Divergent toxicity mechanisms of amyloid-beta aggregates arising from a single aggregation reaction

Vanya Metodieva1, Sybille Marchese1, Pietro Esposito1

  • 1School of Biology, University of St Andrews, St Andrews, UK.

Cell Reports
|June 22, 2026
PubMed

Insights

Distinct amyloid-β 42 (Aβ42) aggregate species drive Alzheimer's disease (AD) pathology differently. Early aggregates impair neuronal function, while later ones activate microglia, causing synaptic damage and severe neuronal disruption.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Pathology

Background:

  • Amyloid-β 1-42 (Aβ42) aggregation is a key early event in Alzheimer's disease (AD) pathogenesis.
  • Understanding the distinct toxicities of different Aβ42 aggregate species is crucial for developing effective AD therapies.

Purpose of the Study:

  • To characterize Aβ42 species at various aggregation stages at the single-molecule level.
  • To examine the differential toxicity of these Aβ42 species in a relevant biological model.

Main Methods:

  • Single-molecule characterization of Aβ42 aggregates.
  • Toxicity assessment in murine organotypic brain slices.
  • Analysis of neuronal activity, microglial states, and molecular pathways.

Main Results:

  • Lag phase Aβ42 aggregates increased neuronal Ca2+ and impaired long-term potentiation (LTP), promoting microglial transition to disease-associated microglia (DAM).
  • Growth phase Aβ42 aggregates induced TLR4-mediated microglial activation, cytokine release, and complement activation, leading to synaptic loss and neuronal dysfunction.
  • Structurally distinct Aβ42 aggregates activate different cellular and molecular pathways.

Conclusions:

  • Aβ42 aggregate species exhibit stage-dependent toxicity, differentially impacting neuronal and microglial function in Alzheimer's disease.
  • This study provides a framework for understanding amyloid toxicity and designing combination therapeutic strategies for AD.

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