Spatial proteomics of Alzheimer's disease-specific human microglial states

Dunja Mrdjen1, Bryan J Cannon1, Meelad Amouzgar1

  • 1Department of Pathology, Stanford University, School of Medicine, Palo Alto, CA, USA.

Nature Immunology
|July 22, 2025
PubMed

Insights

Microglia, immune cells in the brain, show diverse protein profiles linked to aging and Alzheimer's disease (AD). This study maps these states in humans, revealing shifts in AD that could inform future treatments.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Microglia play roles in brain aging, neurodegeneration, and Alzheimer's disease (AD).
  • Existing low-plex protein imaging methods inadequately capture the complexity of human brain cellular states and interactions, unlike rodent models.

Purpose of the Study:

  • To spatially map cellular states and microglial niches in cognitively normal human brains using multiplexed ion beam imaging.
  • To identify a spectrum of proteomic microglial profiles and their associated molecular functions.
  • To investigate regulatory shifts in immunologically active cells in AD tissues.

Main Methods:

  • Multiplexed ion beam imaging (MIBI) was employed to spatially map cellular proteomic states in human brain tissue.
  • Single-nuclei epigenetic analysis was performed orthogonally to complement proteomic findings.
  • Proteomic trends and cellular states were analyzed across different brain regions and microenvironments.

Main Results:

  • A spectrum of proteomic microglial profiles was identified, varying by immune activation states and compartmentalized by microenvironments.
  • These proteomic trends were correlated with molecular functions through epigenetic analysis.
  • Alzheimer's disease (AD) tissues showed distinct regulatory shifts in immunologically active cells, including altered expression of CD33, CD44, HLA-DR, P2RY12, and ApoE.

Conclusions:

  • The study establishes an in situ, single-cell spatial proteomic framework for characterizing AD-specific microglial states.
  • These findings highlight regional and microenvironmental influences on microglial heterogeneity in the human brain.
  • The identified proteomic and epigenetic signatures provide insights into microglial dysfunction in AD pathogenesis.