Rapamycin treatment reduces CD11c+ microglia and increases amyloid plaque load in 5xFAD mice

Koliane Ouk1, Francisco Fernández-Klett1, Eileen Schormann2

  • 1Neuropsychiatry and Laboratory of Molecular Psychiatry, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.

Experimental Neurology
|March 19, 2026
PubMed

Insights

Rapamycin, an mTOR inhibitor, worsened amyloid plaque buildup and altered immune cells in a mouse model of Alzheimer's disease (AD). This suggests potential risks for ongoing clinical trials targeting AD with rapamycin.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Mammalian target of rapamycin (mTOR) influences immune regulation and Alzheimer's disease (AD) pathology.
  • mTOR inhibitors like rapamycin are being investigated for AD treatment.

Purpose of the Study:

  • To investigate rapamycin's effects on immune profiles, proteasome activity, and amyloid pathology in the 5xFAD mouse model of AD.
  • To assess behavioral changes related to spontaneous exploration and recognition memory.

Main Methods:

  • Utilized the 5xFAD mouse model for amyloid pathology.
  • Administered rapamycin and analyzed central/peripheral immune cells via flow cytometry.
  • Assessed proteasome activity, amyloid plaque load, and performed behavioral tests (open field, Y-maze).

Main Results:

  • Rapamycin decreased CD11c+ microglia in the cortex and hippocampus, correlating with increased amyloid plaque load.
  • Observed reduced immunoproteasome content and activity.
  • Peripheral blood showed increased granulocytes, while splenic T lymphocytes decreased. No significant behavioral changes were noted.

Conclusions:

  • Rapamycin demonstrated detrimental effects on amyloid plaque accumulation and specific microglial subsets in 5xFAD mice.
  • Findings are significant given ongoing clinical trials of rapamycin for Alzheimer's disease.
  • Further research is needed to understand the complex interplay between mTOR inhibition, neuroinflammation, and AD progression.

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