Cited by 119

Microglial dysfunction connects depression and Alzheimer’s disease

Santos, Luís Eduardo, Beckman, Danielle, Ferreira, Sergio T.·2016·Brain, Behavior, and Immunity

Abstract

Alzheimer's disease (AD) and major depressive disorder (MDD) are highly prevalent neuropsychiatric conditions with intriguing epidemiological overlaps. Depressed patients are at increased risk of developing late-onset AD, and around one in four AD patients are co-diagnosed with MDD. Microglia are the main cellular effectors of innate immunity in the brain, and their activation is central to neuroinflammation - a ubiquitous process in brain pathology, thought to be a causal factor of both AD and MDD. Microglia serve several physiological functions, including roles in synaptic plasticity and neurogenesis, which may be disrupted in neuroinflammation. Following early work on the 'sickness behavior' of humans and other animals, microglia-derived inflammatory cytokines have been shown to produce depressive-like symptoms when administered exogenously or released in response to infection. MDD patients consistently show increased circulating levels of pro-inflammatory cytokines, and anti-inflammatory drugs show promise for treating depression. Activated microglia are abundant in the AD brain, and concentrate around senile plaques, hallmark lesions composed of aggregated amyloid-β peptide (Aβ). The Aβ burden in affected brains is regulated largely by microglial clearance, and the complex activation state of microglia may be crucial for AD progression. Intriguingly, recent reports have linked soluble Aβ oligomers, toxins that accumulate in AD brains and are thought to cause memory impai…

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Crossref · 10.1016/j.bbi.2015.11.011

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Authors
Santos, L. E., Beckman, D., & Ferreira, S. T.
Venue
Brain, Behavior, and Immunity
Publisher
Elsevier BV
Published
2016-07
Volume
55
Pages
151-165
ISSN
0889-1591
Cited by
119
References
58
Language
en
Funders
  • National Institute for Translational Neuroscience
  • Conselho Nacional de Desenvolvimento Científico e Tecnológico
  • Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro

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