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CX3CR1 deficiency aggravates amyloid driven neuronal pathology and cognitive decline in Alzheimer’s disease
Open accessAbstract
Background: Despite its identification as a key checkpoint regulator of microglial activation in Alzheimer’s disease, the overarching role of CX3CR1 signaling in modulating mechanisms of Aβ driven neurodegeneration, including accumulation of hyperphosphorylated tau is not well understood. Methodology: Accumulation of soluble and insoluble Aβ species, microglial activation, synaptic dysregulation, and neurodegeneration is investigated in 4- and 6-month old 5xFAD;Cx3cr1+/+ and 5xFAD;Cx3cr1−/− mice using immunohistochemistry, western blotting, transcriptomic and quantitative real time PCR analyses of purified microglia. Flow cytometry based, in-vivo Aβ uptake assays are used for characterization of the effects of CX3CR1-signaling on microglial phagocytosis and lysosomal acidification as indicators of clearance of methoxy-X-04+ fibrillar Aβ. Lastly, we use Y-maze testing to analyze the effects of Cx3cr1 deficiency on working memory. Results: Disease progression in 5xFAD;Cx3cr1−/− mice is characterized by increased deposition of filamentous plaques that display defective microglial plaque engagement. Microglial Aβ phagocytosis and lysosomal acidification in 5xFAD;Cx3cr1−/− mice is impaired in-vivo. Interestingly, Cx3cr1 deficiency results in heighted accumulation of neurotoxic, oligomeric Aβ, along with severe neuritic dystrophy, preferential loss of post-synaptic densities, exacerbated tau pathology, neuronal loss and cognitive impairment. Transcriptomic analyses using cortical RNA, coupled with qRT-PCR using purified microglia from 6 month-old mice indicate dysregulated TGFβ-signaling and heightened ROS metabolism in 5xFAD;Cx3cr1−/− mice. Lastly, microglia in 6 month-old 5xFAD;Cx3cr1−/− mice express a ‘degenerative’ phenotype characterized by increased levels of Ccl2, Ccl5, Il-1β, Pten and Cybb along with reduced Tnf, Il-6 and Tgfβ1 mRNA. Conclusions: Cx3cr1 deficiency impairs microglial uptake and degradation of fibrillar Aβ, thereby triggering increased accumulation of neurotoxic Aβ species. Furthermore, loss of Cx3cr1 results in microglial dysfunction typified by dampened TGFβ-signaling, increased oxidative stress responses and dysregulated pro-inflammatory activation. Our results indicate that Aβ-driven microglial dysfunction in Cx3cr1−/− mice aggravates tau hyperphosphorylation, neurodegeneration, synaptic dysregulation and impairs working memory.
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“Earlier studies on other microglial AD risk genes reported opposing effects on AD-related pathologies using various animal models at different ages (8–14).”
From The effect of Abi3 locus deletion on the progression of Alzheimer’s disease-related pathologies (2023) · cites this paper as [12]
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“These studies have led to the notion that microglia can have differential effects on AD pathology depending on the disease stage.”
From The effect of Abi3 locus deletion on the progression of Alzheimer’s disease-related pathologies (2023) · cites this paper as [12]
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“Deletion of CX3CR1 or depression of the CX3CL1/CX3CR1 axis reduces Aβ deposition [130–132] but exacerbates tau pathology, such as increased phosphorylation and aggregation of tau, and this is associated with worsened behavioral and cognitive impairments [132–137] (Fig. 1).”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [132]
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New Pathways Identify Novel Drug Targets for the Prevention and Treatment of Alzheimer’s Disease
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“In a mouse model of Alzheimer’s disease, CX3CR1 deficiency was reported to trigger microglia dysfunction, and exacerbate neurotoxicity and phosphorylation of tau, leading to neuronal synaptic dysregulation and the impairment of memory function (Puntambekar et al., 2022).”
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CX3CL1 Regulation of Gliosis in Neuroinflammatory and Neuroprotective Processes
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“Furthermore, more recent analyses have concluded that the suppression of CX3CR1 in 5xFAD mice increases the deposition of A β , causes neuritic dystrophy, and exacerbates tau pathology, neuronal loss, and cognitive impairment [50].”
Chemokines in patients with Alzheimer's disease: A meta-analysis
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“Meanwhile, CXC3CR1 deficiency increased the Aβ level, and aggravated tau pathology, inducing cognitive decline (Puntambekar et al., 2022).”
BackgroundPLCG2 modulates TREM2 expression and signaling in response to Alzheimer's disease pathology
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“It is involved in AD process, leading to Aβ aggregation and cognitive decline (Puntambekar et al. 2022).”
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“…overexpression in microglia [85,86] Early phase: Continues repair [4] Long-term: Pathological synaptic pruning [88–90], chronic neuroinflammation [51,91,92], A β acceleration [93,94] It is now well established that the CX3CR1 signaling axis plays a stage-dependent dual role following stroke [8,36].”
InfluentialOkhovat, M., Layman, C. E., Davis, B. A., Pederson, A., O’Niel, A., Holden, S. J., Kessler, K., Acharya, S. N., Wheeler, K. J., Nevonen, K. A., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-28244-7 · Cited by 6
“Prior studies in AD mouse models have shown that CX3CR1 deficiency exacerbates Aβ pathology, tau hyperphosphorylation, neuritic dystrophy, synaptic loss, neurodegeneration, and cognitive impairment 22,23 .”
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“While 7 of these parameters have been previously examined in the context of amyloid pathology [11,14,105,106,112,113], the remaining 12 have primarily been applied in general structural–morphometric studies of biological tissues, offering novel perspectives on the microstructural organization of…”
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“5,8 23–25 Overall, phagocytosis appears to be a lens through which microglia see their environment and make phenotypic changes based on the specific needs of that environment.”
The meal Maketh the Microglia: Why studying microglial phagocytosis is critical to stroke research
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“Relative quantification was determined using the comparative Ct (2 −ΔΔCt ) method, where the ΔCt represents the difference between the Ct values of the target genes and the internal reference gene (Puntambekar et al. 2022).”
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“…other studies suggest that CX3CR1 downregulation may have detrimental consequences, including increased microglial activation (Bhaskar et al. 2010 ), impaired tau clearance (Bolós et al. 2017), and increased aggregation of tau and amyloid beta (Bhaskar et al. 2010; Puntambekar et al. 2022 ).”
Inflammatory Mediators of Alzheimer’s Disease Characterized in a Mouse Model (APP/PS1)
Jorda, A., Alvarez-Gamez, K., Campo-Palacio, I., Campos-Campos, J., Colmena, C., Singh, S. K., Miralles, M. J. C., Aldasoro, C., Aldasoro, M., & Vallés, S. L. (2026) · NeuroSci · doi:10.3390/neurosci7010023 · Cited by 2
“CCR2 deficiency exacerbates cognitive impairment and β -amyloid deposition in animal models of Alzheimer’s disease [13,14].”
Therapeutic potential of exerkines in neurodegenerative and mental disorders: a narrative review
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“…CX3CL1, expressed by neurons, signals through CX3CR1 on microglia to maintain their homeostatic state; loss of this signaling in AD models results in impaired microglial plaque engagement, skewing toward a neurodegenerative phenotype, and aggravated cognitive decline (Puntambekar et al., 2022).”
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“These results were consistent with the protective roles of TREM2 [31] and CX3CR1 [32] and the risk associations of BACE1 [33] and MAPT [34] with AD pathophysiology.”
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“Concurrently, the significant downregulation of anti-inflammatory markers CX3CR1 and P2RY12 [27, 28] ( p 0.001) in the TIM-3 ⁺ subpopulation further exacerbates neuroinflammation and impairs microglial homeostatic maintenance.”
InfluentialMicroglial Senescence in Neurodegenerative Diseases: Mechanisms and Therapeutic Perspectives
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CX3CR1-mediated immune networks in sepsis: implications for precision therapy
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Peripheral biomarkers of neuroinflammation in Alzheimer’s disease and vascular dementia
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Metadata
- Authors
- Puntambekar, S. S., Moutinho, M., Lin, P. B.-C., Jadhav, V., Tumbleson-Brink, D., Balaji, A., Benito, M. A., Xu, G., Oblak, A., Lasagna-Reeves, C. A., Landreth, G. E., & Lamb, B. T.
- Affiliations
- Indiana University Indianapolis (US)
- Indiana University School of Medicine (US)
- University of Washington (US)
- Indiana Clinical and Translational Sciences Institute (US)
- Corresponding author
- Puntambekar, Shweta S.
- Lamb, Bruce T.
- ORCID
- Venue
- Molecular Neurodegeneration
- Published
- 2022-06-28
- Volume
- 17
- Issue
- 1
- Pages
- 47-47
- ISSN
- 1750-1326 (ISSN-L)
- PMC
- PMC9241248
- OpenAlex
- W4283643624
- Cited by
- 113
- References
- 55
- Citations by year
- 2026: 26 · 2025: 33 · 2024: 23 · 2023: 26 · 2022: 5
- FWCI
- 13.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Molecular Neurodegeneration (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Purdue University Indianapolis (Indiana University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- IUScholarWorks (Indiana University) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (NIH RF1AG051495, 1RF1AG069425-01)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- CX3CR1, Alzheimer's disease, amyloid-beta, microglial dysfunction, 5xFAD mice, tau pathology, neurodegeneration, cognitive decline, TGF-beta signaling, oxidative stress, microglial phagocytosis, lysosomal acidification, microglial polarization, synaptic loss, working memory, neuroinflammation, amyloid plaques, amyloid-beta oligomers
- MeSH terms
- CX3C Chemokine Receptor 1, Alzheimer Disease, Amyloidosis, Animals, Neurons, Transforming Growth Factor beta, Mice, Plaque, Amyloid, Amyloidogenic Proteins, Cognitive Dysfunction
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