Microglia in Alzheimer's Disease: It's All About Context
Open accessAbstract
Neuroinflammation is now regarded as both an early event and prime mover in the pathobiology of Alzheimer disease (AD), a neurodegenerative disease that represents a growing public health threat. As the resident innate immune cells within the central nervous system, microglia are centrally positioned as key orchestrators of brain inflammation. It is now accepted that numerous forms of activated microglia exist. Furthermore, while some types of reactive microglia are detrimental, others can actually be beneficial. In the context of AD etiopathology, much debate surrounds whether these enigmatic cells play “good” or “bad” roles. In this article, we distill a complex clinical and experimental literature focused on the contribution of microglia to AD pathology and progression. A synthesis of the literature only seems possible when considering context– the conditions under which microglia encounter and mount immunological responses to AD pathology. In order to carry out these diverse contextual responses, a number of key receptors and signaling pathways are variously activated. It will be critically important for future studies to address molecular mediators that lead to beneficial microglial responses and therefore represent important therapeutic targets for AD.
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Microglia are brain-resident innate immune effector cells and are widely thought to be the key mediators of amyloid beta clearance.
“Microglia are brain-resident innate immune effector cells and are widely thought to be the key mediators of amyloid beta clearance [14–16].”
From IL-1β-driven amyloid plaque clearance is associated with an expansion of transcriptionally reprogrammed microglia (2019) · cites this paper as [16]
The Introduction identifies microglia as brain-resident macrophages involved in innate immune responses. But section 4.1 says they are generally regarded as inefficient Aβ phagocytes, and section 6 reports evidence that brain-resident microglia may not significantly affect plaque clearance. The paper therefore does not support calling them the key mediators of Aβ clearance. (LLM, conf=0.88)
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- Authors
- Weitz, T. M., & Town, T.
- Affiliations
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Town, Terrence
- ORCID
- Weitz, Tara M.
- Venue
- International Journal of Alzheimer's Disease
- Publisher
- Wiley
- Published
- 2012
- Volume
- 2012
- Pages
- 1-11
- ISSN
- 2090-0252 (ISSN-L)
- 2090-8024
- PMC
- PMC3388286
- OpenAlex
- W2114688326
- Cited by
- 95
- References
- 69
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 8 · 2018: 4 · 2017: 5 · 2016: 8 · 2015: 15 · 2014: 16 · 2013: 19 · 2012: 3
- FWCI
- 8.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- International Journal of Alzheimer s Disease (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute on Aging (5R00AG029726-04, 1R01NS076794-01, ZEN-10-174633)
- National Institute of Neurological Disorders and Stroke (5R00AG029726-04, 1R01NS076794-01, ZEN-10-174633)
- Alzheimer’s Association (5R00AG029726-04, 1R01NS076794-01, ZEN-10-174633)
- American Federation of Aging Research/Ellison Medical Foundation Julie Martin Mid-Career Award (5R00AG029726-04, 1R01NS076794-01, ZEN-10-174633)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- microglia, Alzheimer's disease, neuroinflammation, reactive microglia, microglial activation, innate immunity, microglial receptors, signaling pathways, neurodegeneration, therapeutic target
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