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Homeostatic Microglia Initially Seed and Activated Microglia Later Reshape Amyloid Plaques in Alzheimer's Disease
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Abstract
The role of microglia in the amyloid cascade of Alzheimer’s disease (AD) is debated due to conflicting findings. Using a genetic and a pharmacological approach we demonstrate that depletion of microglia before amyloid-β (Aβ) plaque deposition, leads to a reduction in plaque numbers and neuritic dystrophy, confirming their role in plaque initiation. Transplanting human microglia restores Aβ plaque formation. While microglia depletion reduces insoluble Aβ levels, soluble Aβ concentrations stay consistent, challenging the view that microglia clear Aβ. In later stages, microglial depletion decreases plaque compaction and increases neuritic dystrophy, suggesting a protective role. Human microglia with the TREM2 R47H/R47H mutation exacerbate plaque pathology, emphasizing the importance of non-reactive microglia in the initiation of the amyloid cascade. Adaptive immune depletion ( Rag2 -/- ) does not affect microglia’s impact on plaque formation. These findings clarify conflicting reports, identifying microglia as key drivers of amyloid pathology, and raise questions about optimal therapeutic strategies for AD.
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“Plaques were characterized using X34, a dye that strongly binds β‐sheeted amyloid, labelling both dense plaque cores and surrounding amyloid deposits, albeit with lower intensity in the latter”
From Alzheimer's Protection by PLCγ2 Compacts Plaques, Redistributes Microglia, and Protects Synapses in App NL ‐G‐F Mice (2026) · cites this paper as Baligács et al. 2024
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Metadata
- Authors
- Baligács, N., Albertini, G., Borrie, S. C., Serneels, L., Pridans, C., Balusu, S., & De Strooper, B.
- Affiliations
- Vlaams Instituut voor Biotechnologie (BE)
- Centre for Inflammation Research (GB)
- ORCID
- Venue
- Nature Communications
- Published
- 2024-12-05
- Volume
- 15
- Issue
- 1
- Pages
- 10634-10634
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC11621353
- OpenAlex
- W4405035908
- Cited by
- 123
- References
- 76
- Citations by year
- 2026: 66 · 2025: 57
- FWCI
- 19.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion, cc-by)
- Lirias (KU Leuven) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Funders
- Alzheimer's Association
- Queen Elisabeth Medical Foundation
- European Commission (HORIZON2020, ERC-834682 CELLPHASE_AD, 834682)
- Fonds Wetenschappelijk Onderzoek (11PSA24N)
- KU Leuven
- Vlaams Instituut voor Biotechnologie
- Vlaamse regering
- Fondation pour la Recherche sur Alzheimer
- Fondation Médicale Reine Elisabeth
- Medical Research Council (MR/Y014847/1)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- microglia, Alzheimer's disease, amyloid plaques, neuritic dystrophy, microglial depletion, amyloid clearance, Rag2 knockout mice, amyloid hypothesis
- MeSH terms
- Alzheimer Disease, Animals, Disease Models, Animal, Female, Homeostasis, Humans, Male, Membrane Glycoproteins, Mice, Inbred C57BL, Mice, Transgenic, Mutation, Receptors, Immunologic, Amyloid beta-Peptides, Microglia, Mice, Plaque, Amyloid
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