Microglia aggregates define distinct immune and neurodegenerative niches in Alzheimer's disease hippocampus

Sonja Fixemer1,2, Mónica Miranda de la Maza1,2,3,4, Gaël Paul Hammer2,3

  • 1Luxembourg Centre for Systems Biomedicine (LCSB), University of Luxembourg, Belval, Luxembourg.

Acta Neuropathologica
|February 15, 2025
PubMed

Insights

Alzheimer's disease features distinct microglia types, plaque-associated (PaM) and coffin-like (CoM), with unique roles. PaM interact with astrocytes via complement pathways, while CoM involve immune signaling, impacting hippocampal health.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Microglia, the brain's immune cells, exhibit diverse responses in Alzheimer's disease (AD).
  • Distinct microglial subtypes, plaque-associated microglia (PaM) and coffin-like microglia (CoM), have been identified, suggesting specialized functions in AD pathogenesis.
  • Understanding these microglial subtypes and their interactions is crucial for elucidating AD progression and identifying therapeutic targets.

Purpose of the Study:

  • To comprehensively map and characterize the morphological and molecular signatures of PaM and CoM in Alzheimer's disease.
  • To investigate the neuropathological and astrocytic microenvironments associated with these distinct microglial subtypes.
  • To elucidate the specific roles and interactions of PaM and CoM in AD-related hippocampal deterioration.

Main Methods:

  • High-content neuropathology utilizing Deep Spatial Profiling (DSP).
  • Multiplex chromogenic immunohistochemistry and confocal microscopy on post-mortem AD and control brain samples.
  • Integrated analysis of microglial morphology, molecular signatures, and surrounding cellular and molecular milieu.

Main Results:

  • PaM and associated astrocytes showed signatures linked to complement pathways, ErbB signaling, metabolism, and neurodegeneration.
  • CoM exhibited markers related to protein degradation and immune signaling, including STING, TGF-β, and NF-κB.
  • CD163+ perivascular macrophages were found within PaM, while CD8+ T cells showed no direct association with either microglial type.

Conclusions:

  • Microglial responses in AD are heterogeneous, with PaM and CoM representing distinct functional states.
  • PaM engage in complement-mediated pathways and metabolic processes, interacting with astrocytes and perivascular macrophages.
  • CoM are involved in protein degradation and immune signaling, contributing to neuroinflammation and hippocampal pathology in AD.