Serum amyloid A drive microglia shift to a resolving phenotype through Nrf2

Qi Li1, Yiwei Huang1, Tao Ban1

  • 1Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu, 215123, China.

Neuropharmacology
|February 21, 2025
PubMed

Insights

Serum amyloid A (SAA) promotes a pro-resolving microglial phenotype by stabilizing Nrf2, protecting dopaminergic neurons and alleviating Parkinson

Area of Science:

  • Neuroscience
  • Immunology
  • Molecular Biology

Background:

  • Serum amyloid A (SAA) is an acute-phase protein with diagnostic potential.
  • The role of SAA in microglial activation is debated.
  • Microglial activation is critical in neuroinflammation and neurodegenerative diseases.

Purpose of the Study:

  • To elucidate the functional role of SAA in microglial activation.
  • To investigate SAA's effects on neuroprotection in Parkinson's disease models.

Main Methods:

  • Investigated SAA's effect on microglial polarization.
  • Analyzed the role of Nuclear factor erythroid 2-related factor 2 (Nrf2) and the AMPK/mTOR pathway.
  • Utilized in vitro neuronal cultures and an in vivo mouse model of Parkinson's disease (MPTP-induced).

Main Results:

  • SAA induces pro-resolving M2 microglial polarization via Nrf2 stabilization.
  • The AMPK/mTOR pathway mediates SAA-induced Nrf2 upregulation.
  • SAA protects neurons from MPP+-induced damage and attenuates MPTP-induced dopaminergic neurodegeneration in mice, improving motor function.

Conclusions:

  • SAA regulates microglial activation through Nrf2 stabilization, promoting a pro-resolving phenotype.
  • SAA demonstrates neuroprotective effects against Parkinson's disease pathology.
  • SAA represents a potential therapeutic target for Parkinson's disease.