Co-regulation of microglial subgroups in Alzheimer's amyloid pathology: Implications for diagnosis and drug

Yu Zhou1, Yukuan Huang1, Yangchang Fan1

  • 1Hwamei College of Life and Health Sciences, Zhejiang Wanli University, Ningbo, Zhejiang, China.

Plos One
|December 5, 2025
PubMed

Insights

Researchers uncovered how pro- and anti-inflammatory microglia interact in Alzheimer's disease (AD). This co-regulation influences chronic neuroinflammation, offering new targets for AD diagnosis and immunotherapy.

Area of Science:

  • Neuroimmunology
  • Systems Biology
  • Neurodegenerative Diseases

Background:

  • Alzheimer's disease (AD) is a leading cause of dementia, characterized by progressive neurodegeneration.
  • Neuroinflammation, driven by microglial responses, plays a critical role in AD progression.
  • The interplay between pro-inflammatory and anti-inflammatory microglial subgroups in early AD is not well understood.

Purpose of the Study:

  • To investigate the regulatory relationships between pro- and anti-inflammatory microglial subgroups in Alzheimer's disease.
  • To explore the role of the Trem2 signaling pathway in microglial responses.
  • To establish a systems biology framework for understanding microglial co-regulation in AD.

Main Methods:

  • Comparative transcriptomics and bioinformatics analyses.
  • Fluorescence-activated cell sorting (FACS) and gene regulation analysis.
  • Immunoassays to identify co-regulated microglial subgroups and upstream regulators.

Main Results:

  • The Trem2 signaling pathway was implicated in an anti-inflammatory microglial subgroup.
  • Microglial subgrouping and microgliosis preceded cytokine upregulation in early amyloid pathology.
  • Anti-inflammatory and pro-inflammatory microglial subgroups were co-regulated by shared upstream regulators, suggesting a mechanism for balancing microglial activation.

Conclusions:

  • This study reveals previously unrecognized co-regulation of microglial subgroups in AD.
  • This co-regulation may balance microglial activation and contribute to chronic neuroinflammation in AD.
  • The findings provide a systems biology framework that could inform improved diagnostic markers and immunotherapeutic strategies for AD.