The dichotomous activities of microglia: A potential driver for phenotypic heterogeneity in Alzheimer's disease

Anna Pumo1, Samuel Legeay2

  • 1Université d'Angers, Faculté de Santé, Département Pharmacie, 16, Boulevard Daviers, Angers 49045, France.

Brain Research
|February 23, 2024
PubMed

Insights

Microglia, the brain's immune cells, initially protect against Alzheimer's disease (AD) but later contribute to its progression. Understanding this shift and microglia diversity is key for developing new AD treatments.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Alzheimer's disease (AD) is a neurodegenerative disorder defined by amyloid plaques and neurofibrillary tangles.
  • Microglia, the central nervous system's immune cells, exhibit dual roles in AD pathogenesis.
  • Emerging evidence suggests a dynamic shift in microglial function throughout AD progression.

Purpose of the Study:

  • To explore the evolving role of microglia in Alzheimer's disease.
  • To investigate the factors influencing the transition of microglia from beneficial to detrimental.
  • To understand how microglial diversity impacts AD phenotypes and treatment strategies.

Main Methods:

  • Review of recent scientific literature on microglial function in AD.
  • Analysis of proposed theories on the temporal and spatial shifts in microglial activity.
  • Examination of studies investigating microglial heterogeneity and transcriptional states.

Main Results:

  • Microglia may exert protective effects in early AD stages.
  • Microglial functionality can deteriorate due to spatial, temporal, and transcriptional factors in later AD stages.
  • Microglial diversity is linked to varied AD manifestations.

Conclusions:

  • A comprehensive understanding of the microglia functional shift is crucial for AD research.
  • Deciphering microglial states and heterogeneity can advance personalized medicine for AD.
  • Targeting specific microglial phenotypes may offer improved therapeutic outcomes for Alzheimer's disease.

Related Concept Videos

Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
1.7K
Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
21
Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and...
35