transcription factor 6 (ATF6) expression, alleviating ER stress.
  • Treatment attenuated neuroinflammation, protected neuronal dendritic spine integrity in the cortex and hippocampus, and improved cognitive function in 5xFAD mice.

Conclusions:

  • NIR-PBM effectively modulates microglia phenotype, promoting an anti-inflammatory M2 state.
  • Exosomes derived from NIR-PBM-treated M2 microglia carry therapeutic potential via miR-7670-3p.
  • This exosome-mediated mechanism ameliorates ER stress, reduces neuroinflammation, and restores neuronal plasticity, offering a novel therapeutic strategy for Alzheimer's disease.

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