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A somatic mutation in erythro-myeloid progenitors causes neurodegenerative disease
Open accessAbstract
The pathophysiology of neurodegenerative diseases is poorly understood and there are few therapeutic options. Neurodegenerative diseases are characterized by progressive neuronal dysfunction and loss, and chronic glial activation. Whether microglial activation, which is generally viewed as a secondary process, is harmful or protective in neurodegeneration remains unclear. Late-onset neurodegenerative disease observed in patients with histiocytoses, which are clonal myeloid diseases associated with somatic mutations in the RAS-MEK-ERK pathway such as BRAF(V600E), suggests a possible role of somatic mutations in myeloid cells in neurodegeneration. Yet the expression of BRAF(V600E) in the haematopoietic stem cell lineage causes leukaemic and tumoural diseases but not neurodegenerative disease. Microglia belong to a lineage of adult tissue-resident myeloid cells that develop during organogenesis from yolk-sac erythro-myeloid progenitors (EMPs) distinct from haematopoietic stem cells. We therefore hypothesized that a somatic BRAF(V600E) mutation in the EMP lineage may cause neurodegeneration. Here we show that mosaic expression of BRAF(V600E) in mouse EMPs results in clonal expansion of tissue-resident macrophages and a severe late-onset neurodegenerative disorder. This is associated with accumulation of ERK-activated amoeboid microglia in mice, and is also observed in human patients with histiocytoses. In the mouse model, neurobehavioural signs, astrogliosis, deposition of amyloid precursor protein, synaptic loss and neuronal death were driven by ERK-activated microglia and were preventable by BRAF inhibition. These results identify the fetal precursors of tissue-resident macrophages as a potential cell-of-origin for histiocytoses and demonstrate that a somatic mutation in the EMP lineage in mice can drive late-onset neurodegeneration. Moreover, these data identify activation of the MAP kinase pathway in microglia as a cause of neurodegeneration and this offers opportunities for therapeutic intervention aimed at the prevention of neuronal death in neurodegenerative diseases.
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In the citing paper
“Moreover, the somatic BRAF p.V600E variant, a common cancer driver variant, in the microglial lineage has been causally implicated not in cancer, but instead in degeneration of neurons secondary to clonal expansion and activation of mutant microglia in both mouse models and humans29.”
From Somatic cancer variants enriched in Alzheimer’s disease microglia-like cells drive inflammatory and proliferative states (2026) · cites this paper as [29]
Experimental — accuracy not yet measuredIn the citing paper
“a recent study using transgenic mice showed that microglial proliferation and activation induced by a BRAF mutation restricted to erythromyeloid progenitors could drive late-onset neurodegeneration (Mass et al., 2017).”
From Microglia in Alzheimer’s disease (2018) · cites this paper as Mass et al., 2017
In the citing paper
“microglia from the mutant mice as well as from brain tissue of patients with BRAF mutation–associated neurodegenerative disease showed increased inflammatory cytokine expression (Mass et al., 2017).”
From Microglia in Alzheimer’s disease (2018) · cites this paper as Mass et al., 2017
In the citing paper
“Importantly, microglia proliferation preceded neuron loss, and microglia from the mutant mice as well as from brain tissue of patients with BRAF mutation–associated neurodegenerative disease showed increased inflammatory cytokine expression (Mass et al., 2017).”
From Microglia in Alzheimer’s disease (2018) · cites this paper as Mass et al., 2017
In the citing paper
“Exacerbated activation of microglia has been shown to promote microglia-mediated neuronal attrition7,8.”
From Epigenetic regulation of brain region-specific microglia clearance activity (2018) · cites this paper as [7]
In the citing paper
“The ability of aberrant intrinsically activated microglia to cause neuronal damage is further supported by recent findings showing that cell-autonomous activation of the RAF–MEK–ERK pathway in microglia leads to the loss of synapses and the development of a severe late-onset neurodegenerative disorder7.”
From Epigenetic regulation of brain region-specific microglia clearance activity (2018) · cites this paper as [7]
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BackgroundBrain Somatic Mutation in Aging and Alzheimer's Disease
Miller, M. B., Reed, H., & Walsh, C. A. (2021) · Annual Review of Genomics and Human Genetics · doi:10.1146/annurev-genom-121520-081242 · Cited by 58
“(79) developed mice expressing Braf V600E in specific yolk sac erythro-myeloid progenitors that populate the brain in early development and generate microglia, the brain tissue-resident macrophages.”
BackgroundLodato, M. A., & Walsh, C. A. (2019) · Human Molecular Genetics · doi:10.1093/hmg/ddz191 · Cited by 56
“In the mouse, clonal somatic mutation of BRAF in microglial progenitors during development caused a neurodegenerative phenotype in the adult (79).”
BackgroundEpigenetic Regulation of Kupffer Cell Function in Health and Disease
Bennett, H., Troutman, T. D., Sakai, M., & Glass, C. K. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2020.609618 · Cited by 66
“Comparative analysis of the epigenomes of tissue macrophages have also identified the nuclear receptor LXRa (encoded by Nr1h3) and SpiC as KC LDTFs (Figure 1A) (5, 24).”
BackgroundSomatic mutations in neurons during aging and neurodegeneration
Verheijen, B. M., Vermulst, M., & van Leeuwen, F. W. (2018) · Acta Neuropathologica · doi:10.1007/s00401-018-1850-y · Cited by 60
“Strikingly, somatic mutations do not even need to occur in neuronal cells to cause neuropathology [82].”
BackgroundWilk, C. M., Cathomas, F., Török, O., Le Berichel, J., Park, M. D., Bigenwald, C., Heaton, G. R., Hamon, P., Troncoso, L., Scull, B. P., et al. (2023) · Immunity · doi:10.1016/j.immuni.2023.11.011 · Cited by 51
Microglial ontogeny, diversity and neurodevelopmental functions
Thion, M. S., & Garel, S. (2020) · Current Opinion in Genetics & Development · doi:10.1016/j.gde.2020.06.013 · Cited by 59
Fetal-Derived Immune Cells at the Roots of Lifelong Pathophysiology
Mass, E., & Gentek, R. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.648313 · Cited by 47
Self-citationCentral nervous system involvement in Erdheim-Chester disease
Aubart, F. C., Idbaïh, A., Damien Galanaud, E., Law-Ye, B., Emile, J., Charlotte, F., Donadieu, J., Maksud, P., Seilhean, D., Amoura, Z., et al. (2020) · Neurology · doi:10.1212/wnl.0000000000010748 · Cited by 45
“The limited efficacy of targeted therapies on CNS manifestations, compared to their dramatic effects in other localizations, has several potential explanations: a lower diffusion in CNS due to the blood–brain barrier; the nontumoral mechanism of pseudodegenerative lesions, in which no histiocytes are observed, leading…”
BackgroundSomatic Variants: New Kids on the Block in Human Immunogenetics
Horebeek, L. V., Dubois, B., & Goris, A. (2019) · Trends in Genetics · doi:10.1016/j.tig.2019.09.005 · Cited by 46
Xiao, Y., van Halteren, A. G. S., Lei, X., Borst, J., Steenwijk, E. C., de Wit, T., Grabowska, J. A., Voogd, R., Kemps, P. G., Picarsic, J. L., et al. (2020) · Blood · doi:10.1182/blood.2020005209 · Cited by 42
Cong, C., Kluwe, L., Li, S., Liu, X., Liu, Y., Liu, H., Gui, W., Liu, T., & Xu, L. (2019) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2019.03.030 · Cited by 38
Louadi, Z., Elkjaer, M. L., Klug, M., Lio, C. T., Fenn, A. M., Illés, Z., Bongiovanni, D., Baumbach, J., Kacprowski, T., List, M., et al. (2021) · Genome biology · doi:10.1186/s13059-021-02538-1 · Cited by 36
Modeling Alzheimer’s disease with human iPS cells: advancements, lessons, and applications
Essayan-Perez, S., Zhou, B., Nabet, A. M., Wernig, M., & Huang, Y. A. (2019) · Neurobiology of Disease · doi:10.1016/j.nbd.2019.104503 · Cited by 40
Persistent DNA damage associated with ATM kinase deficiency promotes microglial dysfunction
Bourseguin, J., Cheng, W., Talbot, E., Hardy, L., Lai, J. F., Jeffries, A. M., Lodato, M. A., Lee, E. A., & Khoronenkova, S. V. (2022) · Nucleic Acids Research · doi:10.1093/nar/gkac104 · Cited by 36
“For example, somatic mutations in the BRAF oncogene in erythro-myeloid precursors of microglia result in progressive neurological impairment with multiple features of cerebellar ataxia (7).”
Yan, M., Sun, Z., Zhang, S., Yang, G., Jiang, X. Y., Wang, G., Li, R., Wang, Q., & Tian, X. (2024) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2024.110988 · Cited by 38
“…markers of inflammation and changes in immune cells in the autopsy pathology specimens of patients with various neurosystemic diseases, such as Parkinson ’ s Disease (PD), multiple sclerosis (MS), and stroke (Mass et al., 2017; Wang et al., 2023; Lambertsen et al., 2019; Tansey et al., 2022).”
BackgroundSpecialized functions of resident macrophages in brain and heart
Nicolás-Ávila, J. Á., Hidalgo, A., & Ballesteros, I. (2018) · Journal of Leukocyte Biology · doi:10.1002/jlb.6mr0118-041r · Cited by 35
Mosaic loss of Chromosome Y in aged human microgliaPreprint
Vermeulen, M., Pearse, R. V., Young‐Pearse, T. L., & Mostafavi, S. (2022) · Genome Research · doi:10.1101/gr.276409.121 · Cited by 35
Synapse Dysfunctions in Multiple Sclerosis
Schwarz, K., & Schmitz, F. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24021639 · Cited by 35
“However, also abnormally activated glial cells [23,24] and B-lymphocytes play an important role [22,25–31].”
BackgroundMAP-Kinase-Driven Hematopoietic Neoplasms: A Decade of Progress in the Molecular AgePreprint
Chakraborty, R., Abdel-Wahab, O. I., & Durham, B. H. (2020) · Cold Spring Harbor Perspectives in Medicine · doi:10.1101/cshperspect.a034892 · Cited by 31
Self-citationSomatic mutations in autoinflammatory and autoimmune disease
Torreggiani, S., Castellan, F. S., Aksentijevich, I. A., & Beck, D. B. (2024) · Nature Reviews Rheumatology · doi:10.1038/s41584-024-01168-8 · Cited by 29
Koizumi, T., Taguchi, K., Mizuta, I., Toba, H., Ohigashi, M., Onishi, O., Ikoma, K., Miyata, S., Nakata, T., Tanaka, M., et al. (2019) · Journal of Neuroinflammation · doi:10.1186/s12974-019-1467-7 · Cited by 29
Prenatal Origin of Pediatric Leukemia: Lessons From Hematopoietic Development
Cazzola, A., Cazzaniga, G., Biondi, A., Meneveri, R., Brunelli, S., & Azzoni, E. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2020.618164 · Cited by 29
The Microglial Response to Neurodegenerative Disease
Song, W. M., & Colonna, M. (2018) · Advances in immunology · doi:10.1016/bs.ai.2018.04.002 · Cited by 30
Yue, W., Deng, X., Wang, Z., Jiang, M., Hu, R., Duan, Y., Wang, Q., Cui, J., & Fang, Y. (2023) · Immunity & Ageing · doi:10.1186/s12979-023-00354-8 · Cited by 26
“For example, ERKactivated microglia were shown to drive astrogliosis, synaptic loss, neuronal death and neurobehavioral deficits in mice [32], while activation of the NF-κB signaling in microglia induced motor neuron loss in ALS [33].”
BackgroundAn update on the treatment of pediatric-onset Langerhans cell histiocytosis through pharmacotherapy
Minkov, M. (2018) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2018.1429405 · Cited by 25
“Geissmann sheds light on the underlying mechanism of the neurodegenerative CNS-LCH with possible therapeutic implications [48].”
BackgroundFrom macrophage biology to macrophage-based cellular immunotherapies
Mass, E., & Lachmann, N. (2021) · Gene Therapy · doi:10.1038/s41434-021-00221-5 · Cited by 24
Self-citationOne Size Does Not Fit All: Heterogeneity in Developmental Hematopoiesis
Barone, C., Orsenigo, R., Meneveri, R., Brunelli, S., & Azzoni, E. (2022) · Cells · doi:10.3390/cells11061061 · Cited by 25
A microglia clonal inflammatory disorder in Alzheimer’s disease
Vicario, R., Fragkogianni, S., Weber, L., Lazarov, T., Hu, Y., Hayashi, S. Y., Craddock, B., Socci, N. D., Alberdi, A., Baako, A., et al. (2025) · eLife · doi:10.7554/elife.96519.3 · Cited by 21
“…associated with neurodegeneration ( Mass et al., 2017 ; Boyd et al., 2020 ; Bhatia et al., 2020 ; Diamond et al., 2016 ), and introduction in mouse microglia of the variant allele most frequently associated with histiocytosis (BRAF V600E ) causes neurodegeneration in mice ( Mass et al., 2017 ).”
InfluentialSelf-citationIDH-mutant gliomas arise from glial progenitor cells harboring the initial driver mutation
Park, J. W., Kwak, J., Kim, K. W., Jung, S., Nam, C. H., Kim, H. J., Lee, S. M., Choi, C., Ahn, Y., Park, J., et al. (2026) · Science · doi:10.1126/science.adt0559 · Cited by 23
Tumorigenic Interplay Between Macrophages and Collagenous Matrix in the Tumor Microenvironment
Varol, C. (2019) · Methods in molecular biology · doi:10.1007/978-1-4939-9095-5_15 · Cited by 21
Threshold of somatic mosaicism leading to brain dysfunction with focal epilepsy
Kim, J., Park, S. M., Koh, H. Y., Ko, A., Kang, H., Chang, W. S., Kim, D. S., & Lee, J. H. (2024) · Brain · doi:10.1093/brain/awae190 · Cited by 20
Vaiani, E., Felizzia, G., Lubieniecki, F. J., Braier, J. L., & Belgorosky, A. (2021) · Hormone Research in Paediatrics · doi:10.1159/000517040 · Cited by 20
Allogenic microglia replacement: A novel therapeutic strategy for neurological disorders
Rao, Y., & Peng, B. (2023) · Fundamental Research · doi:10.1016/j.fmre.2023.02.025 · Cited by 18
“Mass and colleagues demonstrated that the mosaic BRAF V600E mutation in microglia causes the clonal expansion of dysfunctional microglia, leading to the formation of astrogliosis, the deposition of A 𝛽 , loss of synapse, and a decline in cognitive function [117] .”
BackgroundPizzirusso, G., Preka, E., Goikolea, J., Aguilar-Ruiz, C., Rodriguez‐Rodriguez, P., Vázquez-Cabrera, G., Laterza, S., Latorre‐Leal, M., Eroli, F., Blomgren, K., et al. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.04.009 · Cited by 21
“Our findings suggest that microglia dynamic alterations might represent a turning point in AD pathology progression, contributing to Aβ plaque formation, FSI dysfunction, and circuit failure in the hippocampus.”
Horebeek, L. V., Hilven, K., Mallants, K., van Nieuwenhuijze, A. E. M., Kelkka, T., Savola, P., Mustjoki, S. M., Schlenner, S., Liston, A., Dubois, B., et al. (2018) · Human Molecular Genetics · doi:10.1093/hmg/ddy425 · Cited by 17
“For some somatic variants, it may even be possible to target the affected pathway itself, as examples such as BRAF or STAT3 inhibitors for other autoimmune and neurological diseases illustrate (18,19).”
Advances in Genetic and Molecular Understanding of Alzheimer’s Disease
Ibáñez, L., Cruchaga, C., & Fernández, M. V. (2021) · Genes · doi:10.3390/genes12081247 · Cited by 20
“While no mutations have been found within the MAPK pathway that are associated with AD, somatic mutations in the BRAF gene (which is part of the MAPK pathway) in the erythro-myeloid progenitor lineage in mice may cause neurodegeneration [26].”
BackgroundRole of Microglia in Central Nervous System Development and PlasticityPreprint
Schafer, D. P., Stevens, B., Bennett, M. L., & Bennett, F. C. (2024) · Cold Spring Harbor Perspectives in Biology · doi:10.1101/cshperspect.a041810 · Cited by 19
Metadata
- Authors
- Mass, E., Jacome-Galarza, C. E., Blank, T., Lazarov, T., Durham, B. H., Ozkaya, N., Pastore, A., Schwabenland, M., Chung, Y. R., Rosenblum, M. K., Prinz, M., Abdel-Wahab, O., & Geissmann, F.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- University of Freiburg (DE)
- ORCID
- Venue
- Nature
- Published
- 2017-08-30
- Volume
- 549
- Issue
- 7672
- Pages
- 389-393
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC6047345
- OpenAlex
- W2750719748
- Cited by
- 210
- References
- 41
- Citations by year
- 2026: 16 · 2025: 19 · 2024: 29 · 2023: 18 · 2022: 12 · 2021: 27 · 2020: 27 · 2019: 29 · 2018: 26 · 2017: 7
- FWCI
- 12.07
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (R01HL138090)
- National Cancer Institute (R01CA201247, P30CA008748)
- National Institute of Allergy and Infectious Diseases (R01AI130345)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- neurodegeneration, microglia, erythro-myeloid progenitors, BRAF V600E mutation, Ras/MEK/ERK pathway, histiocytosis, clonal expansion, MAPK signaling, astrocyte activation, amyloid precursor protein, synaptic loss, neuronal cell death, BRAF inhibition, yolk sac, tissue-resident macrophages, glial activation
- MeSH terms
- Animals, Clone Cells, Disease Models, Animal, Female, Humans, Macrophages, Male, Mosaicism, Mutation, Histiocytosis, Erythroid Precursor Cells, Microglia, Neurodegenerative Diseases, MAP Kinase Signaling System, Myeloid Progenitor Cells, Extracellular Signal-Regulated MAP Kinases, Proto-Oncogene Proteins B-raf, Mice
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