VGF-derived peptide TLQP-21 modulates microglial function through C3aR1 signaling pathways and reduces neuropathology in 5xFAD mice
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Background: Multiomic studies by several groups in the NIH Accelerating Medicines Partnership for Alzheimer’s Disease (AMP-AD) identified VGF as a major driver of Alzheimer’s disease (AD), also finding that reduced VGF levels correlate with mean amyloid plaque density, Clinical Dementia Rating (CDR) and Braak scores. VGF-derived peptide TLQP-21 activates the complement C3a receptor-1 (C3aR1), predominantly expressed in the brain on microglia. However, it is unclear how mouse or human TLQP-21, which are not identical, modulate microglial function and/or AD progression. Methods: We performed phagocytic/migration assays and RNA sequencing on BV2 microglial cells and primary microglia isolated from wild-type or C3aR1-null mice following treatment with TLQP-21 or C3a super agonist (C3aSA). Effects of intracerebroventricular TLQP-21 delivery were evaluated in 5xFAD mice, a mouse amyloidosis model of AD. Finally, the human HMC3 microglial cell line was treated with human TLQP-21 to determine whether specific peptide functions are conserved from mouse to human. Results: We demonstrate that TLQP-21 increases motility and phagocytic capacity in murine BV2 microglial cells, and in primary wild-type but not in C3aR1-null murine microglia, which under basal conditions have impaired phagocytic function compared to wild-type. RNA sequencing of primary microglia revealed overlapping transcriptomic changes induced by treatment with TLQP-21 or C3a super agonist (C3aSA). There were no transcriptomic changes in C3aR1-null or wild-type microglia exposed to the mutant peptide TLQP-R21A, which does not activate C3aR1. Most of the C3aSA- and TLQP-21-induced differentially expressed genes were linked to cell migration and proliferation. Intracerebroventricular TLQP-21 administration for 28 days via implanted osmotic pump resulted in a reduction of amyloid plaques and associated dystrophic neurites and restored expression of subsets of Alzheimer-associated microglial genes. Finally, we found that human TLQP-21 activates human microglia in a fashion similar to activation of murine microglia by mouse TLQP-21. Conclusions: These data provide molecular and functional evidence suggesting that mouse and human TLQP-21 modulate microglial function, with potential implications for the progression of AD-related neuropathology.
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The deficiency of complement factors such as C1q, C3, C3ar1, C5aR, and Cd59, has exacerbated neuropathology in some studies and reduced neuropathology in others.
“The deficiency of complement factors such as C1q, C3, C3ar1, C5aR, and Cd59, has exacerbated neuropathology in some studies [84–86] and reduced neuropathology in others [87–89].”
From Age, sex and Alzheimer’s disease: a longitudinal study of 3xTg-AD mice reveals sex-specific disease trajectories and inflammatory responses mirrored in postmortem brains from Alzheimer’s patients (2024) · cites this paper as [86]
The Discussion (page not provided) reports that C3aR1-null mice had reduced pathology in a PS19 tauopathy model. It does not report that deficiency of C1q, C3, C5aR, or Cd59 exacerbated neuropathology, or establish the claimed pattern of opposing outcomes across those factors. The paper’s own reduced amyloid load followed C3aR1 activation, not deficiency. (LLM, conf=0.84)
Experimental — accuracy not yet measuredStudies manipulating the complement system have yielded mixed results.
“Further, studies manipulating the complement system have yielded mixed results.”
Treatment with a VGF-derived peptide significantly reduced Aβ plaque load in male but not female 5xFAD mice.
“treatment significantly reduced Aβ plaque load in males but not in females.”
The complement system regulates Alzheimer's neuropathology.
“This work provides additional evidence that the complement system regulates Alzheimer’s neuropathology”
Previous studies using transgenic mouse models of AD have identified various mechanisms that lead to synaptic impairment in AD, including the accumulation of soluble amyloid-beta, Tau hyperphosphorylation, loss of VGF signaling, and glial state dysregulation.
“For example, previous studies using transgenic mouse models of AD have identified various mechanisms that lead to synaptic impairment in AD, including the accumulation of soluble amyloid-beta, Tau hyperphosphorylation, loss of VGF signaling, and glial state dysregulation (e.g., the induction of disease-associated microglia and disease-associated astrocytes) (9, 23–30).”
From Single-nucleus transcriptome analysis reveals dysregulation of angiogenic endothelial cells and neuroprotective glia in Alzheimer’s disease (2020) · cites this paper as [26]
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References 110 · Cited by 92
- Authors
- El Gaamouch, F., Audrain, M., Lin, W.-J., Beckmann, N., Jiang, C., Hariharan, S., Heeger, P. S., Schadt, E. E., Gandy, S., Ehrlich, M. E., & Salton, S. R.
- Affiliations
- Sun Yat-sen University (CN)
- Icahn School of Medicine at Mount Sinai (US)
- Sema4 (United States) (US)
- Corresponding author
- Ehrlich, Michelle E.
- Salton, Stephen R.
- ORCID
- Venue
- Molecular Neurodegeneration
- Published
- 2020-01-10
- Volume
- 15
- Issue
- 1
- Pages
- 4-4
- ISSN
- 1750-1326 (ISSN-L)
- PMC
- PMC6954537
- OpenAlex
- W3004551137
- Cited by
- 92
- References
- 110
- Citations by year
- 2026: 7 · 2025: 16 · 2024: 22 · 2023: 10 · 2022: 12 · 2021: 15 · 2020: 10
- FWCI
- 4.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Molecular Neurodegeneration (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (U01AG046170, R01AG062355, R01AG062661, R01DK117504)
- BrightFocus Foundation (A2018253F, A2016508S)
- Alzheimer’s Disease Research Center (AG005138)
- Guangdong Science and Technology Department (2017B030314026)
- Alzheimer’s Drug Discovery Foundation
- Cure Alzheimer’s Fund
- 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
- TLQP-21, complement C3a, microglial activation, microglial phagocytosis, microglial migration, amyloid plaques, 5xFAD mice, Alzheimer's disease, microglial transcriptome, dystrophic neurites
- MeSH terms
- Alzheimer Disease, Animals, Cell Line, Disease Models, Animal, Humans, Mice, Transgenic, Peptide Fragments, Receptors, Complement, Signal Transduction, Microglia, Mice
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