Microglia modulate Aβ-dependent astrocyte reactivity in Alzheimer's disease

João Pedro Ferrari-Souza1,2, Guilherme Povala2, Nesrine Rahmouni3,4

  • 1Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Nature Neuroscience
|November 6, 2025
PubMed

Insights

Microglial activation links amyloid-β (Aβ) pathology to astrocyte reactivity in Alzheimer's disease (AD). This microglia-dependent process contributes to cognitive decline via tau phosphorylation and aggregation, highlighting a key pathway in AD progression.

Area of Science:

  • Neuroscience
  • Neuropathology
  • Immunology

Background:

  • Activated microglia are implicated in astrocyte reactivity in neurodegenerative diseases like Alzheimer's disease (AD).
  • Understanding the interplay between microglial activation, amyloid-β (Aβ) pathology, and reactive astrogliosis is crucial for AD research.
  • The specific mechanisms linking these pathologies across the AD spectrum require further elucidation.

Purpose of the Study:

  • To investigate the association between microglial activation, Aβ deposition, and reactive astrogliosis in individuals with varying degrees of AD.
  • To explore the role of microglial activation as a mediator in the relationship between Aβ and astrocyte reactivity.
  • To determine how Aβ-induced astrocyte reactivity, influenced by microglia, relates to cognitive impairment and tau pathology.

Main Methods:

  • Utilized positron emission tomography (PET) with radiotracers ([18F]AZD4694, [18F]MK-6240, [11C]PBR28) to assess Aβ deposition, tau aggregation, and microglial activation in 101 individuals.
  • Measured plasma biomarkers GFAP (astrocyte reactivity) and p-tau217 (tau phosphorylation).
  • Analyzed cerebrospinal fluid (CSF) sTREM2 levels in an additional 251 individuals.

Main Results:

  • Aβ pathology correlated with astrocyte reactivity in cortical regions, but only when microglial activation was present.
  • Microglial activation mediated the effect of Aβ on astrocyte reactivity.
  • This microglia-dependent Aβ-astrocyte interaction was linked to cognitive impairment, mediated by tau phosphorylation and aggregation.

Conclusions:

  • Microglial activation is a key factor in the development of Aβ-related astrocyte reactivity in Alzheimer's disease.
  • Reactive astrogliosis, driven by microglia in response to Aβ, contributes to downstream pathological features, including tau pathology and cognitive decline.
  • Targeting microglial activation may represent a therapeutic strategy for mitigating Aβ-driven neuroinflammation and neurodegeneration in AD.