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Basic Science and Pathogenesis
Shatakshi Shukla1, Ashlesha Kadam2, Shanikumar Goyani1
1Wake Forest University School of Medicine, Winston Salem, NC, USA.
Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
Summary
Alzheimer's disease (AD) involves mitochondrial calcium (mCa2+) issues in all brain cells, with neurons being most vulnerable. Astrocytes and microglia show distinct mCa2+ signaling, offering new therapeutic targets for AD.
Area of Science:
- Neuroscience
- Mitochondrial Biology
- Alzheimer's Disease Research
Background:
- Mitochondrial dysfunction and excessive mitochondrial calcium (mCa2+) accumulation in neurons are early hallmarks of Alzheimer's disease (AD).
- AD pathology involves complex interactions between neurons, microglia, and astrocytes, but cell-specific mechanisms of mitochondrial calcium handling remain poorly understood.
- This study investigates cell-type-specific differences in mCa2+ flux and signaling in the context of AD.
Purpose of the Study:
- To investigate cell-type-specific differences in mitochondrial calcium (mCa2+) flux and signaling in neuronal, microglial, and astrocyte cell lines under normal and AD conditions.
- To understand the role of cell-specific mitochondrial calcium dynamics in Alzheimer's disease pathology.
- To identify potential therapeutic targets by elucidating the regulatory mechanisms of mCa2+ signaling dysregulation.
Main Methods:
- Generated human neuronal (SH-SY5Y), microglia (HMC3), and astrocyte (SVGp12) cell lines with AD-linked APP mutations (APPswe/F/L).
- Assessed mitochondrial calcium uniporter (mtCU) expression, mCa2+ influx/efflux using Fura-FF, and mitochondrial calcium retention capacity (CRC).
- Measured ATP, NADH, cell death, mitochondrial structure, membrane potential, mitochondrial ROS, and lactylation to evaluate cellular bioenergetics and mitochondrial function.
Main Results:
- Mitochondrial dysfunction was observed in all brain cell types, with neurons exhibiting the highest susceptibility to cell death and reduced bioenergetics.
- Astrocytes and microglia demonstrated elevated mCa2+ signaling, higher calcium uptake rates, and greater calcium retention capacity compared to neurons.
- Cell-specific differences in lactylation were identified, with significantly higher expression in microglia and astrocytes, suggesting a role in mitochondrial functional regulation.
Conclusions:
- Cell-specific mitochondrial calcium (mCa2+) signaling dynamics significantly influence the metabolic and pathophysiological contributions of different brain cells to Alzheimer's disease.
- Understanding the regulatory mechanisms of mCa2+ signaling dysregulation in each cell type is crucial for developing targeted therapeutic strategies.
- The findings offer insights into mitochondrial bioenergetics, cell death pathways, and AD progression, supporting novel therapeutic approaches for AD.
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