On-demand microglia deliver the therapeutic payload in Alzheimer's disease

Jessica M Thanos1, John R Lukens1

  • 1Center for Brain Immunology and Glia (BIG), Department of Neuroscience, University of Virginia, Charlottesville, VA, USA; Neuroscience Graduate Program, University of Virginia, Charlottesville, VA, USA; Brain Immunology and Glia Graduate Training Program, University of Virginia, Charlottesville, VA, USA.

Cell Stem Cell
|June 6, 2025
PubMed

Insights

Human induced pluripotent stem cell-derived microglia engineered to express neprilysin reduced Alzheimer's disease pathology in a mouse model. This cell-based therapy shows promise for treating neurological diseases.

Area of Science:

  • Neuroscience
  • Stem Cell Biology
  • Neurological Disorders

Background:

  • Alzheimer's disease (AD) is characterized by amyloid plaques, neuronal damage, and neuroinflammation.
  • Microglia play a crucial role in AD pathogenesis.
  • Current AD therapies have limitations in addressing the complex pathology.

Purpose of the Study:

  • To investigate the therapeutic potential of engineered human induced pluripotent stem cell-derived microglia (iMG) for Alzheimer's disease.
  • To assess the efficacy of iMG expressing secreted neprilysin (sNEP) in reducing AD hallmarks.

Main Methods:

  • Human iPSCs were differentiated into microglia (iMG).
  • iMG were engineered to express secreted neprilysin (sNEP) under the control of the plaque-responsive CD9 promoter.
  • Engraftment of engineered iMG was performed in an established Alzheimer's disease mouse model.

Main Results:

  • Engraftment of engineered iMG significantly reduced amyloid burden in the AD mouse model.
  • Treatment with engineered iMG decreased neuronal damage and neuroinflammation.
  • The plaque-responsive CD9 promoter effectively controlled sNEP expression in the brain.

Conclusions:

  • Engineered human iPSC-derived microglia expressing neprilysin represent a viable cell-based therapeutic strategy for Alzheimer's disease.
  • This approach effectively targets key pathological features of AD, including amyloid deposition and neuroinflammation.
  • These findings open new avenues for treating neurological diseases using cell-based therapies.