Rationale and emerging evidence for microglial replacement in Alzheimer's disease

Jee Yoon Bang1, Yongjin Yoo2

  • 1Department of Neuroscience, Korea University College of Medicine, Seoul, Republic of Korea; Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA.

Molecules and Cells
|August 16, 2025
PubMed

Insights

Microglia actively regulate brain health in Alzheimer's disease (AD). New research explores targeting these cells, including stem cell-derived microglia, as a potential therapeutic strategy for AD.

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Microglia, once seen as passive cells, are now known as active regulators of brain homeostasis and synaptic remodeling.
  • Microglial interactions with genetic risk factors and aging are central to Alzheimer's disease (AD) pathogenesis.
  • Understanding microglial roles is crucial for developing effective AD therapies.

Purpose of the Study:

  • To summarize recent advances in understanding microglial contributions to AD.
  • To explore how microglia respond to amyloid-beta and tau pathologies.
  • To review novel therapeutic strategies targeting microglial function.

Main Methods:

  • Genetic and transcriptomic studies to identify microglial roles in AD.
  • Analysis of microglial responses to amyloid-beta and tau pathology.
  • Review of emerging microglial replacement therapies.

Main Results:

  • Microglia adopt diverse functional states in response to AD pathology, with context-dependent protective or detrimental effects.
  • Genetic and transcriptomic data highlight microglia's central role in AD pathogenesis.
  • Microglial replacement strategies show promise in preclinical AD models.

Conclusions:

  • Microglia are key players in Alzheimer's disease, influencing neurodegeneration through dynamic functional states.
  • Targeting microglial function, particularly through cell replacement therapies, offers a promising new therapeutic avenue for AD and other neurodegenerative diseases.