APOE4/4 is linked to damaging lipid droplets in Alzheimer’s disease microglia
Open accessAbstract
Several genetic risk factors for Alzheimer’s disease implicate genes involved in lipid metabolism and many of these lipid genes are highly expressed in glial cells 1 . However, the relationship between lipid metabolism in glia and Alzheimer’s disease pathology remains poorly understood. Through single-nucleus RNA sequencing of brain tissue in Alzheimer’s disease, we have identified a microglial state defined by the expression of the lipid droplet-associated enzyme ACSL1 with ACSL1-positive microglia being most abundant in patients with Alzheimer’s disease having the APOE4/4 genotype. In human induced pluripotent stem cell-derived microglia, fibrillar Aβ induces ACSL1 expression, triglyceride synthesis and lipid droplet accumulation in an APOE-dependent manner. Additionally, conditioned media from lipid droplet-containing microglia lead to Tau phosphorylation and neurotoxicity in an APOE-dependent manner. Our findings suggest a link between genetic risk factors for Alzheimer’s disease with microglial lipid droplet accumulation and neurotoxic microglia-derived factors, potentially providing therapeutic strategies for Alzheimer’s disease.
AI snapshot
Written from the paper’s full text.
TL;DR
Single-nucleus RNA sequencing of human Alzheimer’s disease brain identifies an ACSL1+ lipid-droplet-accumulating microglial state (LDAM) that is most abundant in APOE4/4 AD. In iPS-derived microglia, fibrillar Aβ induces ACSL1, triglyceride synthesis, and lipid droplets in an APOE-dependent manner, and conditioned media from lipid-droplet-high microglia induce Tau phosphorylation and neurotoxicity.
Key findings
- snRNA-seq of frontal cortex yielded ~100,000 single-nucleus transcriptomes (n = 100,317 cells); ACSL1 was the most significantly differentially expressed gene in AD-APOE4/4 versus control microglia. ACSL1+ LDAM were a distinct state from homeostatic and DAM microglia, with the greatest percentage in AD-APOE4/4, followed by AD-APOE3/3, and least in age-matched controls (chi-square P < 0.0001); immunofluorescence confirmed ACSL1 abundance differences (n = 5 per group).
- Oil Red O+ neutral lipid bodies were abundant in AD-APOE4/4 brain tissue, often near or at Aβ plaques, with a slight but not significant increase in AD-APOE4/4 versus AD-APOE3/3 (control n = 12; AD33 n = 7; AD44 n = 9). Lipid body counts negatively correlated with MMSE and positively correlated with Aβ plaque amounts and Tau pathology; microglial ACSL1 expression positively correlated with lipid body numbers. J20/APOE3 and J20/APOE4 mice had more LD+ microglia than age-matched wild-type mice (n = 3 mice per group).
- In isogenic APOE4/4 versus APOE3/3 iMG, fibrillar Aβ strongly increased lipid droplet accumulation, exacerbated by APOE4 and absent in APOE-KO; fAβ upregulated PLIN2 and ACSL1. CARS spectra overlapped unsaturated/triglyceride spectra, and d-glucose 13C incorporation into triglycerides increased time-dependently after fAβ. CRISPR screens identified triglyceride metabolism regulators and ACSL1 as required for LD formation; the top druggable-genome hit in APOE4/4 iMG was PIK3CA, and ACSL1 inhibitor Triacin C or PI3K inhibitor GNE-317 reduced lipid droplets.
- Conditioned media from LD-high APOE4/4 iMG induced high pTau (AT8) and caspase activation in human iPS cell-derived neurons; effects were similar with APOE3/3 and APOE4/4 iMG-conditioned media but absent with APOE-KO iMG-conditioned media. Neurons exposed to LD-high conditioned media showed increased LipidSpot staining and higher concentrations of triglyceride lipid species.
Methods
- Human postmortem frontal cortex from AD-APOE4/4, AD-APOE3/3, and age/sex-matched control APOE3/3 individuals was processed for snRNA-seq (~100,000 nuclei), with CellRanger alignment, Scanpy/BBKNN integration, Leiden clustering, pseudobulk DESeq2, and MAST single-cell differential expression; microglia were subclustered and annotated using HOMEOSTATIC, DAM, and LDAM marker signatures.
- Histology and imaging included Oil Red O, immunofluorescence for IBA1/ACSL1/Aβ in human tissue, and IBA1/LipidSpot imaging in J20/APOE3-KI and J20/APOE4-KI mice. Cell models included isogenic APOE3/3, APOE4/4, and APOE-KO iPS cell-derived microglia, iPS cell-derived human neurons, primary rat microglia, BV2 cells, and human macrophages; assays included fAβ treatment, live-cell microscopy, CARS, electron microscopy, lipidomics, cytokine/chemokine assays, ATAC-seq, and RNA-seq.
- CRISPR–Cas9 screens were performed genome-wide in U937 cells and with a druggable-genome library in APOE4/4 iMG, using FACS for LD-high versus LD-low populations and casTLE analysis. Conditioned media from FACS-sorted LD-high and LD-low iMG were applied to iPS cell-derived neurons, followed by AT8 and cleaved caspase-3 quantification.
Limitations
- The paper states that identifying the cell type(s) accumulating lipids requires simultaneous staining for lipids and several protein markers, which is challenging in aged human histological brain sections; that GNE-317 experiments do not conclusively show increased autophagic flux; and that 13C-labelled TAG lipids in mouse neurons treated with conditioned media were not robustly detected across several replicates, perhaps due to low isotopic enrichment.
- Evident from the text: human postmortem associations are cross-sectional and correlational, and several experiments rely on small samples (for example, n = 3 mice per group and n = 3 replicate wells in multiple assays). The mechanistic work largely uses in vitro iPS cell-derived microglia/neurons and mouse models, which may not fully capture human AD.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
30 of 44 cited sources checked · 19 supported · 0 flagged · accuracy not yet measured
- Findingown data
Gene expression of lipid droplet-associated genes PLIN2 and ACSL1 is upregulated on fibrillar Aβ challenge in iMGs.
“In accordance with this accumulation of LDs, the gene expressions of LD-associated genes PLIN2 (ref. 21) and ACSL1 (refs. 13,14) are upregulated on fAβ challenge in iMGs”
Quote in the paperSubstantial claim1 of 3 sources checked- cites [21] Olzmann, J. A. & Carvalho, P. Dynamics and functions of lipid droplets. Nat. Rev. Mol. Cell Biol. 20, 137–155 (2019). source
The citation is attached to ACSL1’s identification as a lipid-droplet-associated gene. The lipid droplet–lysosome contacts section discusses PLIN2, but the passages found for ACSL1 do not establish that association. The source also does not report gene-expression changes after fibrillar Aβ challenge in iMGs. (LLM, conf=0.72)
Experimental — accuracy not yet measured - cites [13] Li, L. O. et al. Overexpression of rat long chain acyl-coa synthetase 1 alters fatty acid metabolism in rat primary hepatocytes. J. Biol. Chem. 281, 37246–37255 (2006). source
- cites [14] Zhao, Z. et al. Effects of overexpression of ACSL1 gene on the synthesis of unsaturated fatty acids in adipocytes of bovine. Arch. Biochem. Biophys. 695, 108648 (2020). source
- Premisecitation
LDAM were also observed in chimaeric human-mouse Alzheimer's disease models.
“LDAM were also observed in chimaeric human–mouse AD models6.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [6] Claes, C. et al. Plaque-associated human microglia accumulate lipid droplets in a chimeric model of Alzheimer’s disease. Mol. Neurodegener. 16, 50 (2021). source
- Findingown data
Live cell microscopy showed greater lipid droplet accumulation in APOE4/4 iMG compared with isogenic APOE3/3 iMG.
“Live cell microscopy of iMG with a fluorescent dye for neutral lipids (LipidSpot) showed greater LD accumulation in APOE4/4 iMG compared with isogenic APOE3/3 iMG, similar to recent reports in isogenic iMG4 and astrocytes20.”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [4] Victor, M. B. et al. Lipid accumulation induced by APOE4 impairs microglial surveillance of neuronal-network activity. Cell Stem Cell 29, 1197–1212 (2022). source
- cites [20] Sienski, G. et al. APOE4 disrupts intracellular lipid homeostasis in human iPSC-derived glia. Sci. Transl. Med. 13, eaaz4564 (2021). source
- Premisecitation
Human induced pluripotent stem cell-derived microglia with APOE risk variants have more lipid droplets.
“human induced pluripotent stem (iPS) cell-derived microglia (iMG) with APOE risk variants have more lipid droplets (LDs)4.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [4] Victor, M. B. et al. Lipid accumulation induced by APOE4 impairs microglial surveillance of neuronal-network activity. Cell Stem Cell 29, 1197–1212 (2022). source
- Findingcitation
There are more lipid-droplet-positive microglia in J20/APOE3 and J20/APOE4 Alzheimer's disease mouse models compared to age-matched wild-type mice.
“Mirroring these observations in the human AD tissue, there are more LD+ microglia in the J20/APOE3 and J20/APOE4 models of AD15 compared to age-matched wild-type mice”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [15] Taubes, A. et al. Experimental and real-world evidence supporting the computational repurposing of bumetanide for APOE4-related Alzheimer’s disease. Nat. Aging 1, 932–947 (2021). source
The Methods (Mice; page unavailable) identify J20/E3-KI, J20/E4-KI, and wild-type mice. The Results on J20/E4-KI neurons and glia discuss microglial gene expression, but neither passage reports counts of lipid-droplet-positive microglia compared with age-matched wild-type mice. Searches for “lipid droplets,” “LD+ microglia,” and the model comparison found no passage addressing that outcome. (LLM, conf=0.76)
Experimental — accuracy not yet measured
- Premisecitation
A meta-analysis of Alzheimer's disease genome-wide association study risk factors found genes involved in lipid processing and innate immunity as a statistically enriched category of Alzheimer's disease genetic risk factors, alongside amyloid and Tau processing genes.
“A recent meta-analysis of all genetic risk factors for AD identified through genome-wide association studies discovered genes involved in lipid processing and innate immunity as a statistically enriched category of genetic risk factors for AD, alongside the more characteristic categories of genes in amyloid and Tau processing1.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [1] Kunkle, B. W. et al. Genetic meta-analysis of diagnosed Alzheimer’s disease identifies new risk loci and implicates Aβ, tau, immunity and lipid processing. Nat. Genet. 51, 414–430 (2019). source
- Premisecitation
Activation of innate immune receptors such as TLR4 in microglia suppresses autophagy.
“Activation of innate immune receptors such as TLR4 in microglia suppresses autophagy39”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [39] Lee, J.-W. et al. TLR4 (toll-like receptor 4) activation suppresses autophagy through inhibition of FOXO3 and impairs phagocytic capacity of microglia. Autophagy 15, 753–770 (2019). source
- Premisecitation
TLR4-mediated suppression of autophagy increases lipid droplet concentrations in microglia.
“this mechanism has been shown to increase LD concentrations in microglia40.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [40] Xu, Y., Propson, N. E., Du, S., Xiong, W. & Zheng, H. Autophagy deficiency modulates microglial lipid homeostasis and aggravates tau pathology and spreading. Proc. Natl Acad. Sci. USA 118, e2023418118 (2021). source
The Abstract and Discussion report that blocking microglial autophagy by genetically deleting Atg7 leads to lipid-droplet accumulation. They do not establish that TLR4 mediates the suppression of autophagy, so the claimed TLR4 mechanism is unsupported. (LLM, conf=0.87)
Experimental — accuracy not yet measured
- Findingown data
PLIN2 and ACSL1 upregulation on fibrillar Aβ challenge is greater in the APOE4/4 background.
“and to a greater extent in the APOE4/4 background”
Quote in the paperSubstantial claim - Findingown data
Immunofluorescence microscopy of human Alzheimer's disease brain tissue confirmed the ACSL1 abundance differences observed by single-nucleus RNA sequencing.
“Immunofluorescence microscopy of human AD brain tissue confirmed the ACSL1 abundance differences observed by snRNA-seq”
Quote in the paperSubstantial claim - Findingown data
Lipidomic analysis showed a time-dependent increase in triglyceride incorporation of deuterated glucose after fibrillar Aβ challenge.
“Lipidomic analysis showed a time-dependent increase in triglyceride incorporation of d-glucose after fAβ challenge”
Quote in the paperSubstantial claim - Findingown data
Differential gene expression analysis between control and AD-APOE4/4 microglia revealed ACSL1 as the most significantly differentially expressed gene.
“Differential gene expression analysis between control and AD-APOE4/4 microglia revealed that the most significantly differentially expressed gene is acyl-CoA synthetase long-chain family member 1 (ACSL1), which encodes a lipid-processing enzyme”
Quote in the paperSubstantial claim - Findingown data
Transmission electron microscopy indicated an increase in lipid droplet concentrations in iMG on fibrillar Aβ challenge.
“In addition to lipid dyes to measure LD accumulation, transmission electron microscopy indicated an increase in LD concentrations in iMG on fAβ challenge”
Quote in the paperSubstantial claim - Findingown data
Oil Red O+ cells are often found near to or at the core of amyloid-β plaques.
“Oil Red O+ cells are often found near to or at the core of amyloid-β (Aβ) plaques”
Quote in the paperNot a substantial claim - Findingown data
Brains of patients with AD-APOE4/4 showed an abundance of perinuclear Oil Red O+ lipid bodies that resemble lipid droplets.
“The brains of patients with AD-APOE4/4 showed an abundance of perinuclear Oil Red O+ lipid bodies which resemble LD and are similar to Alzheimer’s original description of adipose saccules in glial cells of postmortem brain tissue of patients”
Quote in the paperSubstantial claim - Findingown data
3,442 ATAC-seq peaks were gained in LD-high microglia compared to LD-low microglia.
“We detected 3,442 peaks which were gained in LD-high microglia compared to LD-low microglia.”
Quote in the paperNot a substantial claim - Findingown data
CARS imaging of fibrillar Aβ-treated iMGs revealed that the lipid droplet spectra overlap with unsaturated triglyceride spectra.
“Analysis of the CARS imaging of fAβ-treated iMGs revealed that the LD spectra overlap with unsaturated (triglyceride) spectra”
Quote in the paperSubstantial claim - Findingown data
In human induced pluripotent stem cell-derived microglia, fibrillar Aβ induces ACSL1 expression, triglyceride synthesis, and lipid droplet accumulation in an APOE-dependent manner.
“In human induced pluripotent stem cell-derived microglia, fibrillar Aβ induces ACSL1 expression, triglyceride synthesis and lipid droplet accumulation in an APOE-dependent manner.”
Quote in the paperSubstantial claim - Findingown data
Peaks specific for LD-high microglia showed enrichment for motifs related to the NF-κB family of transcription factors, for example REL and ETV6.
“In addition, peaks specific for LD-high microglia showed enrichment for motifs related to the NF-κB family of transcription factors (for example, REL and ETV6)”
Quote in the paperNot a substantial claim - Findingown data
The effect of fibrillar Aβ on lipid droplet accumulation was absent in the APOE-KO background.
“The effect of fAβ on LD accumulation was absent in the APOE-KO background”
Quote in the paperSubstantial claim - Findingown data
ACSL1+ microglia are often observed near amyloid-β plaques.
“In a similar fashion, ACSL1+ microglia are often observed near Aβ plaques”
Quote in the paperNot a substantial claim - Findingown data
ATAC-seq peaks at enhancer regions for LD-high microglia were highly enriched for the microglia lineage-determining transcription factor PU.1.
“ATAC-seq peaks at enhancer regions for LD-high were highly enriched for microglia lineage-determining transcription factors for PU.1.”
Quote in the paperNot a substantial claim - Findingown data
Conditioned media from lipid droplet-containing microglia lead to Tau phosphorylation and neurotoxicity in an APOE-dependent manner.
“Additionally, conditioned media from lipid droplet-containing microglia lead to Tau phosphorylation and neurotoxicity in an APOE-dependent manner.”
- Also stated in: § Discussion · plain
“Conditioned media from LD-high microglia induce Tau phosphorylation and neurotoxicity in an APOE-dependent manner.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Findingown data
Induction of lipid droplets by fibrillar Aβ was also observed in primary human macrophages and the mouse BV2 microglial cell line.
“The induction of LDs by fAβ was also observed in primary human macrophages and the mouse BV2 microglial cell line”
Quote in the paperNot a substantial claim - Findingown data
ACSL1 expression by microglia positively correlated with the relative numbers of lipid bodies.
“Reassuringly, the expression of ACSL1 by microglia positively correlated with the relative numbers of lipid bodies”
Quote in the paperNot a substantial claim - Findingown data
An ACSL1 inhibitor (Triacin C) reversed lipid droplet accumulation in APOE4/4 iMG on fibrillar Aβ challenge.
“An ACSL1 inhibitor (Triacin C) reversed the accumulation of LD in APOE4/4 iMG on fAβ challenge”
Quote in the paperSubstantial claim - Findingown data
iPS cell-derived neurons exposed to LD-high conditioned media contained higher concentrations of the triglyceride lipid species that accumulate in iMG on fibrillar Aβ challenge.
“The iPS cell-derived neurons exposed to LD-high conditioned media contained higher concentrations of the triglyceride lipid species which accumulate in iMG on fAβ challenge”
- Also stated in: § Discussion · plain
“Exposure of neurons to LD-high conditioned media increased the concentrations of the same triglyceride species observed to accumulate in microglia.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Findingown data
A microglial state present in human brains is defined by the accumulation of lipids with concomitant upregulation of genes involved in lipid synthesis.
“Here, we report a microglial state present in human brains defined by the accumulation of lipids with concomitant upregulation of genes involved in lipid synthesis; these cells are phenotypically similar to previously reported mouse LDAM.”
Quote in the paperSubstantial claim - Findingown data
Neurons in Alzheimer's disease do not seem to upregulate ACSL1.
“Because neurons in AD do not seem to upregulate ACSL1 in AD (Fig. 1f), we speculate that lipids accumulating in neurons are derived from microglia.”
Quote in the paperSubstantial claim - Findingown data
GNE-317 increased expression of genes involved in lipid degradation, microglial homeostasis, and neuroprotective growth factors such as BDNF and FGF1.
“and increased expression of genes involved in lipid degradation, microglial homeostasis and neuroprotective growth factors, such as BDNF and FGF1”
Quote in the paperSubstantial claim - Findingown data
PI3K inhibition changes RNA and protein concentrations of autophagy-associated genes in human microglia.
“we report changes in RNA and protein concentrations of autophagy-associated genes”
Quote in the paperSubstantial claim - Findingown data
PI3K inhibition decreases lipid droplets in human microglia.
“decreased LDs on PI3K inhibition in human microglia.”
Quote in the paperSubstantial claim - Findingown data
Human neurons treated with LD-high conditioned media showed an increase in LipidSpot staining.
“Intriguingly, human neurons treated with the LD-high conditioned media showed an increase in LipidSpot staining”
Quote in the paperSubstantial claim - Findingown data
Among the top differentially expressed genes between APOE3/3 LDAM and APOE4/4 LDAM, the antibacterial lipid droplet-associated protein cathelicidin (CAMP) was identified.
“Interestingly, among the top differentially expressed genes between APOE3/3 LDAM and APOE4/4 LDAM, we identified the antibacterial LD-associated protein cathelicidin or CAMP”
Quote in the paperNot a substantial claim - Findingown data
PI3K inhibition with GNE-317 reversed the lysosomal accumulation and inflammatory cytokine secretion observed in iMGs with high concentrations of lipid droplets.
“In addition, PI3K inhibition with GNE-317 reversed the lysosomal accumulation and inflammatory cytokine secretion observed in iMGs with high concentrations of LDs”
Quote in the paperSubstantial claim - Findingown data
The top hit from the CRISPR-KO screen was PIK3CA, a catalytic subunit of PI3 kinase.
“The top hit from this screen was PIK3CA, a catalytic subunit of PI3 kinase”
Quote in the paperSubstantial claim - Findingnone given
The most enriched pathway in human LD-containing iMGs is 'cellular senescence'.
“the most enriched pathway in human LD-containing iMGs is ‘cellular senescence’”
Quote in the paperNot a substantial claim - Findingown data
The small-molecule PI3K inhibitor GNE-317 dramatically reduced lipid droplet formation in APOE4/4 iMGs exposed to fibrillar Aβ.
“Indeed, the small-molecule PI3K inhibitor GNE-317 dramatically reduced lipid droplet formation in APOE4/4 iMGs exposed to fAβ quantified by live microscopy and PLIN2 immunofluorescence”
Quote in the paperSubstantial claim - Interpretationown data
The findings suggest a link between genetic risk factors for Alzheimer's disease and microglial lipid droplet accumulation and neurotoxic microglia-derived factors.
“Our findings suggest a link between genetic risk factors for Alzheimer’s disease with microglial lipid droplet accumulation and neurotoxic microglia-derived factors, potentially providing therapeutic strategies for Alzheimer’s disease.”
Quote in the paperSubstantial claim - Interpretationcitation
ACSL1 upregulation in microglia is a consequence of a broader response to innate immune triggers.
“suggesting that ACSL1 upregulation in microglia is the consequence of a broader response to innate immune triggers.”
Quote in the paperNot a substantial claim - Interpretationown data
APOE4 genotype facilitates the microglial transition to an evolutionarily conserved LDAM state in response to innate immune triggers including Aβ.
“we discovered that the APOE4 genotype facilitates the microglial transition to an evolutionarily conserved, maladaptive and damaging LDAM state in response to innate immune triggers including Aβ.”
Quote in the paperSubstantial claim- Rests on an assumption: The LDAM state is maladaptive and damaging.
- Interpretationown data
The human microglial state defined by lipid accumulation and lipid synthesis gene upregulation is phenotypically similar to previously reported mouse LDAM.
“Here, we report a microglial state present in human brains defined by the accumulation of lipids with concomitant upregulation of genes involved in lipid synthesis; these cells are phenotypically similar to previously reported mouse LDAM.”
Quote in the paperSubstantial claim
- May combine two claims. 27
- Classified as probably not a substantial claim. 40
May combine two claims.
PremisecitationThis epigenetic signature is also seen in macrophages in atherosclerosis models and adipose-associated macrophages, but this signature is not seen in DAM microglia.
“This epigenetic signature is also seen in macrophages in atherosclerosis models23 and adipose-associated macrophages24 but this signature is not seen in DAM microglia25.”
Quote in the paperNot a substantial claim3 of 3 sources checked- cites [23] Xiong, X., Yan, Z., Jiang, W. & Jiang, X. ETS variant transcription factor 6 enhances oxidized low-density lipoprotein-induced inflammatory response in atherosclerotic macrophages via activating NF-κB signaling. Int. J. Immunopathol. Pharmacol. https://doi.org/10.1177/20587384221076472 (2022). source
The Results section ('Elevation of ETV6 in aorta macrophages in ApoE−/− mice'; page unavailable) reports increased ETV6 expression in macrophages from an atherosclerosis model. The cited portion of the sentence concerns an epigenetic signature, but neither that section nor the passages retrieved by searching for epigenetic and chromatin terms identifies or measures one. The adipose-macrophage and DAM-microglia portions have separate citations and are not assessed here. (LLM, conf=0.72)
Experimental — accuracy not yet measured - cites [24] Hill, D. A. et al. Distinct macrophage populations direct inflammatory versus physiological changes in adipose tissue. Proc. Natl Acad. Sci. USA 115, E5096–E5105 (2018). source
- cites [25] Morabito, S. et al. Single-nucleus chromatin accessibility and transcriptomic characterization of Alzheimer’s disease. Nat. Genet. 53, 1143–1155 (2021). source
The Results section on the microglia trajectory reports depletion of a stage 2 DAM gene signature, but does not identify the epigenetic signature meant by the citing sentence or say that it is absent in DAM microglia. Searches for that epigenetic signature and for a comparison with macrophages did not find a passage establishing the cited claim; page numbers were unavailable in our copy. (LLM, conf=0.72)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA previously published dataset shows that ACSL1 is highly upregulated by the innate immune trigger lipopolysaccharides in an independent human iMG chimaeric mouse model.
“A previously published dataset shows that ACSL1 is highly upregulated by the innate immune trigger lipopolysaccharides (LPS) in an independent human iMG chimaeric mouse model22”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [22] Hasselmann, J. et al. Development of a chimeric model to study and manipulate human microglia in vivo. Neuron 103, 1016–1033 (2019). source
The Results section, “xMGs respond robustly to a systemic inflammatory challenge” (page not available), reports a dataset comparing human microglia from saline- and LPS-treated chimeric mice and identifies 607 upregulated genes. Our copy does not identify ACSL1 among them or establish that it was highly upregulated; searches for ACSL1 and its full gene name found no supporting passage. (LLM, conf=0.85)
Experimental — accuracy not yet measured
May combine two claims.
PremisecitationAPOE is a lipid-related Alzheimer's disease risk gene and is highly upregulated in human microglia in Alzheimer's disease.
“APOE is one such lipid-related AD risk gene, which is highly upregulated in human microglia in AD3”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [3] Mathys, H. et al. Single-cell transcriptomic analysis of Alzheimer’s disease. Nature 570, 332–337 (2019). source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLipid droplets form in myeloid cells through upregulation of lipid-synthesis enzymes triggered by engagement of toll receptors by innate immune triggers such as bacteria.
“LDs form in myeloid cells through the upregulation of lipid-synthesis enzymes triggered by the engagement of toll receptors by innate immune triggers, such as bacteria7.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [7] Huang, Y. et al. Toll-like receptor agonists promote prolonged triglyceride storage in macrophages. J. Biol. Chem. 289, 3001–3012 (2014). source
The Discussion reports that TLR agonists increased triglyceride synthesis and the abundance of ACSL1 and DGAT2 in macrophages, supporting the proposed link to lipid droplets. But it describes enzyme upregulation as one part of a multifaceted storage response, alongside increased fatty-acid uptake and decreased lipolysis; it does not establish this as the mechanism across myeloid cells generally. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measured
May combine two claims.
PremisecitationAged mouse microglia accumulate lipid droplets and exhibit a dysfunctional microglial state termed lipid-droplet-accumulating microglia (LDAM).
“Aged mouse microglia accumulate LDs and exhibit a dysfunctional microglial state termed LD-accumulating microglia (LDAM)5”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [5] Marschallinger, J. et al. Lipid-droplet-accumulating microglia represent a dysfunctional and proinflammatory state in the aging brain. Nat. Neurosci. 23, 194–208 (2020). source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCholesterol-rich lysosomes and lipid droplets in dysfunctional microglia have been observed in demyelination mouse models and human iPS cell models.
“Cholesterol-rich lysosomes and LDs in dysfunctional microglia have also been observed in the context of demyelination mouse models and human iPS cell models9–12.”
Quote in the paperNot a substantial claim3 of 4 sources checked- cites [9] Safaiyan, S. et al. Age-related myelin degradation burdens the clearance function of microglia during aging. Nat. Neurosci. 19, 995–998 (2016). source
The passage on Pelizaeus–Merzbacher disease mice (page unavailable in our copy) reports demyelination, increased lipofuscin in microglia, and reduced microglial uptake function. The paper also describes lipofuscin as accumulating in lysosomes. It does not identify those lysosomes as cholesterol-rich or report lipid droplets or human iPS-cell models. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [10] Cantuti-Castelvetri, L. et al. Defective cholesterol clearance limits remyelination in the aged central nervous system. Science 359, 684–688 (2018). source
The main text (p. 1) reports myelin debris in phagocyte lysosomes and lipid-droplet-bearing foam cells in demyelinated old mice; the supplementary Fig. 3 caption (p. 6) identifies microglial cultures treated with myelin debris. Our copy does not report these observations in human iPS cell models, so it supports the mouse-model portion but not that extension. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [11] Nugent, A. A. et al. TREM2 regulates microglial cholesterol metabolism upon chronic phagocytic challenge. Neuron 105, 837–854 (2020). source
- cites [12] Tcw, J. et al. Cholesterol and matrisome pathways dysregulated in astrocytes and microglia. Cell 185, 2213–2233 (2022). source
The Results (‘Altered lipid metabolism in human APOE4 microglia and astrocytes’; page unavailable) report impaired cholesterol metabolism in human iPSC-derived microglia and predict lysosomal cholesterol accumulation. They do not establish cholesterol-rich lysosomes or lipid droplets in those microglia, or report those observations in demyelination mouse models. The measured increase in lysosomal cholesterol described in ‘Impaired cholesterol trafficking’ was in astrocytes. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Classified as probably not a substantial claim.
PremisecitationAutophagy is known to regulate lipid droplet concentrations.
“a mechanism which is known to regulate LD concentrations27–29”
Quote in the paperSubstantial claim2 of 3 sources checked- cites [27] Singh, R. et al. Autophagy regulates lipid metabolism. Nature 458, 1131–1135 (2009). source
- cites [28] Qiao, L. et al. Deficient chaperone-mediated autophagy promotes lipid accumulation in macrophage. J. Cardiovasc. Transl. Res. 14, 661–669 (2021). source
- cites [29] Zhou, H. et al. In vivo simultaneous transcriptional activation of multiple genes in the brain using CRISPR-dCas9-activator transgenic mice. Nat. Neurosci. 21, 440–446 (2018). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMouse LDAM have a dysfunctional and inflammatory microglial state.
“These results are similar to recent reports describing mouse LDAM that have a dysfunctional and inflammatory microglial state5.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [5] Marschallinger, J. et al. Lipid-droplet-accumulating microglia represent a dysfunctional and proinflammatory state in the aging brain. Nat. Neurosci. 23, 194–208 (2020). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationPI3 kinase inhibition is a known modulator of lipid droplets in mouse macrophages, but this has not been previously shown in human microglia.
“PI3 kinase inhibition is a known modulator of LDs in mouse macrophages26 but this has not been previously shown in human microglia.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [26] Pacheco, P. et al. Monocyte chemoattractant protein-1/CC chemokine ligand 2 controls microtubule-driven biogenesis and leukotriene B 4-synthesizing function of macrophage lipid bodies elicited by innate immune response. J. Immunol. 179, 8500–8508 (2007). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationLipid-laden foamy macrophages in atherosclerosis have a senescent phenotype and are drivers of pathology.
“lipid-laden ‘foamy macrophages’ in atherosclerosis which have a senescent phenotype and are drivers of pathology37.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [37] Childs, B. G. et al. Senescent intimal foam cells are deleterious at all stages of atherosclerosis. Science 354, 472–477 (2016). source
Classified as probably not a substantial claim.
Study design and conductcitationIsogenic APOE4/4 and APOE3/3 iPS cells were used.
“Isogenic APOE4/4 and APOE3/3 iPS cells were generated as previously described16.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [16] Wang, C. et al. Gain of toxic apolipoprotein E4 effects in human iPSC-derived neurons is ameliorated by a small-molecule structure corrector article. Nat. Med. 24, 647–657 (2018). source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationBBKNN was used to integrate data across samples and correct for potential sample-wise batch effects.
“We then used the Python implementation of BBKNN (v.1.5.1), a fast batch correction algorithm suitable for large datasets to integrate data across the samples45. BBKNN calculates a batch-corrected neighbourhood graph from the imputed principal components. We set the individual sample IDs as batch labels to correct for potential sample-wise batch effects.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [45] Polański, K. et al. BBKNN: fast batch alignment of single cell transcriptomes. Bioinformatics 36, 964–965 (2020). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAlpha-synuclein binding to TLR2 and TLR5 induces microglial NLRP3 inflammasome activation, which is a shared signature seen in LDAM.
“alpha-synuclein binding to TLR2 and TLR5 induces microglial NLRP3 inflammasome activation, which is a shared signature seen in LDAM36.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [36] Scheiblich, H. et al. Microglial NLRP3 inflammasome activation upon TLR2 and TLR5 ligation by distinct α-synuclein assemblies. J. Immunol. 207, 2143–2154 (2021). source
The Discussion (page not available) reports that α-synuclein monomers and oligomers act through TLR2 to prime the microglial NLRP3 inflammasome and through TLR5 to activate it. The paper does not identify this activation as a shared signature of LDAM; searches for LDAM and lipid-droplet-associated microglia found no supporting passage. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationRecent work shows deleterious effects of conditioned media on neurons from astrocytes and microglia.
“This approach takes inspiration from recent work showing the deleterious effects of conditioned media on neurons from astrocytes30 and microglia4.”
Quote in the paperNot a substantial claim2 of 2 sources checked- cites [30] Guttenplan, K. A. et al. Neurotoxic reactive astrocytes induce cell death via saturated lipids. Nature 599, 102–107 (2021). source
- cites [4] Victor, M. B. et al. Lipid accumulation induced by APOE4 impairs microglial surveillance of neuronal-network activity. Cell Stem Cell 29, 1197–1212 (2022). source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationDoublets were removed from snRNA-seq data using Scrublet with sample-specific thresholds.
“Count data were first screened for doublets with the Scrublet (v.0.2.3) Python package43. Once each cell was doublet scored, we applied a separate doublet score threshold per sample to discard doublets from the data.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [43] Wolock, S. L., Lopez, R. & Klein, A. M. Scrublet: computational identification of cell doublets in single-cell transcriptomic data. Cell Syst. 8, 281–291 (2019). source
May combine two claims.
Findingown dataAD-APOE4/4 brain tissue has the greatest percentage of LDAM, followed by AD-APOE3/3, with the least LDAM microglia state in age-matched control brain tissue.
“AD-APOE4/4 brain tissue has the greatest percentage of LDAM, followed by AD-APOE3/3 and the least amount of the LDAM microglia state is found in the aged-matched control brain tissue”
- Also stated in: § Discussion · plain
“We report that LDAM are more prevalent in AD brains compared to controls and enriched in individuals with the APOE4/4 genotype.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · plain
May combine two claims.
Findingown dataA genome-wide CRISPR-KO screen in U937 cells revealed regulators of triglyceride metabolism as a top category of genes required for lipid droplet accumulation and ACSL1 as one of the most significant genes required for lipid droplet formation.
“This screen revealed regulators of triglyceride metabolism as being a top category of genes required for LD accumulation and ACSL1 as one of the most significant genes required for LD formation”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn single-nucleus RNA sequencing of Alzheimer's disease brain tissue, a microglial state defined by expression of the lipid droplet-associated enzyme ACSL1 was identified, and ACSL1-positive microglia were most abundant in patients with Alzheimer's disease having the APOE4/4 genotype.
“Through single-nucleus RNA sequencing of brain tissue in Alzheimer’s disease, we have identified a microglial state defined by the expression of the lipid droplet-associated enzyme ACSL1 with ACSL1-positive microglia being most abundant in patients with Alzheimer’s disease having the APOE4/4 genotype.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataACSL1 was upregulated specifically in microglia in Alzheimer's disease brain tissue compared to controls, and to a greater extent in APOE4/4 compared to AD-APOE3/3 microglia.
“ACSL1 was upregulated specifically in microglia in AD brain tissue compared to controls and to a greater extent in APOE4/4 compared to AD-APOE3/3 microglia”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe number of lipid bodies is negatively correlated with cognitive performance as measured by the mini-mental state exam and positively correlated with amyloid-β plaque amounts and Tau pathology levels.
“The number of lipid bodies is negatively correlated with cognitive performance, as measured by the mini-mental state exam (MMSE) and positively correlated with Aβ plaque amounts and Tau pathology levels”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataTreatment of iMG with fibrillar Aβ led to a strong increase in lipid droplet accumulation, which was exacerbated by the presence of the APOE4 Alzheimer's disease risk allele.
“However, treatment of iMG with fibrillar Aβ (fAβ) led to a strong increase in LD accumulation which was exacerbated by the presence of the APOE4 AD-risk allele.”
- Also stated in: § Discussion · plain
“We also describe the induction of triglyceride synthesis and LD accumulation following fAβ treatment in iMG and that the LD induction is greater in isogenic APOE4/4 iMG than APOE3/3 iMG.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · plain
May combine two claims.
Findingown dataLipid bodies are most prevalent in Alzheimer's disease brain tissue, with a slight but not significant increase in AD-APOE4/4 compared to AD-APOE3/3.
“These lipid bodies are most prevalent in AD brain tissue with a slight but not significant increase in individuals with AD-APOE4/4 compared to those with AD-APOE3/3”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Findingown dataSingle-nucleus RNA sequencing yielded approximately 100,000 single-nucleus transcriptomes with all main cell types of the brain represented.
“This yielded ~100,000 single-nucleus transcriptomes with all main cell types of the brain represented”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown data13C-labelled TAG lipids synthesized in microglia were observed in mouse neurons treated with conditioned media from BV2s grown in 13C-labelled glucose, but this was not robustly detected across several replicates.
“13C-labelled TAG lipids synthesized in microglia were also observed in mouse neurons treated with conditioned media from BV2s grown in 13C-labelled glucose, however, this was not robustly detected across several replicates perhaps due to the low isotopic enrichment of these lipids”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenThe LDAM expression signature, such as ACSL1 and NAMPT upregulation, is unique to microglia.
“the LDAM expression signature, such as ACSL1 and NAMPT upregulation, seems to be unique to microglia.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPhenotypic measurements indicate that LD-containing APOE4/4 iMGs are dysfunctional in phagocytosis, accumulate lysosomes, and secrete inflammation-associated chemokines.
“In accordance with these RNA-seq results, phenotypic measurements of LD-containing APOE4/4 iMGs indicate that they are dysfunctional in phagocytosis, accumulate lysosomes and secrete inflammation-associated chemokines as measured in the cell culture media”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataRNA-seq indicated that LD-high microglia had higher expression of NF-κB-associated pro-inflammatory cytokines, for example TNFA and IL1B, and lower expression of microglial homeostasis markers compared to LD-low microglia.
“RNA-seq results indicated that LD-high microglia had higher expression of NF-κB associated pro-inflammatory cytokines (for example, TNFA and IL1B) and lower expression of microglial homeostasis markers compared to LD-low microglia”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataOn GNE-317 treatment, genes in the PI3K/mTOR and autophagy pathways changed expression and LC3B protein levels increased.
“On GNE-317 treatment, genes in the PI3K/mTOR and autophagy pathways exhibit changes in expression and we also observed an increase in LC3B protein levels”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataConditioned media from APOE3/3 and APOE4/4 iMGs with higher concentrations of lipid droplets induced caspase activation in human neurons, whereas conditioned media from APOE-KO iMG had no effect.
“Likewise, conditioned media from APOE3/3 and APOE4/4 iMGs with a higher concentrations of LDs induced caspase activation in human neurons, whereas conditioned media from APOE-KO iMG had no effect”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataOnly LD-high iMG-conditioned media induced high concentrations of phosphorylated Tau in iPS cell-derived neurons, whereas LD-low iMG-conditioned media induced phosphorylated Tau concentrations similar to the untreated condition.
“Only the LD-high iMG-conditioned media induced high concentrations of pTau in the iPS cell-derived neurons, whereas the LD-low iMG-conditioned media induced similar concentrations of pTau in the iPS cell-derived neurons as the untreated condition”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe phosphorylated Tau induction effect was similar with conditioned media from APOE3/3 and APOE4/4 iPS cell-derived iMG but absent with conditioned media from APOE-KO iMGs.
“This effect was similar when conditioned media from APOE3/3 and APOE4/4 iPS cell-derived iMG were used to treat the human neurons but absent when conditioned media from APOE-KO iMGs were used”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe second top hit from the CRISPR-KO screen was S100A1.
“Interestingly, the second top hit was S100A1, an AD risk gene downstream of the LPS and TLR4 response in macrophages.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationLipid droplets have antimicrobial properties and are an evolutionarily conserved form of innate immune defence in macrophages.
“LDs themselves have antimicrobial properties and are an evolutionarily conserved form of innate immune defence in macrophages8.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [8] Bosch, M. et al. Mammalian lipid droplets are innate immune hubs integrating cell metabolism and host defense. Science 370, eaay8085 (2020). source
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningCells containing lipid bodies near plaques could be ACSL1+ microglia.
“suggesting that the cells containing lipid bodies near plaques could be ACSL1+ microglia.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationACSL1 is a key enzyme in lipid droplet biogenesis, and its overexpression is sufficient to induce triglyceride-specific lipid droplet formation in several cell types.
“ACSL1 is a key enzyme in LD biogenesis and overexpression of ACSL1 is sufficient to induce triglyceride-specific LD formation in several cell types13,14”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [13] Li, L. O. et al. Overexpression of rat long chain acyl-coa synthetase 1 alters fatty acid metabolism in rat primary hepatocytes. J. Biol. Chem. 281, 37246–37255 (2006). source
- cites [14] Zhao, Z. et al. Effects of overexpression of ACSL1 gene on the synthesis of unsaturated fatty acids in adipocytes of bovine. Arch. Biochem. Biophys. 695, 108648 (2020). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataCells with fewer than 500 genes, fewer than 1,000 reads, more than 10% mitochondrial reads, or more than 10% ribosomal reads were discarded.
“We used the Scanpy (v.1.9.1) package to discard cells with (1) fewer than 500 genes or (2) less than total 1,000 reads or (3) more than 10% mitochondrial reads or (4) more than 10% ribosomal reads.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductcitationMicroglia were subsampled with purification to conduct unbiased single-cell level downstream analysis not biased towards any patient samples.
“To conduct unbiased single-cell level downstream analysis of the microglial cells which is not biased towards any of the patient samples, first we subsampled the microglia cluster with purification50.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [50] Palovics, R., Wyss-Coray, T. & Mirzasoleiman, B. Purification of single-cell transcriptomics data with coreset selection. In The 2022 ICML Workshop on Computational Biology Paper 67 (ICML, 2022).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenIrreproducible discovery rate (IDR) was used to test for reproducibility between ATAC-seq replicates.
“Irreproducible discovery rate (IDR) was used to test for reproducibility between replicates.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe iMG CRISPR-Cas9 screens were performed in duplicate culture conditions.
“In duplicate culture conditions, cells were treated with 5 μM Aβ fibrils for 24 h, stained with BODIPY 493/503 (1:2,000 from 1 mg ml−1 of stock solution in DMSO; Thermo Fisher) and top 10% highest and 10% lowest BODIPY fluorescent cells were separated by FACS (Sony, MA900).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationHyperactive neurons can release APOE-associated fatty acids that are taken up by astrocytes and buffer lipotoxic stress.
“cell culture models have demonstrated that hyperactive neurons can release APOE-associated fatty acids which are taken up by astrocytes and buffer lipotoxic stress35.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [35] Ioannou, M. S. et al. Neuron–astrocyte metabolic coupling protects against activity-induced fatty acid toxicity. Cell 177, 1522–1535 (2019). source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenCells were identified by thresholding with the Triangle method.
“Cells were identified by thresholding with the Triangle method.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataATAC-seq experiments were performed in replicate.
“ATAC-seq experiments were performed in replicate and peaks were called with parameters -L 0 -C 0 -fdr 0.9 -minDist 200 -size 200.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationInnate immune triggers (e.g., Escherichia coli and Salmonella) induce lipid droplet formation in peripheral macrophages as part of an evolutionarily conserved antimicrobial defence in which LDs coated with antimicrobial proteins such as cathelicidin (CAMP) kill bacteria.
“A recent report showed that innate immune triggers (for example, Escherichia coli and Salmonella) induce LD formation in peripheral macrophages as part of an evolutionarily conserved antimicrobial defence in which LDs coated with antimicrobial proteins, such as cathelicidin (CAMP), kill bacteria8.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [8] Bosch, M. et al. Mammalian lipid droplets are innate immune hubs integrating cell metabolism and host defense. Science 370, eaay8085 (2020). source
Classified as probably not a substantial claim.
Study design and conductcitationP values were corrected with the Benjamini-Hochberg procedure (FDR = 0.05) per comparison.
“P values were corrected with Benjamini–Hochberg procedure49 (false discovery rate (FDR) = 0.05) per comparison.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [49] Benjamini, Y. & Hochberg, Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J. R. Stat. Soc. B 57, 289–300 (1995). source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe genome-wide lipid droplet CRISPR-Cas9 screens in U937 cells were performed in duplicate.
“Screens were performed in duplicate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEnhancing autophagy has previously been explored as a strategy to modulate neurodegeneration disease progression but with a focus on autophagic degradation of proteins, as opposed to autophagic degradation of intracellular LDs (lipophagy).
“Enhancing autophagy has previously been explored as a strategy to modulate neurodegeneration disease progression but with a focus on autophagic degradation of proteins41, as opposed to the autophagic degradation of intracellular LDs (lipophagy).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [41] Heras-Sandoval, D., Pérez-Rojas, J. M., Hernández-Damián, J. & Pedraza-Chaverri, J. The role of PI3K/AKT/mTOR pathway in the modulation of autophagy and the clearance of protein aggregates in neurodegeneration. Cell. Signal. 26, 2694–2701 (2014). source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThese experiments do not conclusively demonstrate increased autophagic flux of lipids in this context.
“these experiments do not conclusively demonstrate that there is increased autophagic flux of lipids in this context”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningAPOE genotype likely contributes to AD pathogenesis through several distinct mechanisms unique to individual cell-type dysfunction or through crosstalk between these cell types.
“It is likely that the APOE genotype contributes to AD pathogenesis through several distinct mechanisms unique to individual cell-type dysfunction or through crosstalk between these cell types.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAll assays were performed under serum-free conditions.
“All assays were performed under serum-free conditions (MGdM media).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFor all image analyses, a standard threshold value was chosen and automatically applied to each channel of each image before measurement.
“For all image analyses, a standard threshold value was chosen and automatically applied to each channel of each image before measurement.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenIn single-cell differential gene expression analysis, gender, expired age, postmortem interval, and percentage of mitochondrial and ribosomal counts were set as covariates.
“We set gender, expired age, postmortem interval and the percentage of mitochondrial and ribosomal counts as covariates.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductnone givenIntracellular lipid features were quantified using the '3D Objects Counter' command.
“Intracellular lipid features were quantified using the ‘3D Objects Counter’ command.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCAMP is found on lipid droplet surfaces with antimicrobial properties in macrophages exposed to bacteria.
“which is found on LD surfaces with antimicrobial properties in macrophages exposed to bacteria8.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [8] Bosch, M. et al. Mammalian lipid droplets are innate immune hubs integrating cell metabolism and host defense. Science 370, eaay8085 (2020). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenCARS stacks underwent east shadows correction, Gaussian blur filtering, and background subtraction.
“The CARS stacks underwent east shadows correction, Gaussian blur filtering (σ = 1) and background subtraction (30 pixel rolling ball radius).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductown dataLipid particles were identified by thresholding using FindFoci with specified parameters.
“Lipid particles were identified by thresholding using the FindFoci method, with a search parameter for half peak value of 0.1, peak parameter for minimum peak height relative to background of 0 and a minimum peak size of 200 pixels.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFor each time point, red and green fluorescence was normalized to phase confluence per well.
“For each time point, red and green fluorescence was normalized to the phase confluence per well.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationPI3K inhibition increases autophagy.
“PI3K inhibition, shown to increase autophagy38.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [38] Ersahin, T., Tuncbag, N. & Cetin-Atalay, R. The PI3K/AKT/mTOR interactive pathway. Mol. Biosyst. 11, 1946–1954 (2015). source
The paper relies on this without support.
The relationship between lipid metabolism in glia and Alzheimer’s disease pathology remains poorly understood.
“However, the relationship between lipid metabolism in glia and Alzheimer’s disease pathology remains poorly understood.”
The paper relies on this without support.
The role lipids and innate immunity play in Alzheimer’s disease risk remains poorly understood.
“However, the role lipids and innate immunity play in AD risk remains poorly understood.”
The paper relies on this without support.
Human induced pluripotent stem cell-derived microglia and neurons are valid models of human Alzheimer’s disease microglia and neurons.
“APOE4/4 and isogenic APOE3/3 iPS cells16 were differentiated into microglia (iMG) as previously described17–19”
The paper relies on this without support.
The LDAM state is maladaptive and damaging.
“maladaptive and damaging LDAM state”
The paper relies on this without support.
The iPS cell-derived microglia model recapitulates key aspects of human microglial biology relevant to LDAM.
“Differentiation into microglia was performed as previously described17–19.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
APOE4-associated glial LD accumulation modulates neuron function and brain memory.
“and the APOE4-associated glial LD accumulation modulates neuron function and brain memory17–19.”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
The ‘ACSL1 and triglycerides increase after fAβ challenge’ section reports greater lipid-droplet accumulation in APOE4/4 microglia. The ‘LD+ iMG induce pTau and apoptosis in neurons’ section reports that conditioned media from lipid-droplet-high microglia induced Tau phosphorylation and caspase activation in cultured neurons, supporting an effect on neurons. Our copy does not report an effect on brain memory; the neuronal effects were also observed with APOE3/3 microglia, so they are not shown to be unique to APOE4. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPI3K-AKT signaling is a key regulator of lipid metabolism, and PI3K inhibitors block the accumulation of LDs in numerous studies and study models.
“PI3K-AKT signaling is another key regulator of lipid metabolism, and PI3K inhibitors have been shown to efficiently block the accumulation of LDs in numerous studies and in several study models [9, 64, 65].”
From The protective PLCγ2-P522R variant mitigates Alzheimer’s disease-associated pathologies by enhancing beneficial microglial functions (2025) · cites this paper as [9]
In “ACSL1 and triglycerides increase after fAβ challenge” (page unavailable), the paper reports that PI3K inhibitor GNE-317 dramatically reduced lipid-droplet formation in APOE4/4 human microglia exposed to fibrillar Aβ; it also describes PI3K inhibition as a known modulator of lipid droplets in mouse macrophages. These passages support a role for PI3K in lipid metabolism and an inhibitor effect in this model, but do not establish the broader claim that PI3K inhibitors efficiently block accumulation across numerous studies and several models, or specifically establish AKT’s role. (LLM, conf=0.85)
Experimental — accuracy not yet measuredAPOE4 expression in human iMG induces secretion of lipids, which promotes tau phosphorylation in neurons.
“APOE4 expression in human iMG was shown to induce secretion of lipids, which promoted tau phosphorylation in neurons63.”
From Decreased lipidated ApoE‐receptor interactions confer protection against pathogenicity of ApoE and its lipid cargoes in lysosomes (2025) · cites this paper as [63]
The ‘LD+ iMG induce pTau and apoptosis in neurons’ section reports that conditioned media from lipid-high APOE4/4 human iMG induced neuronal Tau phosphorylation. But APOE3/3 iMG media had a similar effect, and the Discussion describes lipid transfer from microglia to neurons as a hypothesis, not an established cause of the phosphorylation. Page numbers are unavailable in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredBoth studies identified homeostatic, proliferative and lipid-associated types, and one other subtype with no functional data or tissue localization information.
“Also, both studies identified homeostatic, proliferative and lipid-associated types60 (micro-PVM_4 in SEA-AD and Mic.6 and Mic.15 in ref. 13), and one other subtype with no functional data or tissue localization information.”
From Integrated multimodal cell atlas of Alzheimer’s disease (2024) · cites this paper as [60]
The ‘Lipid-associated ACSL1+ microglia in AD’ section (Fig. 1g–k; page unavailable) identifies homeostatic and lipid-associated microglial states. The passages do not identify a proliferative type or establish the claimed additional subtype without functional or tissue-localization information. (LLM, conf=0.84)
Experimental — accuracy not yet measuredBODIPY 493/503 detects lipid droplets consisting of neutral lipids.
“BODIPY 493/503, a dye that detects LDs consisting of neutral lipids34,36”
From INPP5D/SHIP1 regulates endo-lysosomal function and cargo-selective phagocytosis in human microglia (2025) · cites this paper as [36]
Lower PICALM expression was found in disease-associated MGs (DAMs) and LD-accumulating MGs (LDAMs) versus homeostatic MGs (P = 0.016).
“Moreover, by recapitulating snRNA-seq analysis of AD brain MG states19, we found lower PICALM expression in disease-associated MGs (DAMs) and LD-accumulating MGs (LDAMs) (versus homeostatic MGs) (P = 0.016) (Extended Data Fig. 4c).”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
The results align with previously reported TG increases in LDAMs and APOE4-associated LDs.
“Our results align with previously reported TG increases in LDAMs10 and APOE4-associated LDs19, further supporting our observed PICALM-risk-allele-associated LD accumulation in iMGs.”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
Treating iMGs with triacsin C effectively decreased BODIPY-labelled LDs.
“Treating iMGs with triacsin C (TrC), an inhibitor of long-chain acyl-CoA synthetase that reduces LD formation10,18,19,39,40, effectively decreased BODIPY-labelled LDs (Extended Data Fig. 7e–i).”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
The APOE4 allele was recently found to induce LD accumulation in MGs and impair neuronal function.
“given that the APOE4 allele was recently found to induce LD accumulation in MGs and impair neuronal function18,19”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
Our findings with PICALM further strengthen the notion of a causal role of LDs in mediating LOAD genetic risk factors.
“Nonetheless, given that the APOE4 allele was recently found to induce LD accumulation in MGs and impair neuronal function18,19, our findings with PICALM further strengthen the notion of a causal role of LDs in mediating LOAD genetic risk factors, providing potential mechanistic targets for AD treatments.”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
Human induced pluripotent stem cell-derived microglia accumulate lipid droplets upon Aβ exposure in an APOE-dependent manner.
“Human induced pluripotent stem cell-derived microglia were also shown to accumulate LDs upon Aβ exposure in an APOE-dependent manner.64”
From Amyloid-β induces lipid droplet-mediated microglial dysfunction via the enzyme DGAT2 in Alzheimer’s disease (2025) · cites this paper as [64]
APOE4 has been linked to detrimental effects on lipid droplets in AD microglia through ACSL1.
“APOE4 has been linked to detrimental effects on lipid droplets in AD microglia through ACSL1.73”
From Microglial APOE3 Christchurch protects neurons from Tau pathology in a human iPSC-based model of Alzheimer’s disease (2024) · cites this paper as [73]
APOE has an isoform-specific impact on lipid droplet accumulation in astrocytes, neurons and microglia.
“Work both in vitro and in vivo has highlighted an APOE isoform-specific impact on lipid droplet accumulation in astrocytes146, neurons177 and microglia178.”
From Multifaceted roles of APOE in Alzheimer disease (2024) · cites this paper as [178]
In vitro studies show APOE genetic variation can alter cellular metabolic profiles in distinct cell types including astrocytes, microglia, and neurons.
“Studies performed in vitro have shown that APOE genetic variation can alter cellular metabolic profiles in distinct cell types including astrocytes, microglia, and neurons [27][28][29][30] .”
From APOE4-drives brain bioenergetic shifts independent of Alzheimer’s disease pathology (2026) · cites this paper as [28]
Microglia from APOE4 mouse models, as well as human microglia from post-mortem brain tissue in AD and APOE4 carriers, exhibit lipid dysregulation and upregulation of neutral lipid storage.
“Microglia from APOE4 mouse models, as well as human microglia from post-mortem brain tissue in AD and APOE4 carriers, exhibit lipid dysregulation and upregulation of neutral lipid storage17,27–29.”
From APOE genotypes differentially remodel the astrocytic lipid droplet proteome to shape lipid droplet dynamics (2026) · cites this paper as [17]
Altered lipid droplet biology has been linked to both brain aging and neurodegenerative diseases.
“Altered lipid droplet biology has been linked to both brain aging and neurodegenerative diseases10–24.”
From APOE genotypes differentially remodel the astrocytic lipid droplet proteome to shape lipid droplet dynamics (2026) · cites this paper as [17]
Various studies have shown that lipid droplets influence intercellular communication.
“Various studies have shown that lipid droplets influence intercellular communication13,17,61.”
From APOE genotypes differentially remodel the astrocytic lipid droplet proteome to shape lipid droplet dynamics (2026) · cites this paper as [17]
Many LOAD risk-associated genes, such as APOE4, TREM2, and PICALM, have been implicated in regulating microglial immunity and lipid metabolism.
“Many LOAD risk‐associated genes, such as Apolipoprotein E4 (APOE4), 9 , 10 Triggering receptor expressed on myeloid cells 2 (TREM2), 11 and Phosphatidylinositol‑binding clathrin assembly protein (PICALM), 12 have been implicated in regulating microglial immunity and lipid metabolism, 13”
From Aberrant phase separation from a rare <i>ABI3</i> mutation drives microglial dysfunction and Alzheimer's risk (2026) · cites this paper as [10]
There is a reported genetic interaction between the PICALM risk-allele and APOE4.
“Given the reported genetic interaction between the PICALM risk-allele and APOE419,58, it will be interesting to empirically examine possible epistasis between these two AD risk factors.”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
The section on ACSL1 and triglycerides after fAβ challenge reports APOE4-dependent lipid-droplet accumulation, not a genetic interaction with PICALM. A search of our copy for “PICALM” found no passage addressing that interaction. (LLM, conf=0.75)
Experimental — accuracy not yet measuredPICALM expression is lower in DAM and LDAM microglial cell clusters than in other microglial states.
“Note lower PICALM expression in DAM and LDAM cell clusters.”
From PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia (2025) · cites this paper as [19]
The ‘Lipid-associated ACSL1+ microglia in AD’ section distinguishes DAM and LDAM clusters, but does not report PICALM expression in either cluster. A search of our copy for ‘PICALM’ found no passage establishing the claimed comparison; page numbers were not available. (LLM, conf=0.73)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
ATAC-seq sequencing is labelled both single-end and paired-end
MinorThe method says the libraries were sequenced single-end, while "PE100" denotes paired-end 100-base sequencing.
“single-end sequenced for 100 cycles”
“(PE100) on an Illumina NovaSeq 6000.”
Glucose tracer is described as deuterated but specified as 13C-labelled
MinorThe text calls the glucose tracer deuterated, but the specified U-13C6 glucose is labelled with carbon-13, not deuterium.
“BV2 microglia were grown with deuterated glucose (d-glucose) (Fig. 3j).”
“replacing glucose with 10 mM d-glucose (U-13C6, Cambridge isotope laboratories CLM-1396-PK)”
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Self-citationLipid accumulation induced by APOE4 impairs microglial surveillance of neuronal-network activity
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“Whereas recent studies have focused on the role of APOE in astrocytes 31 , endothelial cells 32 , neurons 33 and oligodendrocytes 34 , the LDAM expression signature, such as ACSL1 and NAMPT upregulation, seems to be unique to microglia.”
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“of innate immune receptors such as TLR4 in microglia suppresses autophagy 39 and this mechanism has been shown to increase LD concentrations in microglia 40 .”
CLN3 is required for the clearance of glycerophosphodiesters from lysosomes
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Self-citationToll-like Receptor Agonists Promote Prolonged Triglyceride Storage in Macrophages
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“is sufficient to induce triglyceride-specific LD formation in several cell types 13,14 (Fig.”
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“Mirroring these observations in the human AD tissue, there are more LD + microglia in the J20/ APOE3 and J20/ APOE4 models of AD 15 compared to age-matched wild-type mice (Fig.”
Self-citationIsolation and Culture of Microglia
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Deficient Chaperone-Mediated Autophagy Promotes Lipid Accumulation in Macrophage
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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 · see citing works
“Phosphatidylinositol-binding clathrin assembly protein (PICALM) and homozygosity for the APOEε4 allele are also linked to microglial lipid droplet formation in AD 282,283 and raised total cholesterol levels 284 that, in turn, cause problems in neurons 285 .”
Self-citationAlzheimer’s disease: insights into pathology, molecular mechanisms, and therapy
Zheng, Q., & Wang, X. (2024) · Protein & Cell · doi:10.1093/procel/pwae026 · Cited by 454 · see citing works
Integrated multimodal cell atlas of Alzheimer’s disease
Gabitto, M. I., Travaglini, K. J., Rachleff, V. M., Kaplan, E. S., Long, B., Ariza, J., Ding, Y., Mahoney, J. T., Dee, N., Goldy, J., et al. (2024) · Nature Neuroscience · doi:10.1038/s41593-024-01774-5 · Cited by 397 · see citing works
Updates in Alzheimer's disease: from basic research to diagnosis and therapies
Liu, E., Zhang, Y., & Wang, J. (2024) · Translational Neurodegeneration · doi:10.1186/s40035-024-00432-x · Cited by 220 · see citing works
“Lipid accumulation induced by APOE4 impairs microglial surveillance of neuronal-net-work activity [76], and Aβ induces lipid droplet accumulation, tau phosphorylation and neurotoxicity in an APOE4-dependent manner [77].”
BackgroundMultifaceted roles of APOE in Alzheimer disease
Jackson, R. J., Hyman, B. T., & Serrano-Pozo, A. (2024) · Nature Reviews Neurology · doi:10.1038/s41582-024-00988-2 · Cited by 193 · see citing works
“Work both in vitro and in vivo has highlighted an APOE isoform-specific impact on lipid droplet accumulation in astrocytes 146 , neurons 177 and microglia 178 .”
Microglial lipid droplet accumulation in tauopathy brain is regulated by neuronal AMPK
Li, Y., Munoz-Mayorga, D., Nie, Y., Kang, N., Tao, Y., Lagerwall, J., Pernaci, C., Curtin, G., Coufal, N. G., Mertens, J., et al. (2024) · Cell Metabolism · doi:10.1016/j.cmet.2024.03.014 · Cited by 160 · see citing works
The Glutamate/ GABA ‐Glutamine Cycle: Insights, Updates, and Advances
Andersen, J. V. (2025) · Journal of Neurochemistry · doi:10.1111/jnc.70029 · Cited by 156 · see citing works
“In this regard, microglia may also accumulate lipid droplets (Marschallinger et al. 2020) and APOE4 leads to harmful microglial lipid drop build-up in Alzheimer's disease (Haney et al. 2024).”
Senescent glia link mitochondrial dysfunction and lipid accumulation
Byrns, C. N., Perlegos, A. E., Miller, K. N., Jin, Z., Carranza, F. R., Manchandra, P., Beveridge, C. H., Randolph, C. E., Chaluvadi, V. S., Zhang, S., et al. (2024) · Nature · doi:10.1038/s41586-024-07516-8 · Cited by 141 · see citing works
“…proteins that make and store free fatty acids (FFAs) as triacylglycerides (TAGs) in LDs. LDs have been increasingly implicated in mammalian brain ageing and disease; they accumulate with age 42 , LD-laden glia promote pathology 43 and variants in lipid-related genes confer disease risk 44 .”
Microglial activation states and their implications for Alzheimer's Disease
Valiukas, Z., Tangalakis, K., Apostolopoulos, V., & Feehan, J. (2025) · The Journal of Prevention of Alzheimer s Disease · doi:10.1016/j.tjpad.2024.100013 · Cited by 155 · see citing works
Lithium deficiency and the onset of Alzheimer’s disease
Aron, L., Ngian, Z., Qiu, C., Choi, J., Liang, M., Drake, D., Hamplova, S. E., Lacey, E. K., Roche, P., Yuan, M., et al. (2025) · Nature · doi:10.1038/s41586-025-09335-x · Cited by 140 · see citing works
Wu, W., Gong, X.-X., Qin, Z.-H., & Wāng, Y. (2025) · Acta Pharmacologica Sinica · doi:10.1038/s41401-025-01576-w · Cited by 127 · see citing works
Decoding microglial immunometabolism: a new frontier in Alzheimer's disease research
Jung, E. S., Choi, H., & Mook-Jung, I. (2025) · Molecular Neurodegeneration · doi:10.1186/s13024-025-00825-0 · Cited by 124 · see citing works
Prakash, P., Manchanda, P., Paouri, E., Bisht, K., Sharma, K., Rajpoot, J., Wendt, V., Hossain, A., Wijewardhane, P. R., Randolph, C. E., et al. (2025) · Immunity · doi:10.1016/j.immuni.2025.04.029 · Cited by 104 · see citing works
Plasma proteomics links brain and immune system aging with healthspan and longevity
Oh, H. S., Guen, Y. L., Rappoport, N., Urey, D. Y., Farinas, A., Rutledge, J., Channappa, D., Wagner, A. D., Mormino, E. C., Brunet, A., et al. (2025) · Nature Medicine · doi:10.1038/s41591-025-03798-1 · Cited by 138 · see citing works
“We then sought to determine which cell types these proteins were likely derived from by analyzing public human brain single-cell RNA sequencing data 23 (Extended Data Fig.”
Self-citationVersatile organic fluorescent probes for visualizing the dynamics of lipid droplets
Cao, M., Liu, Y., Xiang, C., Zheng, G., Xiong, Q., & Niu, G. (2024) · Coordination Chemistry Reviews · doi:10.1016/j.ccr.2024.216181 · Cited by 99 · see citing works
APOE traffics to astrocyte lipid droplets and modulates triglyceride saturation and droplet size
Windham, I. A., Powers, A. E., Ragusa, J. V., Wallace, E. D., Zanellati, M. C., Williams, V. H., Wagner, C. H., White, K. K., & Cohen, S. (2024) · Journal of Cell Biology · doi:10.1083/jcb.202305003 · Cited by 96 · see citing works
Guo, J. L., Braun, D., Fitzgerald, G. A., Hsieh, Y.-T., Rougé, L., Litvinchuk, A., Steffek, M., Propson, N. E., Heffner, C. M., Discenza, C., et al. (2025) · Cell · doi:10.1016/j.cell.2024.10.027 · Cited by 91 · see citing works
“63 CE, the main transport and storage form of cholesterol, is of particular interest as a candidate disease-relevant ApoE cargo, based on its upregulation in AD patient brain and various AD models, along with the fact that its downregulation is protective in various AD models.”
Fueling neurodegeneration: metabolic insights into microglia functions
Sadeghdoust, M., Das, A., & Kaushik, D. K. (2024) · Journal of Neuroinflammation · doi:10.1186/s12974-024-03296-0 · Cited by 101 · see citing works
Lipid Droplet–Mitochondria Contacts in Health and Disease
Fan, H., & Tan, Y. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25136878 · Cited by 90 · see citing works
“Acyl-CoA Synthetase Long-Chain Family Member 1 (ACSL1): ACSL enzymes regulate lipid metabolism, including fatty acid elongation, oxidative catabolism, phospholipoge-nesis, and protein acylation [52].”
BackgroundMüller, L., Benedetto, S. D., & Müller, V. (2025) · Cells · doi:10.3390/cells14010054 · Cited by 98 · see citing works
Pathological mechanisms and treatment progression of Alzheimer’s disease
Zhang, J., Kong, G., Yang, J., Pang, L., & Li, X. (2025) · European journal of medical research · doi:10.1186/s40001-025-02886-9 · Cited by 94 · see citing works
Lipid metabolism, remodelling and intercellular transfer in the CNS
Vanherle, S., Loix, M., Miron, V. E., Hendriks, J. J. A., & Bogie, J. F. J. (2025) · Nature reviews. Neuroscience · doi:10.1038/s41583-025-00908-3 · Cited by 90 · see citing works
Neuroimmune crosstalk in chronic neuroinflammation: microglial interactions and immune modulation
Müller, L., & Benedetto, S. D. (2025) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2025.1575022 · Cited by 90 · see citing works
“Depending on the context, DAM can play both protective and potentially harmful roles (Chen et al., 2024; Dias and Socodato, 2025; Gratuze et al., 2023; Haney et al., 2024; Hou et al., 2022; Paolicelli et al., 2022).”
Microglia transcriptional states and their functional significance: Context drives diversity
Depp, C., Doman, J. L., Hingerl, M., Xia, J., & Stevens, B. (2025) · Immunity · doi:10.1016/j.immuni.2025.04.009 · Cited by 81 · see citing works
Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications
Abdukarimov, N., Kokabi, K., & Kunz, J. (2025) · Antioxidants · doi:10.3390/antiox14050527 · Cited by 83 · see citing works
Noh, M., Kwon, H. S., Kwon, M., Nahm, M., Jin, H. K., Bae, J., & Kim, S. H. (2025) · Molecular Neurodegeneration · doi:10.1186/s13024-025-00867-4 · Cited by 84 · see citing works
“Recently, single-nucleus RNA sequencing studies have identified an enrichment of LD-rich microglia in ApoE 4/4 AD brains [153], linking ApoE, particularly the ApoE4 isoform, to the alteration of microglial metabolism by disrupting multiple metabolic pathways, leading to impaired immune responses…”
Metabolic reprogramming in ischemic stroke: when glycolytic overdrive meets lipid storm
Wang, Y., Ge, M., Wang, J., Xu, Y., Wang, N., & Xu, S. (2025) · Cell Death and Disease · doi:10.1038/s41419-025-08114-w · Cited by 75 · see citing works
“Consequently, metformin was withheld due to the risk of lactic acidosis, and ketogenic therapy was avoided, given APOE4-associated lipid sensitivity [120, 132].”
Self-citationMetabolic Crosstalk between Liver and Brain: From Diseases to Mechanisms
Yang, X., Qiu, K., Jiang, Y., Huang, Y., Zhang, Y., & Liao, Y. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25147621 · Cited by 69 · see citing works
“ApoE mRNA expression in the brain is 1/3 of that in the liver, and astrocytes are the main synthesis sites [31].”
BackgroundSelf-citationTau is required for glial lipid droplet formation and resistance to neuronal oxidative stress
Goodman, L. D., Ralhan, I., Li, X., Lu, S., Moulton, M. J., Park, Y.-J., Zhao, P., Kanca, O., Taleghani, Z. S. G., Jacquemyn, J., et al. (2024) · Nature Neuroscience · doi:10.1038/s41593-024-01740-1 · Cited by 67 · see citing works
He, S., Xu, Z., & Han, X. (2025) · Molecular Neurodegeneration · doi:10.1186/s13024-025-00803-6 · Cited by 62 · see citing works
Dual-target inhibitors based on acetylcholinesterase: Novel agents for Alzheimer's disease
Zhao, X., Hu, Q., Wang, X., Li, C., Chen, X., Zhao, D. H., Qiu, Y., Xu, H., Wang, J., Ren, L., et al. (2024) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2024.116810 · Cited by 56 · see citing works
PICALM Alzheimer’s risk allele causes aberrant lipid droplets in microglia
Kozlova, A., Zhang, S., Sudwarts, A., Zhang, H., Smirnou, S., Byeon, S. K., Thapa, C., Sun, X., Stephenson, K., Zhao, X., et al. (2025) · Nature · doi:10.1038/s41586-025-09486-x · Cited by 53 · see citing works
Zhang, G., Song, C., Yin, M., Liu, L., Zhang, Y., Li, Y., Zhang, J., Guo, M., & Li, C. (2025) · Nature Communications · doi:10.1038/s41467-025-58921-0 · Cited by 55 · see citing works
“TRAPT was a useful instrument for exploring and understanding the functions of key TRs in human physiological processes.”
sc2GWAS: a comprehensive platform linking single cell and GWAS traits of human
Yin, M., Feng, C., Yu, Z., Zhang, Y., Li, Y., Wang, X., Song, C., Guo, M., & Li, C. (2025) · Nucleic Acids Research · doi:10.1093/nar/gkae1008 · Cited by 51 · see citing works
“This conclusion has also been supported by previous studies, which have highlighted the significant regulatory role of microglial cells in the progression of Alzheimer’s disease ( 13 ,49–51 ).”
Triglyceride metabolism controls inflammation and microglial phenotypes associated with APOE4
Stephenson, R. A., Sepulveda, J., Johnson, K. R., Lita, A., Gopalakrishnan, J., Acri, D. J., Beilina, A., Cheng, L., Yang, L. G., Root, J. T., et al. (2025) · Cell Reports · doi:10.1016/j.celrep.2025.115961 · Cited by 55 · see citing works
“19,20,25,26 Lipid droplet accumulation in microglia due to exposure to amyloid-beta aggregates or the APOE4 genotype can cause downstream effects on neuronal calcium signaling and neuronal tau phosphorylation.”
InfluentialWu, W., Zhao, Y., Cheng, X. R., Xie, X., Zeng, Y., Tao, Q., Yang, Y., Xiao, C., Zhang, Z., Pang, J., et al. (2025) · Nature Communications · doi:10.1038/s41467-024-55678-w · Cited by 53 · see citing works
Alzheimer’s disease pathogenesis: standing at the crossroad of lipid metabolism and immune response
Wang, Z., Zhang, L., & Qin, C. (2025) · Molecular Neurodegeneration · doi:10.1186/s13024-025-00857-6 · Cited by 54 · see citing works
Cerasuolo, M., Di Meo, I., Auriemma, M. C., Paolisso, G., Papa, M., & Rizzo, M. R. (2024) · Biomolecules · doi:10.3390/biom14111362 · Cited by 47 · see citing works
Biomarkers of ageing of humans and non-human primates
Wu, Z., Qu, J. T., Zhang, W., Bao, Z., Bi, Y., Cai, J.-P., Cai, S.-Q., Cao, C.-M., Cao, F., Cao, Z., et al. (2025) · Nature Reviews Molecular Cell Biology · doi:10.1038/s41580-025-00883-8 · Cited by 49 · see citing works
TGF-β Signaling in Microglia: A Key Regulator of Development, Homeostasis and Reactivity
Li, L., Sun, B., Harris, O. A., & Luo, J. (2024) · Biomedicines · doi:10.3390/biomedicines12112468 · Cited by 38 · see citing works
“APOE4 hiPSC-derived microglia (hiMGL) accumulate more lipid droplets than APOE3 microglia [98].”
Multiscale proteomic modeling reveals protein networks driving Alzheimer’s disease pathogenesis
Wang, E., Yu, K., Cao, J., Wang, M., Katsel, P., Song, W., Wang, Z., Li, Y., Wang, X., Wang, Q., et al. (2025) · Cell · doi:10.1016/j.cell.2025.08.038 · Cited by 44 · see citing works
Essential Biology of Lipid Droplets
Farese, R. V., & Walther, T. C. (2025) · Annual Review of Biochemistry · doi:10.1146/annurev-biochem-091724-013733 · Cited by 40 · see citing works
Sun, G. G., Wang, C., Mazzarino, R. C., Perez-Corredor, P. A., Davtyan, H., Blurton-Jones, M., Lopera, F., Arboleda-Velasquez, J. F., & Shi, Y. (2024) · Cell Reports · doi:10.1016/j.celrep.2024.114982 · Cited by 36 · see citing works
Self-citationTipa, R. O., Bălan, D.-G., Géorgescu, M., Ignat, L. A., Văcăroiu, I. A., Georgescu, D. E., Răducu, L., Mihai, D. A., Chiperi, L. V., & Balcangiu‐Stroescu, A.-E. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25094972 · Cited by 37 · see citing works
“It was suggested that individuals with the APOE4/4 genotype present an increased accumulation of damaging lipid droplets within microglia cells [62].”
BackgroundA role for microglia in mediating the microbiota–gut–brain axis
Keane, L., Clarke, G. A., & Cryan, J. F. (2025) · Nature reviews. Immunology · doi:10.1038/s41577-025-01188-9 · Cited by 37 · see citing works
The dual nature of neuroinflammation in networked brain
Müller, L., Benedetto, S. D., & Müller, V. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1659947 · Cited by 39 · see citing works
APOE4 reshapes the lipid droplet proteome and modulates microglial inflammatory responses
Friday, C. M., Stephens, I. O., Smith, C. T., Lee, S., Satish, D., Devanney, N. A., Cohen, S., Morganti, J. M., Gordon, S. M., & Johnson, L. A. (2025) · Neurobiology of Disease · doi:10.1016/j.nbd.2025.106983 · Cited by 33 · see citing works
“Another recent study showed that E4/4 iMGs had significantly greater LD accumulation compared with isogenic E3/3 iMGs, and restoration of cytokines was achieved with by lowering LD load through PIK3CA inhibition (Haney et al., 2024).”
InfluentialZhao, X., Yang, X., Du, C., Huimin, H., Liu, S., Liu, G., Zhang, G., Fan, K., & Ma, J. (2024) · Journal of Neuroinflammation · doi:10.1186/s12974-024-03284-4 · Cited by 38 · see citing works
Lipids: Emerging Players of Microglial Biology
Prakash, P., Randolph, C. E., Walker, K. A., & Chopra, G. (2024) · Glia · doi:10.1002/glia.24654 · Cited by 36 · see citing works
Monteiro-Cardoso, V. F., & Giordano, F. (2024) · FEBS Letters · doi:10.1002/1873-3468.14893 · Cited by 32 · see citing works
The TRPV1-PKM2-SREBP1 axis maintains microglial lipid homeostasis in Alzheimer’s disease
Sha, X., Lin, J., Wu, K., Lu, J., & Yu, Z. (2025) · Cell Death and Disease · doi:10.1038/s41419-024-07328-8 · Cited by 37 · see citing works
Lipid droplet accumulation in microglia and their potential roles
Li, Y., Zhao, Q., Wang, Y., Du, W., Yang, R., Wu, J., & Li, Y. (2025) · Lipids in Health and Disease · doi:10.1186/s12944-025-02633-3 · Cited by 35 · see citing works
Self-citationUnraveling aging from transcriptomics
Huang, Y., Zhu, S., Yao, S., Zhai, H., Liu, C., & Han, J. J. (2024) · Trends in Genetics · doi:10.1016/j.tig.2024.09.006 · Cited by 33 · see citing works
Self-citationLipid and lipoprotein metabolism in microglia: Alzheimer’s disease mechanisms and interventions
Sprenger, K. G., Lietzke, E. E., Melchior, J., & Bruce, K. D. (2025) · Journal of Lipid Research · doi:10.1016/j.jlr.2025.100872 · Cited by 40 · see citing works
The Neurolipid Atlas: a lipidomics resource for neurodegenerative diseases
Feringa, F. M., Koppes-den Hertog, S. J., Wang, L. Y., Derks, R. J. E., Kruijff, I., Erlebach, L., Heijneman, J., Miramontes, R., Pömpner, N., Blomberg, N., et al. (2025) · Nature Metabolism · doi:10.1038/s42255-025-01365-z · Cited by 56 · see citing works
“Secondary neurodegenerative processes (protein aggregation, neuronal death and demyelination) and CE accumulation in microglia might be a possible explanation for the observed CE accumulation in persons with AD 24–26 .”
Heterogeneity, dynamics and organelle interactions of lipid droplets
Henne, W. M., & Cohen, S. (2026) · Nature Reviews Molecular Cell Biology · doi:10.1038/s41580-025-00945-x · Cited by 32 · see citing works
Hu, X., Ma, Y., & Xia, Y. (2024) · BioScience Trends · doi:10.5582/bst.2024.01092 · Cited by 28 · see citing works
CRISPRi-based screens in iAssembloids to elucidate neuron-glia interactions
Li, E., Benitez, C., Boggess, S. C., Koontz, M., Rose, I. V. L., Martinez, D., Dräger, N. M., Teter, O. M., Samelson, A. J., Pierce, N., et al. (2025) · Neuron · doi:10.1016/j.neuron.2024.12.016 · Cited by 35 · see citing works
Lipid metabolism and neuroinflammation: What is the link?
Tiwari, V., & Simons, M. (2025) · The Journal of Experimental Medicine · doi:10.1084/jem.20241232 · Cited by 34 · see citing works
Fluorescence imaging‐guided lipid droplets‐localized photodynamic therapy
Wang, S., Wang, Q., Lv, Y., Liu, Z., Lee, K., Kim, D., Won, M., Shen, J., & Kim, J. S. (2024) · Aggregate · doi:10.1002/agt2.665 · Cited by 26 · see citing works
Modeling Alzheimer’s disease using human cell derived brain organoids and 3D models
Fernandes, S., Revanna, J. S., Pratt, J. M., Hayes, N., Marchetto, M. C., & Gage, F. H. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1434945 · Cited by 29 · see citing works
Neuroinflammation and immunometabolism in neurodegenerative diseases
Lonkar, N., Latz, E., & McManus, R. M. (2025) · Current Opinion in Neurology · doi:10.1097/wco.0000000000001356 · Cited by 29 · see citing works
Distinct systemic impacts of Aβ42 and Tau revealed by whole-organism snRNA-seq
Park, Y.-J., Lu, T., Jackson, T., Goodman, L. D., Ran, L., Chen, J., Liang, C., Harrison, E. M., Ko, C., Chen, X. X., et al. (2024) · Neuron · doi:10.1016/j.neuron.2025.04.017 · Cited by 25 · see citing works
Olfactory and trigeminal routes of HSV-1 CNS infection with regional microglial heterogeneity
Niemeyer, C. S., Merle, L., Bubak, A. N., Baxter, B. D., Polese, A. G., Colon-Reyes, K., Vang, S., Hassell, J. E., Bruce, K. D., Nagel, M. A., et al. (2024) · Journal of Virology · doi:10.1128/jvi.00968-24 · Cited by 24 · see citing works
“Although the mechanisms driving ApoE4-mediated AD pathology are still an active area of investigation, it is likely that the presence of ApoE4 results in poor lipid transport and immunometabolic disruption of microglia (65, 66).”
Chen, W., Jin, T., Xie, Y., Zhong, C., Gao, H., Zhang, L., Ju, J., Cheng, T., Li, M., Wang, H., et al. (2025) · British Journal of Pharmacology · doi:10.1111/bph.70035 · Cited by 26 · see citing works
“The disorganization of LDs homeostasis is closely associated with the lipotoxicity of multiple organs in a disease setting (Haney et al., 2024).”
Espinoza, A. P. V., Na, N., Campanati, L., Ngo, P., Baldwin, K. K., & Cline, H. T. (2025) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2516103122 · Cited by 23 · see citing works
Chen, J., Zhao, S., Zhou, Y., Wang, L., Chen, Q., & Zheng, K. (2025) · BioScience Trends · doi:10.5582/bst.2025.01148 · Cited by 27 · see citing works
Protective ApoE variants support neuronal function by effluxing oxidized phospholipids
Ralhan, I., Do, A. D., Bae, J.-Y., Feringa, F. M., Cai, W., Chang, J., Chik, K., Lee, N. Y. J., Gerry, C. J., van der Kant, R., et al. (2026) · Neuron · doi:10.1016/j.neuron.2025.10.040 · Cited by 23 · see citing works
Mutations in the human CSF1R gene impact microglia’s maintenance of brain white matter integrity
Du, S., Zhou, Y., Li, D., Lier, J., Cella, M., Tada, M., Hamasaki, H., Wu, J., Cai, Z., Orthmann‐Murphy, J. L., et al. (2025) · Nature Immunology · doi:10.1038/s41590-025-02195-7 · Cited by 26 · see citing works
“We also noted parallels between ALSP microglia and lipid-droplet accumulating microglia (LDAM), a cell state reported in a subset of individuals with Alzheimer’s disease carrying APOE4/APOE4 or APOE3/APOE3 alleles, as opposed to control individuals 45,46 (Extended Data Fig.”
Li, J., Zhang, Y., Peng, J., Yang, W., Pan, Y., Xu, Y., Yao, J., Lin, S., Li, Y., Gu, X., et al. (2025) · Molecular Cell · doi:10.1016/j.molcel.2025.08.009 · Cited by 22 · see citing works
Self-citationImmune dysfunction in Alzheimer disease
Butovsky, O., Rosenzweig, N., Kleemann, K. L., Jorfi, M., Kuchroo, V. K., Tanzi, R. E., & Weiner, H. L. (2025) · Nature reviews. Neuroscience · doi:10.1038/s41583-025-00997-0 · Cited by 34 · see citing works
Jia, C., Chai, J., Zhang, S., Sun, Y., He, L., Sang, Z., Chen, D., & Zheng, X. (2025) · Marine Drugs · doi:10.3390/md23030091 · Cited by 21 · see citing works
A manifesto for Alzheimer’s disease drug discovery in the era of disease-modifying therapies
Hering, H., Bussière, T., Liu, C., Glajch, K. E., Weihofen, A., Grogan, J. L., & Walsh, D. M. (2025) · Molecular Neurodegeneration · doi:10.1186/s13024-025-00872-7 · Cited by 26 · see citing works
“In various human induced pluripotent stem cell-derived brain cells and human brain tissues, ApoE4 has been shown to alter lipid metabolism and increase lipid droplet accumulation, particularly in so-called droplet-accumulating microglia [171, 178, 192].”
Gao, M., Bai, J., Lou, F., Sun, Y., Wang, Z., Cai, X., Li, Y., Zhang, F., Liang, J., Li, X., et al. (2025) · Nature Aging · doi:10.1038/s43587-025-00976-1 · Cited by 23 · see citing works
Feringa, F. M., Hertog, S. K.-D., Wang, L. Y., Derks, R. J. E., Kruijff, I. D., Erlebach, L., Heijneman, J., Miramontes, R., Pömpner, N., Blomberg, N., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.07.01.601474 · Cited by 21 · see citing works
Hellén, M., Weert, I., Müller, S. A., Räsänen, N., Kettunen, P., Lehtonen, Š., Peitz, M., Fließbach, K., Takalo, M., Koskuvi, M., et al. (2025) · Journal of Neuroinflammation · doi:10.1186/s12974-025-03470-y · Cited by 25 · see citing works
“Contrary to the findings of Haney and coworkers [64], we did not observe significant differences in the uptake of solid particles, such as zymosan-coated beads or fibrillar Aβ42.”
ABCA7 variants impact phosphatidylcholine and mitochondria in neurons
von Maydell, D., Wright, S. E., Pao, P.-C., Staab, C., King, O., Spitaleri, A., Bonner, J. M., Liu, L., Yu, C. J., Chiu, C.-C., et al. (2025) · Nature · doi:10.1038/s41586-025-09520-y · Cited by 35 · see citing works
Huynh, T. N. T., Havrda, M. C., Zanazzi, G. J., Chang, C. C. Y., & Chang, T. (2024) · Biomolecules · doi:10.3390/biom14101301 · Cited by 19 · see citing works
“[24,61,62].”
BackgroundFerroptosis in Alzheimer’s Disease: The Regulatory Role of Glial Cells
Xu, J., Shen, R., Qian, M., Zhou, Z., Xie, B., Jiang, Y. Q., Yu, Y., & Dong, W. (2025) · Journal of Integrative Neuroscience · doi:10.31083/jin25845 · Cited by 19 · see citing works
“[90] found that both a large number of lipid droplets accumulate in glial cells and their synaptic pruning function may be regulated by the APOE allele.”
Self-citationMurphy, K. B., Hu, D., Wolfs, L., Rohde, S. K., Fauró, G. L., Geric, I., Mancuso, R., De Strooper, B., & Marzi, S. J. (2025) · Nature Communications · doi:10.1038/s41467-025-60099-4 · Cited by 25 · see citing works
Microglial lipid droplets as therapeutic targets in age-related neurodegenerative diseases
Sung, S., Kim, H.-J., Cha, S. J., Nahm, M., Kim, S. H., & Kwon, M. (2025) · npj Aging · doi:10.1038/s41514-025-00295-0 · Cited by 22 · see citing works
“Microglia harboring an apolipoprotein E (APOE4) allele showed altered cellular metabolism, increasing intracellular toxic LDs accumulation 12 .”
InfluentialEvidence that Alzheimer’s Disease Is a Disease of Competitive Synaptic Plasticity Gone Awry
Huang, Z. (2024) · Journal of Alzheimer s Disease · doi:10.3233/jad-240042 · Cited by 20 · see citing works
“Indeed, the ApoE4 allele has been found to be associated with high levels of soluble A (cid:2) oligomers and microglial inflammatory activation in the human brain [12, 113–115] as well as perturbed activity and immune regulation of human microglia and astrocytes [116–122].”
Exploring the heterogeneous targets of metabolic aging at single-cell resolution
Sun, S., Jiang, M., Ma, S., Ren, J., & Liu, G. (2024) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2024.07.009 · Cited by 20 · see citing works
New insights into innate immunity in Alzheimer’s disease: From APOE protective variants to therapies
Chen, Y., & Holtzman, D. M. (2024) · Trends in Immunology · doi:10.1016/j.it.2024.08.001 · Cited by 19 · see citing works
Fundamental Neurochemistry Review: Lipids across microglial states
Traetta, M. E., Vecchiarelli, H. A., & Tremblay, M. (2024) · Journal of Neurochemistry · doi:10.1111/jnc.16259 · Cited by 19 · see citing works
Liu, A., Wang, T., Yang, L., & Zhou, Y. (2025) · Brain Sciences · doi:10.3390/brainsci15070675 · Cited by 22 · see citing works
“Transcriptome analysis shows that compared with LDs–low iMG, LDs–high iMG of APOE ε 4/4 have higher expression of NF-κ B-related pro-inflammatory cytokines (such as TNFA and IL1B), and the NF-κ B pathway is significantly activated [76].”
InfluentialZhang, J., Li, J., Zheng, Y., Zhu, C., Wu, Z., Wang, T., Li, Y., Zhu, J., Wei, S., Qian, H., et al. (2025) · Journal of Nanobiotechnology · doi:10.1186/s12951-025-03769-1 · Cited by 19 · see citing works
Spatial and single-cell transcriptomics reveal the reorganization of cerebellar microglia with aging
Tsai, A. P., Henze, D. E., Lopez, E. R., Haberberger, J., Dong, C., Lu, N., Atkins, M., Costa, E. K., Farinas, A., Oh, H. S., et al. (2025) · Cell Reports · doi:10.1016/j.celrep.2025.116624 · Cited by 22 · see citing works
“In contrast, hippocampal microglia exhibited higher expression of LD-related genes, including Acsl1, Nampt, Dpyd, and Cd163, 20,30 which have been implicated in neurotoxicity, neuroinflammation, and vulnerability to neurodegeneration.”
InfluentialSelf-citationSwimming exercise induces redox-lipid crosstalk to ameliorate osteoarthritis progression
Wu, Y., Hou, M., Deng, Y., Xia, X., Liu, Y., Yu, J., Yu, C., Yang, H., Zhang, Y., & Zhu, X. (2025) · Redox Biology · doi:10.1016/j.redox.2025.103535 · Cited by 17 · see citing works
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“In the regulation of lipid metabolism, ACSL1 is an important enzyme in lipid droplet biogenesis, and high ACSL1 expression is sufficient to promote triglyceride-specific lipid droplet formation in multiple cell types, including Alzheimer’s microglia [26–29].”
InfluentialEmerging roles for innate and adaptive immunity in tauopathies
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“49,50 In tauopathy models, microglial lipid droplet accumulation is a hallmark feature that is associated with impaired phagocytosis, elevated oxidative stress, and neuroinflammation.”
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Autophagy in alzheimer disease pathogenesis and its therapeutic values
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Self-citationHyperglycosylation is a metabolic driver of Alzheimer’s disease
Hawkinson, T. R., Liu, Z., Ribas, R. A., Medina, T., Nielsen, R. S., Clarke, H. A., Ma, X., Mueller, A. C., Plasencia, A. F., Sheer, A. L., et al. (2026) · Nature Metabolism · doi:10.1038/s42255-026-01538-4 · Cited by 18 · see citing works
“7), while human extracts yielded 77 unique glyco-peptides (Supplementary Fig.”
Self-citationXie, Z., Situ, Y., Deng, L., Liang, M., Ding, H., Guo, Z., Xu, Q., Zhu, L., & Shao, Z. (2025) · Scientific Reports · doi:10.1038/s41598-025-88134-w · Cited by 16 · see citing works
“Activated microglial cells release inflammatory factors, which may assist in clearing pathogenic substances like Aβ; however, excessive release can harm nearby neurons, exacerbating neuroinflammatory responses 66,78 .”
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“De novo lipogenesis has been described as both a pro-regenerative response during remyelination (Batchuluun et al., 2022; Dimas et al., 2019), and a driver of oxidative stress and inflammation (Haney et al., 2024; Marschallinger et al., 2020; Yoon et al., 2021).”
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“LD accumulation promotes inflammatory response in microglia 3 .”
InfluentialFixemer, S., de la Maza, M. M., Hammer, G. P., Jeannelle, F., Schreiner, S., Gérardy, J., Boluda, S., Mirault, D., Mechawar, N., Mittelbronn, M. G. A., et al. (2025) · Acta Neuropathologica · doi:10.1007/s00401-025-02857-8 · Cited by 20 · see citing works
“PaM are associated with Aβ core plaque clearance [30] and formation [32, 86, 98], with lipid metabolism [31, 83] and local neuroinflammation [34, 47, 101].”
- Authors
- Haney, M. S., Pálovics, R., Munson, C. N., Long, C., Johansson, P. K., Yip, O., Dong, W., Rawat, E., West, E., Schlachetzki, J. C. M., Tsai, A., Guldner, I. H., Lamichhane, B. S., Smith, A., Schaum, N., Calcuttawala, K., Shin, A., Wang, Y.-H., Wang, C., Koutsodendris, N., Serrano, G. E., Beach, T. G., Reiman, E. M., Glass, C. K., Abu-Remaileh, M., Enejder, A., Huang, Y., & Wyss-Coray, T.
- Affiliations
- Stanford Medicine (US)
- Gladstone Institutes (US)
- Stanford University (US)
- University of California San Diego (US)
- Banner Sun Health Research Institute (US)
- Banner Alzheimer’s Institute
- University of California, San Francisco (US)
- ORCID
- Haney, Michael S.
- Pálovics, Róbert
- Munson, Christy Nicole
- Long, Chris
- Johansson, Patrik K.
- Yip, Oscar
- Dong, Wentao
- Rawat, Eshaan
- Schlachetzki, Johannes C. M.
- Tsai, Andy
- Guldner, Ian Hunter
- Lamichhane, Bhawika S.
- Shin, Andrew
- Wang, Yung-Hua
- Wang, Chengzhong
- Koutsodendris, Nicole
- Serrano, Geidy E.
- Beach, Thomas G.
- Reiman, Eric M.
- Glass, Christopher K.
- Abu-Remaileh, Monther
- Enejder, Annika
- Huang, Yadong
- Wyss-Coray, Tony
- Venue
- Nature
- Published
- 2024-03-13
- Volume
- 628
- Issue
- 8006
- Pages
- 154-161
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC10990924
- OpenAlex
- W4392762752
- Semantic Scholar
- 403a5aefdc0c66f64029809243f84878c8677bae
- Cited by
- 536
- References
- 61
- Citations by year
- 2026: 204 · 2025: 236 · 2024: 94 · 2023: 2
- FWCI
- 125.62
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Nature (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- Pew Charitable Trusts
- Alzheimer's Association
- Alexander and Margaret Stewart Trust
- Arizona Department of Health Services (P30 AG19610, U24 NS072026, 05-901, 211002)
- Arizona Biomedical Research Commission (P30 AG19610, 05–901, U24 NS072026, 211002)
- National Institute on Aging (RF1AG064928, P30AG019610, R03AG071791, P30AG062429, P30AG059307, P30AG072980, P30AG066515, R01AG069453, P01AG073082, T32AG000266)
- National Institute of Neurological Disorders and Stroke (U24NS072026)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Keywords
- Alzheimer's disease, APOE ε4, microglia, lipid droplets, ACSL1, lipid metabolism, amyloid-beta, triglyceride synthesis, tau phosphorylation, neurotoxicity, single-nucleus RNA sequencing, induced pluripotent stem cell-derived microglia, genetic risk factors
- MeSH terms
- Alzheimer Disease, Animals, Coenzyme A Ligases, Female, Humans, Male, Phosphorylation, Triglycerides, Amyloid beta-Peptides, tau Proteins, Culture Media, Conditioned, Microglia, Genetic Predisposition to Disease, Mice, Apolipoprotein E4, Induced Pluripotent Stem Cells, Lipid Droplets
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-16.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-16.
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