2016
DOI: 10.1016/j.cell.2015.12.056
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The Cellular Phase of Alzheimer’s Disease

Abstract: The amyloid hypothesis for Alzheimer's disease (AD) posits a neuron-centric, linear cascade initiated by Aβ and leading to dementia. This direct causality is incompatible with clinical observations. We review evidence supporting a long, complex cellular phase consisting of feedback and feedforward responses of astrocytes, microglia, and vasculature. The field must incorporate this holistic view and take advantage of advances in single-cell approaches to resolve the critical junctures at which perturbations ini… Show more

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Cited by 1,439 publications
(1,331 citation statements)
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References 103 publications
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“…Glial and neuroimmune mechanisms have been extensively characterized in the context of pathological pain (Grace et al, 2014a), while researchers attempting to decode the complex etiology of neurodegenerative disorders such as Alzheimer's disease have also argued for a more holistic framework, where the interactions and compensatory responses between neurons, glia, and vascular cells all contribute to the progression of the disease (De Strooper and Karran, 2016). Given their role in immune surveillance and debris clearance, it is perhaps unsurprising that microglial activation in particular has been implicated in neurodegenerative diseases beyond Alzheimer's disease, including multiple sclerosis and Parkinson's disease (Chung et al, 2015b;Heneka et al, 2015;Hong et al, 2016).…”
Section: Resultsmentioning
confidence: 99%
“…Glial and neuroimmune mechanisms have been extensively characterized in the context of pathological pain (Grace et al, 2014a), while researchers attempting to decode the complex etiology of neurodegenerative disorders such as Alzheimer's disease have also argued for a more holistic framework, where the interactions and compensatory responses between neurons, glia, and vascular cells all contribute to the progression of the disease (De Strooper and Karran, 2016). Given their role in immune surveillance and debris clearance, it is perhaps unsurprising that microglial activation in particular has been implicated in neurodegenerative diseases beyond Alzheimer's disease, including multiple sclerosis and Parkinson's disease (Chung et al, 2015b;Heneka et al, 2015;Hong et al, 2016).…”
Section: Resultsmentioning
confidence: 99%
“…Complement‐activated oligodendrocytes are found in various neurodegenerative conditions including AD (Yamada, Akiyama, & McGeer, 1990). Overall, oligodendrocytes, although constituting ~75% of the neuroglia cells in the neocortex, are treated as a silent majority in AD research (De Strooper & Karran, 2016). …”
Section: Cellular Changes In Aging and Admentioning
confidence: 99%
“…In addition to amyloid plaques and neurofibrillary tangles, the two signature pathological lesions, Alzheimer's brains manifest prominent astrocytic and microglial reactions (De Strooper & Karran, 2016; Heneka et al, 2015; Osborn, Kamphuis, Wadman, & Hol, 2016; Serrano‐Pozo, Muzikansky, et al, 2013; Verkhratsky, Parpura, Pekna, Pekny, & Sofroniew, 2014). Glia‐mediated neuroinflammation has been proposed as a potential mechanism underlying AD pathogenesis and over the past decade activated microglia have been the focus of increasing research (Heneka et al, 2015; Heppner, Ransohoff, & Becher, 2015); however, the precise contribution of reactive astrocytes is still undetermined.…”
Section: Introductionmentioning
confidence: 99%