Alzheimer’s disease-related transcriptional sex differences in myeloid cells
Open accessAbstract
Sex differences have been identified in many diseases associated with dysregulated immune responses, including Alzheimer’s disease (AD), for which approximately two-thirds of patients are women. An accumulating body of research indicates that microglia may play a causal role in the pathogenesis of this disease. We hypothesised that sex differences in the transcriptome of human myeloid cells may contribute to the sex difference observed in AD prevalence. To explore this, we assessed bulk and single-nuclear RNA sequencing data sets generated from four human derived myeloid cell populations: post-mortem microglial nuclei, peripheral monocytes, monocyte-derived macrophages (MDMs) and induced pluripotent stem cell derived microglial-like cells (MGLs). We found that expression of AD risk genes, gene signatures associated with the inflammatory response in AD, and genes related to proinflammatory immune responses were enriched in microglial nuclei isolated from aged female donors without ante-mortem neurological disease, relative to those from males. In addition, these inflammation-associated gene sets were found to be enriched in peripheral monocytes isolated from postmenopausal women and in MDMs obtained from premenopausal individuals relative to age-matched males. Expression of these gene sets did not differ in MDMs derived from women whose blood was sampled across the menstrual cycle or in MGLs cultured with 17β-oestradiol. This suggests that the observed gene set enrichments in myeloid cells from women were not being driven by acute hormonal influences. Together, these data support the hypothesis that the increased prevalence of AD in women may be partly explained by a myeloid cell phenotype biased towards expression of biological processes relevant to AD.
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In postmortem human brain tissue, dysregulation of microglial gene signatures is more common in female patients than in male patients.
“Similar observations were made in a study of postmortem human brain tissue, where dysregulation of microglial gene signatures was shown to be more common in female patients than in male patients. 40”
From Loss of <i>Inpp5d</i> has disease‐relevant and sex‐specific effects on glial transcriptomes (2024) · cites this paper as [40]
The Discussion reports that Bonham et al. inferred microglial-gene dysregulation in patients with Alzheimer’s disease to a greater extent in women than men. But this is a finding the cited paper attributes to another study; its own sex-specific gene-signature findings were primarily in postmortem microglia from donors without neurological disease, and its Results say the AD-donor samples showed no significant sex difference for the inflammatory gene sets tested. (LLM, conf=0.86)
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- [67]Tsartsalis S Fancy N Smith AM Khozoie C Yang X Davey K Single nuclear transcriptional signatures of dysfunctional brain vascular homeostasis in Alzheimer’s disease bioRxiv 2021 10.1101/2021.10.27.465860 · DOI
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“40 We were also interested in investigating the differences in gene expression in cell types that do not express Inpp5d .”
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Lower cerebral blood flow but not cerebrovascular response in elastin haploinsufficient mice
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- Authors
- Coales, I., Tsartsalis, S., Fancy, N., Weinert, M., Clode, D., Owen, D., & Matthews, P. M.
- Affiliations
- King's College London (GB)
- University of Geneva (CH)
- Imperial College London (GB)
- Hammersmith Hospital (GB)
- Corresponding author
- Owen, David
- Matthews, Paul M.
- Venue
- Journal of Neuroinflammation
- Published
- 2022-10-05
- Volume
- 19
- Issue
- 1
- Pages
- 247-247
- ISSN
- 1742-2094 (ISSN-L)
- PMC
- PMC9535846
- OpenAlex
- W4302009331
- Cited by
- 49
- References
- 79
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 14 · 2023: 15
- FWCI
- 4.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Neuroinflammation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Spiral (Imperial College London) (submittedVersion, cc-by)
- Funders
- Medical Research Council Doctoral Training Programme
- Swiss National Science Foundation (P2GEP3_191446)
- Prof Dr Max Cloëtta Foundation
- University Hospitals of Geneva
- Jean and Madeleine Vachoux Foundation
- MRC Clinical Scientist Award (MR/N008219/1)
- MRC Pathfinder Award (MR/N016343/1)
- Edmond J Safra Foundation
- Lily Safra
- NIHR Senior Investigator Award
- UK Dementia Research Institute
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Keywords
- Alzheimer's disease, sex differences, myeloid cells, microglia, monocytes, monocyte-derived macrophages, transcriptome, postmenopausal women, estrogen, inflammation, menstrual cycle
- MeSH terms
- Aged, Alzheimer Disease, Estradiol, Female, Humans, Male, Sex Characteristics, Microglia, Myeloid Cells
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