Cited by 865Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsNeurological Disease Mechanisms and Treatments

Neutrophils promote Alzheimer's disease–like pathology and cognitive decline via LFA-1 integrin

Zenaro, Elena, Pietronigro, Enrica, Bianca, Vittorina Della, Piacentino, Gennj, Marongiu, Laura, Budui, Simona, Turano, Ermanna, Rossi, Barbara +11 more·2015·Nature Medicine

Abstract

Inflammation is a pathological hallmark of Alzheimer's disease, and innate immune cells have been shown to contribute to disease pathogenesis. In two transgenic models of Alzheimer's disease (5xFAD and 3xTg-AD mice), neutrophils extravasated and were present in areas with amyloid-β (Aβ) deposits, where they released neutrophil extracellular traps (NETs) and IL-17. Aβ42 peptide triggered the LFA-1 integrin high-affinity state and rapid neutrophil adhesion to integrin ligands. In vivo, LFA-1 integrin controlled neutrophil extravasation into the CNS and intraparenchymal motility. In transgenic Alzheimer's disease models, neutrophil depletion or inhibition of neutrophil trafficking via LFA-1 blockade reduced Alzheimer's disease-like neuropathology and improved memory in mice already showing cognitive dysfunction. Temporary depletion of neutrophils for 1 month at early stages of disease led to sustained improvements in memory. Transgenic Alzheimer's disease model mice lacking LFA-1 were protected from cognitive decline and had reduced gliosis. In humans with Alzheimer's disease, neutrophils adhered to and spread inside brain venules and were present in the parenchyma, along with NETs. Our results demonstrate that neutrophils contribute to Alzheimer's disease pathogenesis and cognitive impairment and suggest that the inhibition of neutrophil trafficking may be beneficial in Alzheimer's disease.

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Crossref · 10.1038/nm.3913

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Authors
Zenaro, E., Pietronigro, E., Bianca, V. D., Piacentino, G., Marongiu, L., Budui, S., Turano, E., Rossi, B., Angiari, S., Dusi, S., Montresor, A., Carlucci, T., Nanì, S., Tosadori, G., Calciano, L., Catalucci, D., Berton, G., Bonetti, B., & Constantin, G.
Affiliations
  • University of Verona (IT)
  • Institute of Genetic and Biomedical Research (IT)
Corresponding author
Constantin, Gabriela
Venue
Nature Medicine
Published
2015-07-27
Volume
21
Issue
8
Pages
880-886
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2098613848
Cited by
865
References
19
Citations by year
2026: 76 · 2025: 111 · 2024: 132 · 2023: 113 · 2022: 90 · 2021: 90 · 2020: 61 · 2019: 59 · 2018: 55 · 2017: 46 · 2016: 29 · 2015: 3
FWCI
32.61
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • BOA (University of Milano-Bicocca) (submittedVersion)
Funders
Medical Research Council
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
Keywords
neutrophils, Alzheimer's disease, LFA-1 integrin, neutrophil extracellular traps, IL-17, amyloid-beta, neutrophil extravasation, cognitive decline, 5xFAD mice, 3xTg-AD mice, gliosis, innate immunity, neuroinflammation, neutrophil depletion, memory
MeSH terms
Alzheimer Disease, Animals, Cell Adhesion, Cell Movement, Cognition Disorders, Humans, Mice, Inbred C57BL, Mice, Transgenic, Neutrophils, Peptide Fragments, Lymphocyte Function-Associated Antigen-1, Amyloid beta-Peptides, Interleukin-17, Mice, Extracellular Traps

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