The aging of the brain is characterized by the formation of solid aggregates of misfolded amyloid-β peptides. This is a foundation for later loss of cognitive function and the development of the more severe, inflammatory dysfunction of late stage Alzheimer’s disease. Researchers here provide data from cell studies to suggest that the innate immune cells known as microglia maladaptively manufacture amyloid-β aggregates in the process of attempting to clear amyloid. Microglia have been the target of increasing interest in the context of the aging of the brain and development of neurodegenerative conditions, though much of that has focused on growing inflammation driven by this cell population. It seems we might have to consider that the normal operation of microglia becomes pathological when faced with protein aggregates, a part of the complex opening stages of Alzheimer’s disease and perhaps other neurodegenerative conditions.
A new study shows that immune cells called microglia can actively promote the formation of plaques in Alzheimer’s disease, challenging the long-standing view that these cells serve only as defenders against plaque buildup. “Most studies suggest that microglia are there to clean up the brain and remove the amyloid plaques. What we discovered is that actually they’re part of the problem. They generate plaques. It was thought that plaques aggregate by themselves. And it seems that the microglia, by trying to deal with the problem, amplify it.”
The research team shows that microglia can remodel soluble amyloid-beta (Aβ42) into extracellular fibrils with potent seeding activity. Seeding is a key problem in disease: it is the process by which one aggregate gives rise to multiple new aggregates. These are the same type of structures that accumulate in the brains of patients with Alzheimer’s disease. “Our results suggest that many plaques in Alzheimer’s brains may arise through cellular processes rather than spontaneous aggregation. We think this highlights a second role for microglia we were previously unaware of. Using seeding assays, we showed that cell-generated amyloid more closely resembles brain-derived amyloid and triggers disease-relevant cellular responses, establishing a model that better reflects what happens in patients.”
Link: https://vib.be/en#/news/brain-immune-cells-may-help-build-not-just-clear-alzheimers-plaques
