Spatial proteomic analysis in human Alzheimer's disease brains enables identification of microenvironment-dependent

Paula Sanchez-Molina1,2, Dennis-Dominik Rosmus3,4,5, Dillon Brownell1,2

  • 1Department of Molecular Microbiology and Immunology, Oregon Health and Science University, Portland, OR, USA.

Nature Neuroscience
|May 18, 2026
PubMed

Insights

Researchers identified a new type of microglia, human plaque-associated microglia, in Alzheimer's disease (AD) brains. This discovery offers novel spatial insights into brain cell heterogeneity and AD progression.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Microglial states are implicated in Alzheimer's disease (AD) progression.
  • Characterizing these states and their link to AD pathology is challenging.

Purpose of the Study:

  • To develop and apply a novel multiplexed protein imaging technology (CODEX-CNS) for high-resolution analysis of human brain samples.
  • To characterize myeloid cell heterogeneity and spatial relationships within the context of Alzheimer's disease pathology.

Main Methods:

  • Utilized CODEX-CNS technology to profile 704,706 cells in the frontal cortex of individuals with AD and healthy controls.
  • Mapped cellular features, including blood-brain barrier components, meningeal elements, and cell-cell interactions within tissue sections.
  • Employed a custom data analysis pipeline for spatial and cellular classification.

Main Results:

  • Identified a border-associated macrophage-like microglial subset associated with aging.
  • Discovered a distinct subpopulation, termed human plaque-associated microglia, significantly associated with dense amyloid-β plaques.
  • Characterized myeloid cell heterogeneity and spatial organization in relation to AD pathology.

Conclusions:

  • The study provides novel insights into myeloid cell heterogeneity in Alzheimer's disease.
  • Introduces a powerful spatial approach for single-cell protein-level characterization of brain cells.
  • Highlights the potential of human plaque-associated microglia as a key player in AD pathogenesis.

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