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Macrophages in Alzheimer’s disease: the blood-borne identity
Open accessAbstract
Alzheimer's disease (AD) is a progressive and incurable neurodegenerative disorder clinically characterized by cognitive decline involving loss of memory, reasoning and linguistic ability. The amyloid cascade hypothesis holds that mismetabolism and aggregation of neurotoxic amyloid-beta (Abeta) peptides, which are deposited as amyloid plaques, are the central etiological events in AD. Recent evidence from AD mouse models suggests that blood-borne mononuclear phagocytes are capable of infiltrating the brain and restricting beta-amyloid plaques, thereby limiting disease progression. These observations raise at least three key questions: (1) what is the cell of origin for macrophages in the AD brain, (2) do blood-borne macrophages impact the pathophysiology of AD and (3) could these enigmatic cells be therapeutically targeted to curb cerebral amyloidosis and thereby slow disease progression? This review begins with a historical perspective of peripheral mononuclear phagocytes in AD, and moves on to critically consider the controversy surrounding their identity as distinct from brain-resident microglia and their potential impact on AD pathology.
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“Furthermore, peripheral macrophages may not just be bystanders in the progression of AD, as it has been shown that they are not only more efficient phagocytes of Aβ than microglia, but they are also capable of traversing the blood-brain barrier during times of injury and disease [17–21].”
From Alzheimer’s disease-associated protective variant Plcg2-P522R modulates peripheral macrophage function in a sex-dimorphic manner (2024) · cites this paper as [17]
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“Furthermore, peripheral macrophages may not just be bystanders in the progression of AD, as it has been shown that they are not only more efficient phagocytes of Aβ than microglia, but they are also capable of traversing the blood-brain barrier during times of injury and disease [17–21].”
From Alzheimer’s disease-associated protective variant Plcg2-P522R modulates peripheral macrophage function in a sex-dimorphic manner (2024) · cites this paper as [17]
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Metadata
- Authors
- Gate, D., Rezai-Zadeh, K., Jodry, D., Rentsendorj, A., & Town, T.
- Affiliations
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Town, Terrence
- Venue
- Journal of Neural Transmission
- Published
- 2010-06-02
- Volume
- 117
- Issue
- 8
- Pages
- 961-970
- ISSN
- 0300-9564 (ISSN-L)
- 1435-1463
- PMC
- PMC2917548
- OpenAlex
- W2058092975
- Cited by
- 107
- References
- 69
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 12 · 2023: 5 · 2022: 8 · 2021: 4 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 10 · 2015: 12 · 2014: 8 · 2013: 6 · 2012: 7
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Journal of Neural Transmission (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, other-oa)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Case Western Reserve University
- University of South Florida
- National Institutes of Health
- National Institute on Aging (R00AG029726)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- Alzheimer's disease, macrophages, microglia, amyloid-beta, amyloid plaques, cerebral amyloidosis, cell of origin, therapeutic targeting, neuroinflammation
- MeSH terms
- Alzheimer Disease, Animals, Blood-Brain Barrier, Brain, Humans, Macrophages, Models, Biological
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