Reactive astrocytes as treatment targets in Alzheimer's disease—Systematic review of studies using the APPswePS1dE9 mouse model
Open accessAbstract
Astrocytes regulate synaptic communication and are essential for proper brain functioning. In Alzheimer's disease (AD) astrocytes become reactive, which is characterized by an increased expression of intermediate filament proteins and cellular hypertrophy. Reactive astrocytes are found in close association with amyloid‐beta (Aβ) deposits. Synaptic communication and neuronal network function could be directly modulated by reactive astrocytes, potentially contributing to cognitive decline in AD. In this review, we focus on reactive astrocytes as treatment targets in AD in the APPswePS1dE9 AD mouse model, a widely used model to study amyloidosis and gliosis. We first give an overview of the model; that is, how it was generated, which cells express the transgenes, and the effect of its genetic background on Aβ pathology. Subsequently, to determine whether modifying reactive astrocytes in AD could influence pathogenesis and cognition, we review studies using this mouse model in which interventions were directly targeted at reactive astrocytes or had an indirect effect on reactive astrocytes. Overall, studies specifically targeting astrocytes to reduce astrogliosis showed beneficial effects on cognition, which indicates that targeting astrocytes should be included in developing novel therapies for AD.
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In AD brains, amyloid plaques are surrounded by activated microglia and reactive astrocytes that upregulate GFAP and extend hypertrophic arborized processes.
“In AD brains, amyloid plaques are surrounded not only by activated microglia but also by reactive astrocytes that respond to pathological stimuli by upregulating GFAP and extending hypertrophic arborized processes8.”
From Regulation of cell distancing in peri-plaque glial nets by Plexin-B1 affects glial activation and amyloid compaction in Alzheimer’s disease (2024) · cites this paper as [8]
The Introduction (page unavailable) says amyloid plaques are surrounded by activated microglia and reactive astrocytes, and describes GFAP upregulation and cellular hypertrophy in reactive astrocytes. It does not establish the more specific description that plaque-associated astrocytes extend hypertrophic, arborized processes. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAll mouse cohorts were bred onto C57BL/6J genetic background to ensure phenotypic consistency of amyloid deposition.
“To ensure phenotypic consistency of amyloid deposition8, all mouse cohorts were bred onto C57BL/6J genetic background.”
From Regulation of cell distancing in peri-plaque glial nets by Plexin-B1 affects glial activation and amyloid compaction in Alzheimer’s disease (2024) · cites this paper as [8]
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- Authors
- Smit, T., Deshayes, N. A. C., Borchelt, D. R., Kamphuis, W., Middeldorp, J., & Hol, E. M.
- Affiliations
- Utrecht University (NL)
- University of Florida Health (US)
- Netherlands Institute for Neuroscience (NL)
- Corresponding author
- Hol, Elly M.
- Venue
- Glia
- Publisher
- Wiley
- Published
- 2021-02-25
- Volume
- 69
- Issue
- 8
- Pages
- 1852-1881
- ISSN
- 0894-1491 (ISSN-L)
- 1098-1136
- PMC
- PMC8247905
- OpenAlex
- W3129946102
- Cited by
- 71
- References
- 237
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 17 · 2023: 9 · 2022: 16 · 2021: 8
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Glia (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- KNAW research portal (Royal Academy of Art and Sciences (KNAW)) (submittedVersion, other-oa)
- Funders
- Alzheimer Nederland (WE.03‐2017‐04)
- National Institute on Aging (P50AG047266)
- ZonMw (733050504, 733050505, 733050816)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- reactive astrocytes, Alzheimer's disease, astrocyte activation, amyloid-beta, amyloidosis, cognitive decline, astrocyte-targeted therapy, intermediate filament proteins, astrocyte hypertrophy, genetic background effects
- MeSH terms
- Alzheimer Disease, Animals, Astrocytes, Disease Models, Animal, Gliosis, Mice, Transgenic, Amyloid beta-Peptides, Mice
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