Meningeal macrophages alleviate social memory defects in an early Alzheimer's disease model

Shixin Ding1,2, Sijia Chen1,2, Yuxi Jin1,2

  • 1Jiangsu Key Laboratory of Neurodegeneration, Nanjing Medical University, Nanjing, 211166, China.

Molecular Psychiatry
|November 23, 2025
PubMed

Insights

Meningeal macrophages, particularly those producing TGF-β1, protect against early Alzheimer's disease (AD) pathology by clearing amyloid-beta and supporting myelin. Targeting these macrophages offers a potential therapeutic strategy for neurodegenerative diseases.

Area of Science:

  • Neuroimmunology
  • Neurodegenerative Diseases
  • Cellular Biology

Background:

  • Macrophages are abundant in the meninges, but their specific roles in brain health and disease are not fully understood.
  • Alzheimer's disease (AD) pathogenesis involves complex interactions between immune cells and pathological hallmarks like amyloid-beta.
  • The function of meningeal macrophages in early AD-like pathology requires further elucidation.

Purpose of the Study:

  • To investigate the role of meningeal macrophages in the pathogenesis of Alzheimer's disease (AD).
  • To explore the impact of transforming growth factor-β1 (TGF-β1) produced by meningeal macrophages on AD pathology.
  • To assess the therapeutic potential of modulating meningeal macrophage activity in early AD.

Main Methods:

  • Analysis of cerebrospinal fluid from patients with mild cognitive impairment and meninges from young 5×FAD mice.
  • Experimental manipulation of meningeal macrophages, including inhibition of TGF-β1 and supplementation with M2-like macrophages.
  • Assessment of social behavior, amyloid-beta accumulation, myelin integrity, oligodendrocyte maturation, and microglial phagocytosis in the medial prefrontal cortex (mPFC).

Main Results:

  • Increased M2-like macrophages with high TGF-β1 levels were observed in early AD indicators.
  • Inhibition of TGF-β1 in meningeal macrophages worsened AD-like symptoms and pathology in 5×FAD mice.
  • Supplementation with M2-like macrophages or enhanced TGF-β1 expression ameliorated these pathological effects.
  • Meningeal macrophages were found to clear amyloid-beta and promote oligodendrocyte maturation and microglial phagocytosis via TGF-β1.

Conclusions:

  • Meningeal macrophages play a protective role against early Alzheimer's disease-like pathology.
  • TGF-β1 secreted by meningeal macrophages is crucial for myelin maintenance and immune cell function in the context of AD.
  • Modulating meningeal macrophage activity represents a promising therapeutic avenue for neurodegenerative diseases.