The Human Microglia Atlas (HuMicA) unravels changes in disease-associated microglia subsets across neurodegenerative conditions
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Abstract
ABSTRACT Dysregulated microglia activation, leading to neuroinflammation, is crucial in neurodegenerative disease development and progression. The initial M1/M2 dual activation classification for microglia is outdated. Even the ‘disease-associated microglia’ (DAM) phenotype, firstly described in mice, falls short in representing the diverse microglia phenotypes in pathology. In this study, we have constructed a transcriptomic atlas of human brain immune cells by integrating single-nucleus (sn)RNA-seq datasets from multiple neurodegenerative conditions. Sixteen datasets were included, comprising 295 samples from patients with Alzheimer’s disease, autism spectrum disorder, epilepsy, multiple sclerosis, Lewy body diseases, COVID-19, and healthy controls. The integrated Human Microglia Atlas ( HuMicA ) dataset included 60,557 nuclei and revealed 11 microglial subpopulations distributed across all pathological and healthy conditions. Among these, we identified four different homeostatic clusters as well as pathological phenotypes. These included two stages of early and late activation of the DAM phenotype and the disease-inflammatory macrophage (DIM) phenotype, which was recently described in mice, and is also present in human microglia, as indicated by our analysis. The high versatility of microglia is evident through changes in subset distribution across various pathologies, suggesting their contribution in shaping pathological phenotypes. Our analysis showed overall depletion of four substates of homeostatic microglia, and expansion of niche subpopulations within the DAM and DIM spectrum across distinct neurodegenerative pathologies. The HuMicA is invaluable in advancing the study of microglia biology in both healthy and disease settings.
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Many disease-associated microglial programs are spatially enriched around plaques, suggesting microglial state transitions are disease-stage-dependent and anatomically localized.
“Many disease-associated microglial programs are spatially enriched around plaques, which suggests that microglial state transitions are not only disease-stage-dependent but also anatomically localized.”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [47]
The Results section (‘Pathology-associated alterations in microglia subpopulations’; page unavailable) describes qualitative colocalization of GPNMB-high microglia with potential amyloid plaques in Alzheimer’s disease samples. It does not establish that many disease-associated programs are enriched around plaques or that microglial state transitions depend on disease stage. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMicroglia in Alzheimer's disease occupy multiple transcriptional trajectories rather than discrete and permanent categories.
“Large human microglial atlases and state-dynamics studies are beginning to show that microglia in Alzheimer’s disease occupy multiple transcriptional trajectories rather than discrete and permanent categories [22,47].”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [47]
The Introduction (page unavailable) says that M1/M2 and disease-associated microglia categories do not capture microglial complexity, and that microglial plasticity may follow a multi-subpopulation pattern. The Discussion (page unavailable) reports transcriptionally distinct groups, including populations altered in Alzheimer’s disease. The paper supports heterogeneity and plasticity, but does not establish multiple transcriptional trajectories or show that its identified groups are nonpermanent. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMicroglia in Alzheimer's disease appear to acquire hybrid programs: they remain tissue-resident myeloid cells but can express genes normally associated with professional antigen presentation, immune communication, and inflammatory coordination.
“Instead, microglia in Alzheimer’s disease appear to acquire hybrid programs: they remain tissue-resident myeloid cells, but they can express genes normally associated with professional antigen presentation, immune communication, and inflammatory coordination.”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [47]
Single-cell and single-nucleus studies have identified Alzheimer's-associated microglial states enriched for immune activation, antigen-presentation genes, lipid-processing pathways, and inflammatory mediators.
“Single-cell and single-nucleus studies have repeatedly identified Alzheimer ’s-associated microglial states enriched for immune activation, antigen-presentation genes, lipid-processing pathways, and inflammatory mediators.”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [47]
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Oxytocin Modulates Microglial IL-17-Linked Inflammatory Pathways Through the IL-6/COX-2
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TSC-associated microglial hyperactivity: enhanced calcium signaling, metabolism, and phagocytosis
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Abi3 S212F Alzheimer's disease variant alters plaque structure and disrupts microglia
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Immune landscape of the affected brain in Rasmussen encephalitis
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Microglial state transitions are constrained by developmental and metabolic checkpoints
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HMC3 revealed: how much do these “Microglia” really tell us?
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Human Microglial Molecular Alterations in Aging and Alzheimer’s Disease
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The auditory nerve glial transition zone is a focal site of age-related immune-myelin interactions
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Sensitive detection of rare HIV-infected cells in the human brain by single-nucleus RNA sequencing
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Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis?
Chmiel, J., Gawełczyk, W., Soczyńska, J., & Leszek, J. (2026) · Cells · doi:10.3390/cells15131151
“Reviews of single-cell microglial biology in Alzheimer’s disease have therefore highlighted MHC-II-positive and antigen-presentation-associated microglial populations as part of the broader disease-state spectrum [18,46,47].”
InfluentialA proteogenomic tool uncovers protein markers for human microglial statesPreprint
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Transcriptional Activation of the TREM2 Gene by ZEB2 in a Zinc Finger-Dependent Manner
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Protein folding stress shapes microglial phenotype in progressive supranuclear palsyPreprint
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From mechanisms to therapeutics: The expanding role of cell-based strategies in Alzheimer's disease
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P2X4 Drives Sex-Specific neuroprotection in autoimmune neuroinflammation
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- Authors
- Martins-Ferreira, R., Calafell-Segura, J., Leal, B., Rodríguez-Ubreva, J., Martínez-Saez, E., Mereu, E., Pinho E Costa, P., Laguna, A., & Ballestar, E.
- Affiliations
- Universidade do Porto (PT)
- Josep Carreras Leukaemia Research Institute (ES)
- Universitat Autònoma de Barcelona (ES)
- Corresponding author
- Ballestar, Esteban
- ORCID
- Venue
- Nature Communications
- Published
- 2025-01-16
- Volume
- 16
- Issue
- 1
- Pages
- 739-739
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC11739505
- OpenAlex
- W4406437527
- Cited by
- 123
- References
- 77
- Citations by year
- 2026: 79 · 2025: 41 · 2024: 3
- FWCI
- 43.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nature Communications (publishedVersion, cc-by-nc-nd)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by-nc-nd)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Funders
- Centres de Recerca de Catalunya (501100011033, MCIN/AEI/10.13039/501100011033)
- European Commission (MCIN /AEI/ 10.13039/501100011033, 10.13039/501100011033, 13039/501100011033, 501100011033, /AEI/10.13039/501100011033)
- Generalitat de Catalunya (10.13039/501100011033, 501100011033, MCIN /AEI/10.13039/501100011033)
- Ministerio de Ciencia e Innovación (MCIN/AEI/10, .13039/501100011033, 10.13039, / AEI/10, MCIN/AEI/10.13039/501100011033,, 10.13039/501100011033/, PID2020117212RB-I00, 501100011033, RYC2021, MCIN /AEI /10.13039, /AEI/10.13039/ 501100011033)
- Fundació Institut de Recerca Hospital Universitari Vall d’Hebron
- Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas
- Fundação para a Ciência e a Tecnologia (UIDB/00215/2020 and UIDP/00215/2020, MCIN/AEI/10.13039/501100011033/, LA/P/006/2020, SFRH/BD/137900/2018, 10.13039/501100011033, UIDB/00215/2020, UIDP/00215/2020)
- Agència de Gestió d'Ajuts Universitaris i de Recerca (MCIN/AEI/10.13039/501100011033/, 10.13039/501100011033, 13039/501100011033)
- Instituto de Salud Carlos III (MCIN/ AEI /10.13039/501100011033, /10.13039/501100011033, PI21/01603, AEI/10.13039/501100011033)
- Agencia Estatal de Investigación (AEI//10.13039/501100011033/, 501100011033, 10.13039/501100011033, MCIN/AEI/10.13039/501 100 011 033, 13039, .13039/501100011033, 10.13039, AEI/10)
- Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto
- Institut de Recerca contra la Leucèmia Josep Carreras
- NextGenerationEU
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Keywords
- microglia, disease-associated microglia, microglial subtypes, neuroinflammation, neurodegenerative diseases, Alzheimer's disease, multiple sclerosis, autism spectrum disorder, epilepsy, Lewy body disease, COVID-19 pandemic, GPNMB, single-nucleus RNA sequencing, single-cell RNA sequencing
- MeSH terms
- Autism Spectrum Disorder, RNA-Seq, COVID-19, Aged, Alzheimer Disease, Animals, Atlases as Topic, Brain, Female, Humans, Macrophages, Male, Middle Aged, Multiple Sclerosis, Microglia, Neurodegenerative Diseases, Lewy Body Disease, Single-Cell Analysis
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