PreprintCited by 38Neuroinflammation and Neurodegeneration MechanismsAlzheimer's disease research and treatmentsLipid metabolism and biosynthesis

Amyloid β Induces Lipid Droplet-Mediated Microglial Dysfunction in Alzheimer’s Disease

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Prakash, Priya, Manchanda, Palak, Paouri, Evi, Bisht, Kanchan, Sharma, Kaushik, Rajpoot, Jitika, Wendt, Victoria, Hossain, Ahad +22 more·2023·Alzheimer s & Dementia

Abstract

Summary: Several microglia-expressed genes have emerged as top risk variants for Alzheimer’s disease (AD). Impaired microglial phagocytosis is one of the main proposed outcomes by which these AD-risk genes may contribute to neurodegeneration, but the mechanisms translating genetic association to cellular dysfunction remain unknown. Here we show that microglia form lipid droplets (LDs) upon exposure to amyloid-beta (Aβ), and that their LD load increases with proximity to amyloid plaques in brains from human patients and the AD mouse model 5xFAD. LD formation is dependent on age and disease progression and is prominent in the hippocampus in mice and humans. Despite differences in microglial LD load between brain regions and sexes in mice, LD-laden microglia exhibited a deficit in Aβ phagocytosis. Unbiased lipidomic analysis identified a decrease in free fatty acids (FFAs) and a parallel increase in triacylglycerols (TGs) as the key metabolic transition underlying LD formation. DGAT2, a key enzyme for converting FFAs to TGs, promotes microglial LD formation and is increased in 5xFAD and human AD brains. Inhibition or degradation of DGAT2 improved microglial uptake of Aβ and drastically reduced plaque load in 5xFAD mice, respectively. These findings identify a new lipid-mediated mechanism underlying microglial dysfunction that could become a novel therapeutic target for AD.

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Authors
Prakash, P., Manchanda, P., Paouri, E., Bisht, K., Sharma, K., Rajpoot, J., Wendt, V., Hossain, A., Wijewardhane, P. R., Randolph, C. E., Chen, Y., Stanko, S., Gasmi, N., Gjojdeshi, A., Card, S., Fine, J., Jethava, K. P., Clark, M. G., Dong, B., Ma, S., Crockett, A., Thayer, E. A., Nicolas, M., Davis, R., Hardikar, D., Allende, D., Prayson, R. A., Zhang, C., Davalos, D., & Chopra, G.
Affiliations
  • Purdue University West Lafayette (US)
  • Cleveland Clinic (US)
Corresponding author
  • Davalos, Dimitrios
  • Chopra, Gaurav
Venue
Alzheimer s & Dementia
Publisher
openRxiv
Published
2023-06-06
Volume
19
Issue
S13
ISSN
1552-5260 (ISSN-L)
OpenAlex
W4390199705
Cited by
38
References
3
Citations by year
2026: 8 · 2025: 18 · 2024: 11 · 2023: 1
FWCI
3.89
Type
journal article
Language
en
Open access
Locations
  • Alzheimer s & Dementia (publishedVersion)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion, cc-by-nc-nd)
Funders
  • U.S. Department of Defense (W81XWH2010665, UL1TR002529)
  • Eli Lilly and Company
  • Purdue University (P30 CA023168)
  • Cleveland Clinic
  • Purdue University Center for Cancer Research (P30 CA 023168)
  • National Institutes of Health (1rf1mh128866-01, UL1TR002529, CA023168)
  • National Institute on Alcohol Abuse and Alcoholism (P50AA024333)
  • National Institute of Mental Health (R01MH128866)
  • National Cancer Institute (P30CA023168)
  • National Institute of Neurological Disorders and Stroke (R01NS112526)
  • National Center for Advancing Translational Sciences
  • U.S. Army Medical Research Acquisition Activity (W81XWH2010665)
Topics
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
Keywords
amyloid-beta, lipid droplets

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