Amyloid-β induces lipid droplet-mediated microglial dysfunction via the enzyme DGAT2 in Alzheimer's disease

Priya Prakash1, Palak Manchanda1, Evi Paouri2

  • 1Department of Chemistry, Purdue University, West Lafayette, IN 47907, USA.

Immunity
|May 20, 2025
PubMed

Insights

Microglia form lipid droplets (LDs) when exposed to amyloid-beta (Aβ), impairing their function in Alzheimer's disease (AD). Targeting the enzyme DGAT2 reduces LDs, enhancing Aβ clearance and protecting against AD pathology.

Area of Science:

  • Neuroscience
  • Immunology
  • Metabolism

Background:

  • Genetic studies link microglial phagocytosis genes to Alzheimer's disease (AD) risk.
  • The cellular mechanisms underlying microglial dysfunction in AD remain unclear.

Purpose of the Study:

  • To investigate the role of lipid metabolism in microglial dysfunction in AD.
  • To identify potential therapeutic targets for AD based on microglial lipid metabolism.

Main Methods:

  • Examined microglial lipid droplet (LD) formation upon amyloid-beta (Aβ) exposure in vitro and in AD models.
  • Performed lipidomic analyses to identify metabolic changes in microglia.
  • Investigated the role of Diacylglycerol O-acyltransferase 2 (DGAT2) in microglial LD formation and AD pathology.
  • Pharmacologically inhibited DGAT2 in 5xFAD mice and assessed Aβ phagocytosis, plaque load, and neuronal damage.

Main Results:

  • Microglia exposed to Aβ formed LDs, with increased LD loads near amyloid plaques in AD brains and 5xFAD mice.
  • LD-laden microglia showed impaired Aβ phagocytosis.
  • Lipidomic analysis revealed a shift towards triacylglycerol (TG) synthesis and decreased free fatty acids (FFAs) during LD formation.
  • DGAT2, an enzyme converting FFAs to TGs, promoted microglial LD formation and was upregulated in AD models.
  • DGAT2 inhibition improved microglial Aβ uptake and reduced neuropathology in 5xFAD mice.

Conclusions:

  • Microglial LD formation, driven by DGAT2-mediated lipid metabolism, contributes to Aβ phagocytosis defects in AD.
  • Targeting DGAT2 represents a potential therapeutic strategy to restore microglial function and mitigate AD progression.