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Related Concept Videos

Amyloid Fibrils03:03

Amyloid Fibrils

Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining, normally used to...

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A Novel In Vitro Live-imaging Assay of Astrocyte-mediated Phagocytosis Using pH Indicator-conjugated Synaptosomes
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Amyloid-β clearance: an astrocytic perspective.

Jiayi Li1, Zhongyue Lv1, Xiao Chen1

  • 1Department of Neurology, The Affiliated Lihuili Hospital of Ningbo University, Ningbo University, Ningbo, Zhejiang, China.

Frontiers in Neuroscience
|May 25, 2026
PubMed
Summary

Alzheimer's disease (AD) involves amyloid-beta (Aβ) buildup. This review explores how astrocytes, a type of brain cell, clear Aβ, offering new targets for early AD intervention.

Keywords:
Alzheimer’s diseaseAβ clearanceastrocyteblood–brain barrierglymphatic pathwayneuroinflammation

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Published on: March 7, 2019

Area of Science:

  • Neuroscience
  • Neurodegenerative Diseases
  • Cell Biology

Background:

  • Alzheimer's disease (AD) is a leading cause of mortality and socioeconomic burden.
  • Pathological hallmark of AD is amyloid-beta (Aβ) imbalance, leading to aggregation and neurodegeneration years before symptoms.
  • Current therapies targeting Aβ production show limited success; early Aβ clearance interventions are gaining traction.

Purpose of the Study:

  • To review astrocyte-mediated Aβ clearance mechanisms.
  • To explore astrocyte roles in blood-brain barrier maintenance and glymphatic drainage.
  • To identify astrocyte phenotypic changes and functional decline in AD pathology.

Main Methods:

  • Literature review synthesizing recent findings on astrocyte-AD pathology.
  • Focus on molecular mechanisms of astrocyte Aβ uptake and degradation.
  • Analysis of astrocyte roles in blood-brain barrier integrity and glymphatic transport.

Main Results:

  • Astrocytes clear Aβ via endocytosis and intracellular degradation.
  • Astrocyte function in blood-brain barrier maintenance and aquaporin-4 (AQP4)-dependent glymphatic drainage is crucial for Aβ clearance.
  • Astrocyte phenotypic plasticity and pathological decline dynamically modulate Aβ clearance capacity.

Conclusions:

  • Astrocytes play a significant, underexplored role in Aβ clearance.
  • Understanding astrocyte mechanisms provides a basis for astrocyte-targeted early AD interventions.
  • Targeting astrocyte functions offers a promising translational approach for AD therapy.