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Plaque-associated human microglia accumulate lipid droplets in a chimeric model of Alzheimer’s disease
Open accessAbstract
Background: Disease-associated microglia (DAMs), that surround beta-amyloid plaques, represent a transcriptionally-distinct microglial profile in Alzheimer’s disease (AD). Activation of DAMs is dependent on triggering receptor expressed on myeloid cells 2 (TREM2) in mouse models and the AD TREM2-R47H risk variant reduces microglial activation and plaque association in human carriers. Interestingly, TREM2 has also been identified as a microglial lipid-sensor, and recent data indicates lipid droplet accumulation in aged microglia, that is in turn associated with a dysfunctional proinflammatory phenotype. However, whether lipid droplets (LDs) are present in human microglia in AD and how the R47H mutation affects this remains unknown. Methods: To determine the impact of the TREM2 R47H mutation on human microglial function in vivo, we transplanted wild-type and isogenic TREM2-R47H iPSC-derived microglial progenitors into our recently developed chimeric Alzheimer mouse model. At 7 months of age scRNA-seq and histological analyses were performed. Results: Here we report that the transcriptome of human wild-type TREM2 and isogenic TREM2-R47H DAM xenografted microglia (xMGs), isolated from chimeric AD mice, closely resembles that of human atherosclerotic foam cells. In addition, much like foam cells, plaque-bound xMGs are highly enriched in lipid droplets. Somewhat surprisingly and in contrast to a recent in vitro study, TREM2-R47H mutant xMGs exhibit an overall reduction in the accumulation of lipid droplets in vivo. Notably, TREM2-R47H xMGs also show overall reduced reactivity to plaques, including diminished plaque-proximity, reduced CD9 expression, and lower secretion of plaque-associated APOE. Conclusions: Altogether, these results indicate lipid droplet accumulation occurs in human DAM xMGs in AD, but is reduced in TREM2-R47H DAM xMGs, as it occurs secondary to TREM2-mediated changes in plaque proximity and reactivity.
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![Fig. 1 Disease associated microglia resemble atherosclerotic foam cells and signature gene expression reveals partial TREM2 dependence (A) UMAP plot displaying clustering of TREM2WT/WTxMGs isolated from 7-month-old 5X-hCSF1 mice (n=3 mice; 22,107 cells; WT xMGs per mouse (5987, 7876, 8244) and R47H xMGs per mouse (3939, 5571); B UMAP plot displaying clustering of TREM2R47H/R47HxMGs isolated from 7-month-old 5X-hCSF1 mice (n=2 mice; 9,510 cells); C A dot plot reveals top marker genes that are significantly up- or downregulated for each of the seven clusters (FDR-adjusted p-value < 0.01); (D) Barplot displaying the average percentage of cells making up the 7 unique xMG clusters; E Volcano plot displaying genes significantly up- and downregulated when comparing all TREM2R47H/R47H cells vs. all TREM2WT/WT cells; F-G UMAP plots displaying the module scores for 7 key DAM signature genes and 29 Foam cell signature genes identified in (Fernandezet al., [41]) (Additional File 1) in TREM2WT/WT (F) and TREM2R47H/R47H(G); H A dot plot reveals foam cell genes are particularly enriched in the DAM cell cluster (FDR-adjusted p-value < 0.01). Size of the circles indicate the percentage of cells expressing that gene and color indicates average expression levels; I Violin plots demonstrate foam cell signature genes are particularly enriched in the DAM cell cluster vs. other clusters, and are significantly (adjusted p-value < 0.01; LFC≥0.01) albeit subtly downregulated in R47H cells when comparing all TREM2R47H/R47H (blue) vs. all TREM2WT/WT cells (green) via pseudobulk analysis (Additional File 1)](/paper-figures/b9f4e2567f974f91b0c8e544c85b4ca1/plaque-associated-human-microglia-accumulate-lipid-droplets-in-a-chimeric-model-figure-1.jpg)


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“Mutations affecting the TREM2 function impair microglial activation (37) and reduce their ability to accumulate LDs in the AD brain (38).”
From Reducing microglial lipid load enhances β amyloid phagocytosis in an Alzheimer’s disease mouse model (2025) · cites this paper as [38]
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“LDAM were also observed in chimaeric human–mouse AD models6.”
From APOE4/4 is linked to damaging lipid droplets in Alzheimer’s disease microglia (2024) · cites this paper as [6]
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“human iPSC-derived microglia were enriched in LDs in a chimeric mouse model of AD37”
From Amyloid-β induces lipid droplet-mediated microglial dysfunction via the enzyme DGAT2 in Alzheimer’s disease (2025) · cites this paper as [37]
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Citations
Cites
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“ease (FAD) mutant APP (Swedish, Florida, and London) and mutant FAD PS1 (M146L and L286V) [45].”
BackgroundTREM2 Variants in Alzheimer's Disease
Guerreiro, R., Wojtas, A., Bras, J., Carrasquillo, M., Rogaeva, E., Majounie, E., Cruchaga, C., Sassi, C., Kauwe, J. S. K., Younkin, S., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1211851 · Cited by 3,020
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Variant of TREM2 Associated with the Risk of Alzheimer's Disease
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TREM2 Lipid Sensing Sustains the Microglial Response in an Alzheimer’s Disease Model
Wang, Y., Cella, M., Mallinson, K., Ulrich, J. D., Young, K. L., Robinette, M. L., Gilfillan, S., Krishnan, G. M., Sudhakar, S., Zinselmeyer, B. H., et al. (2015) · Cell · doi:10.1016/j.cell.2015.01.049 · Cited by 1,736
An english translation of alzheimer’s 1907 paper, “über eine eigenartige erkankung der hirnrinde”
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“These data indicate the reduction in total PLIN2 area observed in R47H xMG transplanted mice is due to a reduced number of DAM xMGs, but not a reduced potential of R47H xMGs to accumulate lipid droplets.”
BackgroundMethodInfluential
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ApoE in Alzheimer’s disease: pathophysiology and therapeutic strategies
Raulin, A.-C., Doss, S. V., Trottier, Z. A., Ikezu, T. C., Bu, G., & Liu, C.-C. (2022) · Molecular Neurodegeneration · doi:10.1186/s13024-022-00574-4 · Cited by 756
Neuroinflammation in Alzheimer disease
Heneka, M. T., van der Flier, W. M., Jessen, F., Hoozemanns, J., Thal, D. R., Boche, D., Brosseron, F., Teunissen, C., Zetterberg, H., Jacobs, A. H., et al. (2025) · Nature Reviews Immunology · doi:10.1038/s41577-024-01104-7 · Cited by 638
APOE4/4 is linked to damaging lipid droplets in Alzheimer’s disease microglia
Haney, M. S., Pálovics, R., Munson, C. N., Long, C., Johansson, P. K., Yip, O., Dong, W., Rawat, E., West, E., Schlachetzki, J. C. M., et al. (2024) · Nature · doi:10.1038/s41586-024-07185-7 · Cited by 536
TREM2 drives microglia response to amyloid-β via SYK-dependent and -independent pathways
Wang, S., Sudan, R., Peng, V., Zhou, Y., Du, S., Yuede, C. M., Lei, T., Hou, J., Cai, Z., Cella, M., et al. (2022) · Cell · doi:10.1016/j.cell.2022.09.033 · Cited by 471
Metabolic regulation of the immune system in health and diseases: mechanisms and interventions
Hu, T., Liu, C., Lei, M., Zeng, Q., Li, L., Tang, H., & Zhang, N. (2024) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-024-01954-6 · Cited by 438
Metadata
- Authors
- Claes, C., Danhash, E. P., Hasselmann, J., Chadarevian, J. P., Shabestari, S. K., England, W. E., Lim, T. E., Hidalgo, J. L. S., Spitale, R. C., Davtyan, H., & Blurton-Jones, M.
- Affiliations
- University of California, Irvine (US)
- Corresponding author
- Claes, Christel
- Blurton-Jones, Mathew
- ORCID
- Venue
- Molecular Neurodegeneration
- Published
- 2021-07-23
- Volume
- 16
- Issue
- 1
- Pages
- 50-50
- ISSN
- 1750-1326 (ISSN-L)
- PMC
- PMC8305935
- OpenAlex
- W3184188306
- Cited by
- 197
- References
- 53
- Citations by year
- 2026: 38 · 2025: 44 · 2024: 44 · 2023: 31 · 2022: 38 · 2021: 1
- FWCI
- 11.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Molecular Neurodegeneration (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- BrightFocus Foundation (A2020451F)
- National Institutes of Health (AG048099, AG056303, AG061895)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
- Keywords
- Alzheimer's disease, disease-associated microglia, lipid droplets, TREM2, amyloid plaques, chimeric mouse model, CD9, apoE secretion, microglial activation, foam cells
- MeSH terms
- Alzheimer Disease, Animals, Brain, Chimera, Disease Models, Animal, Humans, Membrane Glycoproteins, Receptors, Immunologic, Microglia, Mice, Heterografts, Lipid Droplets
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