Abstract:Background
One of the key pathological hallmarks of Alzheimer disease (AD) is the accumulation of the amyloid-β (Aβ) peptide into amyloid plaques. The apolipoprotein E (APOE) gene is the strongest genetic risk factor for late-onset AD and has been shown to influence the accumulation of Aβ in the brain in an isoform-dependent manner. ApoE can be produced by different cell types in the brain, with astrocytes being the largest producer of apoE, although reactive microglia also express high levels … Show more
“…10g, h), suggesting an inability to transition from DAM towards HLA, and therefore to a full response to Ab plaques. Despite APOE4 being the major genetic risk factor for AD, our data suggest that its cell-autonomous role in microglia is rather limited, probably reflecting the fact that it operates across multiple cell types as recently shown for example for astrocytes and microglia 35,36 . As shown above, the main effect of ApoE knock out models on microglia responses seems non-cell autonomous via the decreased accumulation of amyloid-b plaques.…”
Section: Alzheimer's Disease Risk Genes Modulate Human Microglial Cel...mentioning
Microglial activation and neuroinflammation are initial steps in the pathogenesis of Alzheimer's disease (AD). However, studies in mouse models and human postmortem samples have yielded divergent results regarding microglia cell states relevant to AD. Here, we investigate 127,000 single cell expression profiles of human microglia isolated freshly from a xenotransplantation model for early AD. While human microglia adopt a disease-associated (DAM) profile, they display a much more pronounced HLA-cell state related to antigen presentation in response to amyloid plaques. In parallel, a distinctive pro-inflammatory cytokine and chemokine CRM response is mounted against oligomeric amyloid-β. TREM2 and, to a lesser extent, APOE polymorphisms, modulate the response of microglia to amyloid-b plaques, in contrast with the response to oligomeric Aβ. Specific polygenic risk genes are enriched in each branch of these multi-pronged response of human microglia to amyloid pathology (ARM). ARM responses can be captured in post-mortem studies when reanalyzed in light of this novel, comprehensive data set. In conclusion, therapeutic strategies targeting microglia in AD need to carefully assess how they affect the different cell states, as the overall balance between distinct microglial profiles might determine a protective or damaging outcome.
“…10g, h), suggesting an inability to transition from DAM towards HLA, and therefore to a full response to Ab plaques. Despite APOE4 being the major genetic risk factor for AD, our data suggest that its cell-autonomous role in microglia is rather limited, probably reflecting the fact that it operates across multiple cell types as recently shown for example for astrocytes and microglia 35,36 . As shown above, the main effect of ApoE knock out models on microglia responses seems non-cell autonomous via the decreased accumulation of amyloid-b plaques.…”
Section: Alzheimer's Disease Risk Genes Modulate Human Microglial Cel...mentioning
Microglial activation and neuroinflammation are initial steps in the pathogenesis of Alzheimer's disease (AD). However, studies in mouse models and human postmortem samples have yielded divergent results regarding microglia cell states relevant to AD. Here, we investigate 127,000 single cell expression profiles of human microglia isolated freshly from a xenotransplantation model for early AD. While human microglia adopt a disease-associated (DAM) profile, they display a much more pronounced HLA-cell state related to antigen presentation in response to amyloid plaques. In parallel, a distinctive pro-inflammatory cytokine and chemokine CRM response is mounted against oligomeric amyloid-β. TREM2 and, to a lesser extent, APOE polymorphisms, modulate the response of microglia to amyloid-b plaques, in contrast with the response to oligomeric Aβ. Specific polygenic risk genes are enriched in each branch of these multi-pronged response of human microglia to amyloid pathology (ARM). ARM responses can be captured in post-mortem studies when reanalyzed in light of this novel, comprehensive data set. In conclusion, therapeutic strategies targeting microglia in AD need to carefully assess how they affect the different cell states, as the overall balance between distinct microglial profiles might determine a protective or damaging outcome.
“…In the AD mouse model, removing APOE ε4 reduced microglial activation and alleviated Aβ deposition in the cortex (Mahan et al, 2022). Interestingly, knocking out APOE ε4 in microglia did not affect Aβ plaque or transcriptional expression compared to controls (Henningfield et al, 2022), indicating that other glial cells, such as astrocytes, play essential roles in Aβ production and accumulation, while microglia appears to maintain Aβ homeostasis.…”
Section: Apolipoprotein E and Astrocytesmentioning
Despite the discovery of numerous molecules and pathologies, the pathophysiology of various neurodegenerative diseases remains unknown. Genetics participates in the pathogenesis of neurodegeneration. Neural dysfunction, which is thought to be a cell-autonomous mechanism, is insufficient to explain the development of neurodegenerative disease, implying that other cells surrounding or related to neurons, such as glial cells, are involved in the pathogenesis. As the primary component of glial cells, astrocytes play a variety of roles in the maintenance of physiological functions in neurons and other glial cells. The pathophysiology of neurodegeneration is also influenced by reactive astrogliosis in response to central nervous system (CNS) injuries. Furthermore, those risk-gene variants identified in neurodegenerations are involved in astrocyte activation and senescence. In this review, we summarized the relationships between gene variants and astrocytes in four neurodegenerative diseases, including Alzheimer’s disease (AD), amyotrophic lateral sclerosis (ALS), frontotemporal dementia (FTD), and Parkinson’s disease (PD), and provided insights into the implications of astrocytes in the neurodegenerations.
“…RNA-Sqe analysis showed that induced pluripotent stem cells carrying the APOE4 allele express lower levels of genes related to lymphatic markers, implying APOE4 might play a key role in meningeal lymphosclerosis (e.g., the premature shrinkage of mLVs) and then result in impaired meningeal lymphatic clearance [ 54 ]. The finding that selective reduction of astrocytic APOE4 strongly protected against tau-mediated and A-β-accumulated neurodegeneration also indirectly supported this evidence [ 55 , 56 ]. Taking into account these evidences, we proposed a new insight that APOE4-induced cholesterol dysregulation may herald a novel mechanism of CSVD by regulating the dysfunction of the glymphatic-mLVs system.…”
Section: The Underlying Role Of the Glymphatic And Meningeal Lymphati...mentioning
There is a growing prevalence of vascular cognitive impairment (VCI) worldwide, and most research has suggested that cerebral small vessel disease (CSVD) is the main contributor to VCI. Several potential physiopathologic mechanisms have been proven to be involved in the process of CSVD, such as blood-brain barrier damage, small vessels stiffening, venous collagenosis, cerebral blood flow reduction, white matter rarefaction, chronic ischaemia, neuroinflammation, myelin damage, and subsequent neurodegeneration. However, there still is a limited overall understanding of the sequence and the relative importance of these mechanisms. The glymphatic system (GS) and meningeal lymphatic vessels (mLVs) are the analogs of the lymphatic system in the central nervous system (CNS). As such, these systems play critical roles in regulating cerebrospinal fluid (CSF) and interstitial fluid (ISF) transport, waste clearance, and, potentially, neuroinflammation. Accumulating evidence has suggested that the glymphatic and meningeal lymphatic vessels played vital roles in animal models of CSVD and patients with CSVD. Given the complexity of CSVD, it was significant to understand the underlying interaction between glymphatic and meningeal lymphatic transport with CSVD. Here, we provide a novel framework based on new advances in main four aspects, including vascular risk factors, potential mechanisms, clinical subtypes, and cognition, which aims to explain how the glymphatic system and meningeal lymphatic vessels contribute to the progression of CSVD and proposes a comprehensive insight into the novel therapeutic strategy of CSVD.
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