Alzheimer's disease transcriptional landscape in ex vivo human microglia

Roman Kosoy1,2,3,4, John F Fullard1,2,3,4, Jaroslav Bendl1,2,3,4

  • 1Center for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Nature Neuroscience
|August 5, 2025
PubMed

Insights

Microglia, the brain's immune cells, show altered gene expression in Alzheimer's disease (AD). This study reveals key molecular changes in microglia, offering potential therapeutic targets for AD.

Area of Science:

  • Neuroimmunology
  • Neuroscience
  • Genomics

Background:

  • Microglia are crucial brain immune cells involved in Alzheimer's disease (AD) pathogenesis.
  • The precise molecular mechanisms governing microglial function in AD remain largely unknown.

Purpose of the Study:

  • To conduct a comprehensive transcriptional analysis of microglia from human brains across a spectrum of aging and AD phenotypes.
  • To identify molecular changes in microglia associated with AD severity and neuropathology.

Main Methods:

  • Transcriptional analysis of primary microglia from 189 human postmortem brains (58 healthy aging, 131 with AD).
  • Analysis included assessment of gene expression, isoform usage, gene-gene coordination, and coexpression modules.

Main Results:

  • Identified significant microglial gene expression changes linked to multiple AD phenotypes and dementia severity.
  • Discovered altered gene-gene coordination and dysregulated coexpression modules in AD brains.
  • Revealed distinct gene expression patterns defining specific AD subtypes.

Conclusions:

  • Microglia play a pivotal role in AD biology, with significant transcriptional alterations observed.
  • The study nominates specific genes and molecular pathways for potential therapeutic intervention in AD.