Potential Alzheimer's disease drug targets identified through microglial biology research

Izabela Lepiarz-Raba1, Taufik Hidayat1, Anthony J Hannan2

  • 1Laboratory for Translational Research in Exposures and Neuropsychiatric Disorders (TREND), Braincity: Center of Excellence for Neural Plasticity and Brain Disorders, Nencki Institute of Experimental Biology, Warsaw, Poland.

Abstract

Insights

Microglia play dual roles in Alzheimer's disease (AD), potentially clearing amyloid beta (Aβ) but also driving inflammation. Targeting these immune cells offers a promising therapeutic strategy for AD.

Area of Science:

  • Neuroscience
  • Immunology
  • Neurodegenerative Diseases

Background:

  • Microglia, the brain's immune cells, have complex roles in Alzheimer's disease (AD).
  • They can be protective by clearing amyloid beta (Aβ) or detrimental by promoting neuroinflammation and synapse loss.
  • Precisely regulating microglial functions is key to harnessing their therapeutic potential in AD.

Purpose of the Study:

  • To review evidence on microglial manipulation for disease modification in AD preclinical models.
  • To explore strategies for ameliorating detrimental microglial effects and enhancing beneficial functions.

Main Methods:

  • Examination of preclinical AD models.
  • Analysis of therapeutic interventions targeting microglial pathways.

Main Results:

  • Microglial pro-inflammatory effects can be suppressed through direct inhibition, metabolic manipulation, epigenetic targeting, and gut-brain axis modulation.
  • Amyloid beta (Aβ) clearance by microglia can be enhanced by targeting membrane receptors, lysosomal function, and metabolism.

Conclusions:

  • Therapeutic strategies for AD should adopt a tactical approach to microglial modulation.
  • Combined approaches that suppress inflammation while enhancing Aβ phagocytosis are promising.