Lysosomal acidification dysfunction in microglia: an emerging pathogenic mechanism of neuroinflammation and neurodegeneration
Open accessAbstract
Microglia are the resident innate immune cells in the brain with a major role in orchestrating immune responses. They also provide a frontline of host defense in the central nervous system (CNS) through their active phagocytic capability. Being a professional phagocyte, microglia participate in phagocytic and autophagic clearance of cellular waste and debris as well as toxic protein aggregates, which relies on optimal lysosomal acidification and function. Defective microglial lysosomal acidification leads to impaired phagocytic and autophagic functions which result in the perpetuation of neuroinflammation and progression of neurodegeneration. Reacidification of impaired lysosomes in microglia has been shown to reverse neurodegenerative pathology in Alzheimer’s disease. In this review, we summarize key factors and mechanisms contributing to lysosomal acidification impairment and the associated phagocytic and autophagic dysfunction in microglia, and how these defects contribute to neuroinflammation and neurodegeneration. We further discuss techniques to monitor lysosomal pH and therapeutic agents that can reacidify impaired lysosomes in microglia under disease conditions. Finally, we propose future directions to investigate the role of microglial lysosomal acidification in lysosome–mitochondria crosstalk and in neuron–glia interaction for more comprehensive understanding of its broader CNS physiological and pathological implications.
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Autophagy defects in glial cells hinder clearance of extracellular Aβ and intensify chronic neuroinflammation.
“Second, autophagy defects in glial cells hinder the clearance of extracellular Aβ and intensify chronic neuroinflammation, linking autophagy failure with the neuroinflammation hypothesis [139].”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [139]
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- [119]Xu X Moreno S Boye S Wang P Voit B Appelhans D Artificial organelles with digesting characteristics: imitating simplified lysosome- and macrophage-like functions by trypsin-loaded polymersomes Adv Sci 2023 10 2207214 PMC10265080 37076948
- [120]Lo CH Zeng J Application of polymersomes in membrane protein study and drug discovery: progress, strategies, and perspectives Bioeng Transl Med 2023 8 e10350 36684106 PMC9842050
- [121]Audano M Schneider A Mitro N Mitochondria, lysosomes, and dysfunction: their meaning in neurodegeneration J Neurochem 2018 147 291 309 29804302
- [122]Nakanishi H Wu Z Microglia-aging: Roles of microglial lysosome- and mitochondria-derived reactive oxygen species in brain aging Behav Brain Res 2009 201 1 7 19428609
- [123]Pitt D Lo CH Gauthier SA Hickman RA Longbrake E Airas LM Toward precision phenotyping of multiple sclerosis Neurol - Neuroimmunol Neuroinflamm 2022 9 e200025 36041861 PMC9427000
- [124]Fairley LH Lai KO Wong JH Chong WJ Vincent AS D’Agostino G Mitochondrial control of microglial phagocytosis by the translocator protein and hexokinase 2 in Alzheimer’s disease Proc Natl Acad Sci 2023 120 e2209177120 36787364 PMC9974442
- [125]Ziegenfuss JS Doherty J Freeman MR Distinct molecular pathways mediate glial activation and engulfment of axonal debris after axotomy Nat Neurosci 2012 15 979 987 22706267 PMC4976689
- [127]Lo CH Skarica M Mansoor M Bhandarkar S Toro S Pitt D Astrocyte heterogeneity in multiple sclerosis: current understanding and technical challenges Front Cell Neurosci 2021 15 726479 34456686 PMC8385194
- [128]Sen MK Mahns DA Coorssen JR Shortland PJ The roles of microglia and astrocytes in phagocytosis and myelination: insights from the cuprizone model of multiple sclerosis Glia 2022 70 1215 1250 35107839 PMC9302634
- [130]Delpech J-C Herron S Botros MB Ikezu T Neuroimmune crosstalk through extracellular vesicles in health and disease Trends Neurosci 2019 42 361 372 30926143 PMC6486849
- [131]Rueda-Carrasco J Martin-Bermejo MJ Pereyra G Mateo MI Borroto A Brosseron F SFRP1 modulates astrocyte-to-microglia crosstalk in acute and chronic neuroinflammation EMBO Rep 2021 22 e51696 34569685 PMC8567217
Cited by
Sorted by citations
Hein, Z. M., Karikalan, B., Gopalakrishna, P. K., Dhevi, K., Alkatiri, A., Hussan, F., Mohd Moklas, M. A., Jagadeesan, S., Che Ramli, M. D., Che Mohd Nassir, C. M. N., et al. (2026) · Molecular Neurobiology · doi:10.1007/s12035-025-05602-0 · Cited by 43 · see citing works
- Authors
- Quick, J. D., Silva, C., Wong, J. H., Lim, K. L., Reynolds, R., Barron, A. M., Zeng, J., & Lo, C. H.
- Affiliations
- University of Minnesota (US)
- University of Kelaniya (LK)
- Nanyang Technological University (SG)
- Corresponding author
- Zeng, Jialiu
- Lo, Chih Hung
- Venue
- Journal of Neuroinflammation
- Published
- 2023-08-05
- Volume
- 20
- Issue
- 1
- Pages
- 185-185
- ISSN
- 1742-2094 (ISSN-L)
- PMC
- PMC10403868
- OpenAlex
- W4385607049
- Cited by
- 203
- References
- 19
- Citations by year
- 2026: 101 · 2025: 66 · 2024: 31 · 2023: 5
- FWCI
- 5.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Neuroinflammation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Spiral (Imperial College London) (submittedVersion, cc-by)
- Funders
- Nanyang Technological University (Presidential Postdoctoral Fellowship (Award Number: 021229-00001))
- National Medical Research Council (Open Fund Young Investigator Research Grant (OF-YIRG) (Award Number: MOH-001147))
- Lee Kong Chian School of Medicine, Nanyang Technological University (Dean’s Postdoctoral Fellowship (Award Number: 021207-00001))
- Momental Foundation (Mistletoe Research Fellowship (Award Number: 022522-00001))
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Calcium signaling and nucleotide metabolism
- Keywords
- microglia, lysosomal acidification, lysosomal pH, neuroinflammation, neurodegeneration, phagocytosis, autophagy, neuron-glia interactions, Alzheimer's disease, lysosomal dysfunction
- MeSH terms
- Neuroinflammatory Diseases, Alzheimer Disease, Humans, Hydrogen-Ion Concentration, Lysosomes, Microglia
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