Loss of Nuclear TDP-43 Impairs Lipid Metabolism in Microglia-Like Cells

Khushbu Kabra1, Dallin Dressman2, Ryan Talcoff2

  • 1Columbia University Irving Medical Center.

Research Square
|December 3, 2025
PubMed

Insights

TDP-43 protein dysfunction in amyotrophic lateral sclerosis (ALS) alters microglial triglyceride metabolism, impacting their inflammatory and phagocytic functions. Targeting this pathway may offer new therapeutic strategies for ALS patients.

Area of Science:

  • Neuroscience
  • Immunology
  • Metabolic Disease

Background:

  • Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by motor neuron loss.
  • TDP-43 protein pathology is found in over 90% of ALS cases.
  • The precise role of microglia, the brain's immune cells, in ALS pathogenesis is not fully understood.

Purpose of the Study:

  • To investigate the role of TDP-43 in regulating microglial function.
  • To explore the connection between TDP-43, triglyceride metabolism, and microglial activation in ALS.

Main Methods:

  • Used shRNA to knockdown TDP-43 (TARDBP) in human monocyte-derived microglia-like cells (MDMi).
  • Analyzed changes in lipid metabolism, phagocytosis, and cytokine production (IL-1β).
  • Inhibited diacylglycerol acyltransferase (DGAT) enzymes to assess the impact on microglial function.
  • Examined patient-derived MDMi from sporadic and TARDBP-mutant ALS cases.

Main Results:

  • TDP-43 knockdown in MDMi led to suppressed cholesterol synthesis, increased fatty acid uptake, lipid droplet accumulation, enhanced phagocytosis, and elevated IL-1β production.
  • DGAT inhibition reduced lipid droplet formation, phagocytosis, and IL-1β release, confirming the link between triglyceride metabolism and microglial activation.
  • Patient-derived ALS cells showed similar alterations, some of which were ameliorated by DGAT inhibition.

Conclusions:

  • Dysregulated triglyceride metabolism is a novel pathway through which TDP-43 influences microglial dysfunction in ALS.
  • TDP-43's role in regulating microglial lipid metabolism is a potential therapeutic target for ALS.
  • Targeting DGAT enzymes may offer a strategy to modulate microglial activity in ALS.

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