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CD4 T Cells Induce A Subset of MHCII-Expressing Microglia that Attenuates Alzheimer Pathology
Open accessAbstract
Microglia play a key role in innate immunity in Alzheimer disease (AD), but their role as antigen-presenting cells is as yet unclear. Here we found that amyloid β peptide (Aβ)-specific T helper 1 (Aβ-Th1 cells) T cells polarized to secrete interferon-γ and intracerebroventricularly (ICV) injected to the 5XFAD mouse model of AD induced the differentiation of major histocompatibility complex class II (MHCII)+ microglia with distinct morphology and enhanced plaque clearance capacity than MHCII- microglia. Notably, 5XFAD mice lacking MHCII exhibited an enhanced amyloid pathology in the brain along with exacerbated innate inflammation and reduced phagocytic capacity. Using a bone marrow chimera mouse model, we showed that infiltrating macrophages did not differentiate to MHCII+ cells following ICV injection of Aβ-Th1 cells and did not support T cell-mediated amyloid clearance. Overall, we demonstrate that CD4 T cells induce a P2ry12+ MHCII+ subset of microglia, which play a key role in T cell-mediated effector functions that abrogate AD-like pathology.
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![Figure 5 Microglial Expression of MHCII Is Required to Stimulate the Effector Functions of ICV-Injected Aβ-Th1 Cells within the Brain Parenchyma Bone marrow chimera (BMC) mice (n = 12) were generated, and after 8 weeks, six of them were ICV-injected with Aβ-Th1 T cells, whereas the other six were left untreated. The mice were perfused at 28 dpi, and their brains were excised and analyzed by IHC and flow cytometry. (A) Representative IHC images of cortical (top images) and hippocampal (bottom images) brain sections from untreated BMC mice (left) and from BMC mice that were ICV-injected with Aβ-Th1 T cells (Th1→BMC, right) (n = 5 mice per group) and immunolabeled with DAPI nucleus counterstain (blue). Green cells are infiltrating macrophages. A quantitative analysis (right graphs) of the number of GFP+ cells per volume of cortical or hippocampal section was performed with IMARIS. Scale bars, 200 μm. Bars represent means ± SEM, and each symbol represents an individual mouse. (B) Representative IHC image showing Aβ plaques co-localized with infiltrated GFP+ BM cells in brain sections derived from either BMC or Aβ-Th1→BMC mice and immunolabeled with the DAPI nucleus counterstain (blue) (n = 5 mice per group). Scale bars, 200 μm (left images) and 30 μm (right images). (C) Representative IHC image showing Aβ plaque load in brain sections derived from untreated (UT), BMC, or Aβ-Th1→BMC mice and immunolabeled with anti-Aβ (gray) and a DAPI nucleus counterstain (blue). The quantitative analysis (right graph) of the plaque load per volume of cortical section was performed with IMARIS. Scale bars, 200 μm. Bars represent means ± SEM. (D) Representative IHC images of brain sections derived from untreated BMC mice (top images) or from Aβ-Th1→BMC mice (bottom images) and immunolabeled with anti-MHCII (blue) and a DAPI nucleus counterstain (gray). Green cells represent infiltrating BM cells. Scale bars, 30 μm. ***p < 0.001 [(A) Student's t-test, (C) one-way ANOVA].](/paper-figures/828bc18a4d6d499883705aa3347bbe78/cd4-t-cells-induce-a-subset-of-mhcii-expressing-microglia-that-attenuates-figure-5.jpg)

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“MHCII+ microglia exhibited higher rates of phagocytosis than their MHCII− counterparts in 5xFAD mice (60).”
From Reducing microglial lipid load enhances β amyloid phagocytosis in an Alzheimer’s disease mouse model (2025) · cites this paper as [60]
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“It has previously been shown that the depletion of T cells, B cells, and natural killer (NK) cells contributes to an increase in Aβ deposition [4–6].”
From Control of the temporal development of Alzheimer’s disease pathology by the MR1/MAIT cell axis (2023) · cites this paper as [6]
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“a recent study found that 5XFAD mice that lack MHC class II expression exhibit increased amyloid pathology, 21”
From The P522R protective variant of PLCG2 promotes the expression of antigen presentation genes by human microglia in an Alzheimer's disease mouse model (2022) · cites this paper as [21]
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“Notably, the loss of MHC class II molecules has been shown to increase Aβ plaques [3, 6].”
From Control of the temporal development of Alzheimer’s disease pathology by the MR1/MAIT cell axis (2023) · cites this paper as [6]
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“Adoptive transfer of T helper 1 (Th1) cells into AD model mice results in a decrease in the amount of Aβ [6].”
From Control of the temporal development of Alzheimer’s disease pathology by the MR1/MAIT cell axis (2023) · cites this paper as [6]
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Neuroinflammation in Alzheimer's disease
Heneka, M. T., Carson, M. J., Khoury, J. E., Landreth, G. E., Brosseron, F., Feinstein, D. L., Jacobs, A. H., Wyss-Coray, T., Vitorica, J., Ransohoff, R. M., et al. (2015) · The Lancet Neurology · doi:10.1016/s1474-4422(15)70016-5 · Cited by 6,226
The amyloid hypothesis of Alzheimer's disease at 25 years
Selkoe, D. J., & Hardy, J. (2016) · EMBO Molecular Medicine · doi:10.15252/emmm.201606210 · Cited by 6,164
A Unique Microglia Type Associated with Restricting Development of Alzheimer’s Disease
Keren-Shaul, H., Spinrad, A., Weiner, A., Matcovitch-Natan, O., Dvir-Szternfeld, R., Ulland, T. K., David, E., Baruch, K., Lara-Astaiso, D., Toth, B., et al. (2017) · Cell · doi:10.1016/j.cell.2017.05.018 · Cited by 5,493
Microglia-mediated neurotoxicity: uncovering the molecular mechanisms
Block, M. L., Zecca, L., & Hong, J.-S. (2007) · Nature Reviews Neuroscience · doi:10.1038/nrn2038 · Cited by 4,110
Oakley, H., Cole, S. L., Logan, S., Maus, E., Shao, P., Craft, J., Guillozet-Bongaarts, A., Ohno, M., Disterhoft, J., Van Eldik, L., et al. (2006) · The Journal of Neuroscience · doi:10.1523/jneurosci.1202-06.2006 · Cited by 3,530
Identification of a unique TGF-β–dependent molecular and functional signature in microglia
Butovsky, O., Jedrychowski, M. P., Moore, C. S., Cialic, R., Lanser, A. J., Gabriely, G., Koeglsperger, T., Dake, B., Wu, P. M., Doykan, C. E., et al. (2014) · Nature Neuroscience · doi:10.1038/nn.3599 · Cited by 2,543
TREM2 Lipid Sensing Sustains the Microglial Response in an Alzheimer’s Disease Model
Wang, Y., Cella, M., Mallinson, K., Ulrich, J. D., Young, K. L., Robinette, M. L., Gilfillan, S., Krishnan, G. M., Sudhakar, S., Zinselmeyer, B. H., et al. (2015) · Cell · doi:10.1016/j.cell.2015.01.049 · Cited by 1,736
The twilight of immunity: emerging concepts in aging of the immune system
Nikolich-Žugich, J. (2018) · Nature Immunology · doi:10.1038/s41590-017-0006-x · Cited by 1,240
Regulatory T cells are key cerebroprotective immunomodulators in acute experimental stroke
Liesz, A., Suri‐Payer, E., Veltkamp, C., Doerr, H., Sommer, C., Rivest, S., Giese, T., & Veltkamp, R. C. (2009) · Nature Medicine · doi:10.1038/nm.1927 · Cited by 1,137
Tangle and neuron numbers, but not amyloid load, predict cognitive status in Alzheimer’s disease
Giannakopoulos, P., Herrmann, F. R., Bussière, T., Bouras, C., Kövari, E., Perl, D. P., Morrison, J. H., Gold, G., & Hof, P. R. (2003) · Neurology · doi:10.1212/01.wnl.0000063311.58879.01 · Cited by 1,118
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Microglia states and nomenclature: A field at its crossroads
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Neuroinflammation in Alzheimer disease
Heneka, M. T., van der Flier, W. M., Jessen, F., Hoozemanns, J., Thal, D. R., Boche, D., Brosseron, F., Teunissen, C., Zetterberg, H., Jacobs, A. H., et al. (2025) · Nature Reviews Immunology · doi:10.1038/s41577-024-01104-7 · Cited by 638
Self-citationThe neuroimmune axis of Alzheimer’s disease
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Inflammation context in Alzheimer’s disease, a relationship intricate to define
Novoa, C., Salazar, P., Cisternas, P., Gherardelli, C., Vera-Salazar, R., Zolezzi, J. M., & Inestrosa, N. C. (2022) · Biological Research · doi:10.1186/s40659-022-00404-3 · Cited by 206
Xu, J., Chen, Z., Yu, F., Liu, H., Ma, C., Xie, D., Hu, X., Leak, R. K., Chou, S. H. Y., Stetler, R. A., et al. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2018497117 · Cited by 180
Metadata
- Authors
- Mittal, K., Eremenko, E., Berner, O., Elyahu, Y., Strominger, I., Apelblat, D., Nemirovsky, A., Spiegel, I., & Monsonego, A.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Weizmann Institute of Science (IL)
- Corresponding author
- Monsonego, Alon
- ORCID
- Venue
- iScience
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 16
- Pages
- 298-311
- ISSN
- 2589-0042 (ISSN-L)
- PMC
- PMC6581663
- OpenAlex
- W2947933080
- Cited by
- 114
- References
- 76
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 28 · 2023: 17 · 2022: 16 · 2021: 10 · 2020: 13
- FWCI
- 4.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- iScience (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Israel Science Foundation (684/14)
- Litwin and Gural Foundations
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Keywords
- Alzheimer's disease, microglia, CD4+ T cells, MHC class II, amyloid-beta, Th1 cells, interferon-gamma, amyloid plaque clearance, P2Y12 receptor, 5xFAD mice, innate immunity, phagocytosis, bone marrow chimeras, infiltrating macrophages
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