Complement receptor 3 (CR3)-dependent microglial synapse elimination drives Parkinson's disease pathogenesis in

Lei Cai1,2, Yihe Zhang1, Jiayi Li1

  • 1Jiangsu Key Laboratory of Neurodegeneration, Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, Jiangsu, China.

Cell Death & Disease
|March 26, 2026
PubMed

Insights

Systemic inflammation triggers early synaptic loss in Parkinson's disease (PD) models, preceding neuron death. Targeting microglial complement signaling, specifically complement receptor 3 (CR3), offers a potential early intervention for PD.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Systemic inflammation is linked to Parkinson's disease (PD) pathogenesis.
  • The precise mechanisms driving PD progression due to systemic inflammation are not fully understood.

Purpose of the Study:

  • To investigate the pathological events in a mouse model of systemic inflammation-induced PD.
  • To elucidate the role of microglia and synaptic changes in early PD development.

Main Methods:

  • Utilized a lipopolysaccharide (LPS)-induced systemic inflammation mouse model.
  • Monitored synaptic loss, dopaminergic (DA) neuron degeneration, and microglial activation over time.
  • Investigated the role of complement receptor 3 (CR3) in microglial synaptic engulfment.

Main Results:

  • Synaptic loss in the midbrain occurred rapidly (1 day post-LPS), preceding DA neuron degeneration (14 days post-LPS).
  • Early microglial activation and excessive synaptic engulfment were observed.
  • Inhibition of CR3 prevented synaptic loss and neurodegeneration.

Conclusions:

  • Microglia-dependent synapse elimination is a critical early event in PD pathogenesis driven by systemic inflammation.
  • CR3 is a key mediator of this microglial synaptic engulfment.
  • Targeting microglial complement signaling presents a promising early intervention strategy for PD.