Inhibition of Bruton's Tyrosine Kinase Modulates Microglial Phagocytosis: Therapeutic Implications for Alzheimer's Disease
Open accessAbstract
Bruton's tyrosine kinase (BTK), a critical component of B cell receptor signaling, has recently been implicated in regulation of the peripheral innate immune response. However, the role of BTK in microglia, the resident innate immune cells of the central nervous system, and its involvement in the pathobiology of neurodegenerative disease has not been explored. Here we found that BTK is a key regulator of microglial phagocytosis. Using potent BTK inhibitors and small interfering RNA (siRNA) against BTK, we observed that blockade of BTK activity decreased activation of phospholipase gamma 2, a recently identified genetic risk factor in Alzheimer's disease (AD), and reduced phagocytosis in rodent microglia and human monocyte-derived macrophages. Inhibition of BTK signaling also decreased microglial uptake of synaptosomes but did not have major impacts on other key microglial functions such as migration and cytokine release. Similarly, blocking BTK function ex vivo in acute brain slices reduced microglial phagocytosis and maintained numbers of resting microglia. In brain tissues from the 5xFAD mouse model of AD, levels of microglial BTK were elevated while in two gene expression datasets of post-mortem AD patient brain tissues, upregulation of BTK transcript was observed. Our study provides novel insights into the role of BTK in regulating microglial phagocytosis and uptake of synaptic structures and suggests that inhibiting microglial BTK may improve cognition in AD by preventing microglial activation and synaptic loss. Graphical Abstract Microglial-mediated synapse loss has been implicated in AD pathogenesis. Inhibition of BTK decreases activation of PLCγ2, a genetic risk factor in AD, and reduces microglial phagocytosis and uptake of synaptic structures. As such BTK inhibition may represent a therapeutic route to prevent microglial activation and synapse loss in AD.
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BTK inhibition in microglia arrests PLCG2 activation and inhibits phagocytosis.
“BTK inhibition in microglia arrests PLCG2 activation and inhibits phagocytosis 24 , suggesting a critical role for PLCG2 in A β clearance and AD pathogenesis.”
From Genetic variants of phospholipase C-γ2 alter the phenotype and function of microglia and confer differential risk for Alzheimer’s disease (2023) · cites this paper as [24]
The Results sections on BTK expression and phagocytosis report that BTK inhibition reduced PLCγ2 activation and significantly decreased phagocytic uptake in microglia. They do not show that PLCγ2 activation was arrested entirely, as the claim’s wording implies. The subsequent suggestion about Aβ clearance is the citing authors’ inference, not part of the claim attributed to this source. (LLM, conf=0.87)
Experimental — accuracy not yet measuredPLCG2 has a critical role in amyloid-beta clearance and Alzheimer's disease pathogenesis.
“BTK inhibition in microglia arrests PLCG2 activation and inhibits phagocytosis 24 , suggesting a critical role for PLCG2 in A β clearance and AD pathogenesis.”
From Genetic variants of phospholipase C-γ2 alter the phenotype and function of microglia and confer differential risk for Alzheimer’s disease (2023) · cites this paper as [24]
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Tsai, A. P., Dong, C., Lin, P. B.-C., Oblak, A. L., Viana Di Prisco, G., Wang, N., Hajicek, N., Carr, A. J., Lendy, E. K., Hahn, O., et al. (2023) · Immunity · doi:10.1016/j.immuni.2023.08.008 · Cited by 71 · see citing works
Geladaris, A., Torke, S., & Weber, M. S. (2022) · CNS Drugs · doi:10.1007/s40263-022-00951-z · Cited by 45 · see citing works
PLCG2 as a Risk Factor for Alzheimer's Disease.
Tsai, A. P., Dong, C., Preuss, C., Moutinho, M., Lin, P. B.-C., Hajicek, N., Sondek, J., Bissel, S. J., Oblak, A. L., Carter, G. W., et al. (2020) · doi:10.21203/rs.3.rs-38216/v1 · Cited by 7 · see citing works
Mansour, H. M. (2024) · Ageing Research Reviews · doi:10.1016/j.arr.2024.102195 · Cited by 3 · see citing works
- Authors
- Keaney, J., Gasser, J., Gillet, G., Scholz, D., & Kadiu, I.
- Affiliations
- UCB Pharma (Belgium) (BE)
- Corresponding author
- Keaney, James
- Kadiu, Irena
- Venue
- Journal of Neuroimmune Pharmacology
- Published
- 2019-02-13
- Volume
- 14
- Issue
- 3
- Pages
- 448-461
- ISSN
- 1557-1890 (ISSN-L)
- 1557-1904
- PMC
- PMC6707957
- OpenAlex
- W2911270294
- Cited by
- 98
- References
- 19
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 19 · 2023: 14 · 2022: 13 · 2021: 13 · 2020: 8 · 2019: 2
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neuroimmune Pharmacology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- Bruton's tyrosine kinase, microglial phagocytosis, Alzheimer's disease, microglial activation, synaptic loss, microglia, 5xFAD mice, BTK inhibitors, innate immunity, neurodegeneration
- MeSH terms
- Agammaglobulinaemia Tyrosine Kinase, Acrylamides, Adenine, Alzheimer Disease, Animals, Brain, Cell Line, Cell Movement, Enzyme Induction, Humans, Mice, Inbred C57BL, Nerve Tissue Proteins, Phagocytosis, Piperidines, Pyrazoles, Pyrimidines, Cytokines, Rats, Sprague-Dawley, Microglia, Gene Expression Profiling, RNA Interference, RNA, Small Interfering, Protein Kinase Inhibitors, Mice, Rats, Datasets as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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