Basic Science and Pathogenesis

Kanayo Satoh1, Ye Zhou1, Roger B Dodd2

  • 1University of Toronto, Toronto, ON, Canada.

Abstract

Insights

Clusterin (CLU) binds CD33 (sialic-acid binding immunoglobulin-like lectin 3 receptor) in Alzheimer's disease (AD) brains. This interaction impairs Aβ uptake and plaque clearance by microglia, suggesting a therapeutic target for AD.

Area of Science:

  • Neuroimmunology
  • Alzheimer's Disease Pathogenesis
  • Microglial Function

Background:

  • Sialic-acid binding immunoglobulin-like lectin 3 receptor (CD33) on microglia regulates immune responses relevant to Alzheimer's disease (AD).
  • Clusterin (CLU) and apolipoprotein E (ApoE) are implicated in AD pathogenesis but their role as CD33 ligands is unknown.
  • Investigating CLU and ApoE interactions with CD33 is crucial for understanding AD mechanisms.

Purpose of the Study:

  • To determine if Clusterin (CLU) and/or Apolipoprotein E (ApoE) bind to CD33.
  • To examine the functional consequences of CD33-CLU/ApoE interactions on amyloid-beta (Aβ) uptake and plaque clearance.
  • To elucidate the role of CD33-CLU interactions in AD pathogenesis.

Main Methods:

  • Co-immunoprecipitation and quantitative bio-layer interferometry (BLI) assessed CD33 binding to CLU and ApoE.
  • Binding affinities and the role of CD33's Arg119 residue were analyzed.
  • In situ proximity ligation assays (PLA) and functional assays evaluated Aβ uptake and plaque clearance in relevant cell models and human brain lysates.

Main Results:

  • Clusterin (CLU), but not ApoE, demonstrated sialylation-dependent high-affinity binding to CD33, requiring an intact Arg119 residue and dimeric CD33.
  • In AD brains, CD33 and CLU colocalized on microglia near amyloid plaques.
  • Sialylated CLU inhibited Aβ uptake in monocytes and reduced amyloid plaque clearance, while desialylated CLU had no effect; CLU + Aβ oligomers enhanced CD33 ITIM signaling.

Conclusions:

  • Clusterin (CLU) is identified as a specific CD33 ligand, modulating microglial function through CD33 ITIM signaling in AD.
  • Sialylated CLU impairs Aβ uptake and amyloid plaque clearance, contributing to microglial dysfunction in AD.
  • Targeting the CD33-CLU axis offers potential therapeutic strategies for restoring microglial homeostasis and enhancing amyloid clearance in AD.

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