Cited by 539Neuroinflammation and Neurodegeneration MechanismsAlzheimer's disease research and treatmentsNeurological Disease Mechanisms and Treatments

CX3CR1 Deficiency Alters Microglial Activation and Reduces Beta-Amyloid Deposition in Two Alzheimer's Disease Mouse Models

Open access
Lee, Sungho, Varvel, Nicholas H., Konerth, Megan E., Xu, Guixiang, Cardona, Astrid E., Ransohoff, Richard M., Lamb, Bruce T.·2010·The American Journal of Pathology

Abstract

Microglia, the primary immune effector cells in the brain, continually monitor the tissue parenchyma for pathological alterations and become activated in Alzheimer's disease. Loss of signaling between neurons and microglia via deletion of the microglial receptor, CX3CR1, worsens phenotypes in various models of neurodegenerative diseases. In contrast, CX3CR1 deficiency ameliorates pathology in murine stroke models. To examine the role of CX3CR1 in Alzheimer's disease-related β-amyloid pathology, we generated APPPS1 and R1.40 transgenic mouse models of Alzheimer's disease deficient for CX3CR1. Surprisingly, CX3CR1 deficiency resulted in a gene dose-dependent reduction in β-amyloid deposition in both the APPPS1 and R1.40 mouse models of AD. Immunohistochemical analysis revealed reduced staining for CD68, a marker of microglial activation. Furthermore, quantitative immunohistochemical analysis revealed reduced numbers of microglia surrounding β-amyloid deposits in the CX3CR1-deficient APPPS1 animals. The reduced β-amyloid pathology correlated with reduced levels of TNFα and CCL2 mRNAs, but elevated IL1β mRNA levels, suggesting an altered neuroinflammatory milieu. Finally, to account for these seemingly disparate results, both in vitro and in vivo studies provided evidence that CX3CL1/CX3CR1 signaling alters the phagocytic capacity of microglia, including the uptake of Aβ fibrils. Taken together, these results demonstrate that loss of neuron-microglial fractalkine signaling leads to reduced β-amyloid deposition in mouse models of AD that is potentially mediated by altered activation and phagocytic capability of CX3CR1-deficient microglia.

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Written from the paper’s full text.

TL;DR

Loss of CX3CR1 signaling in two Alzheimer’s disease mouse models unexpectedly reduced β-amyloid deposition in a gene dose-dependent manner, despite fewer plaque-associated microglia and reduced CD68 activation. The authors attribute this to altered microglial activation and enhanced phagocytic clearance of fibrillar Aβ when CX3CL1–CX3CR1 signaling is absent.

Key findings

  • In 4-month-old APPPS1 mice, cortical Thioflavine S-positive Aβ deposition fell by 35% in APPPS1;Cx3cr1+/− and 57% in APPPS1;Cx3cr1−/− versus APPPS1;Cx3cr1+/+ controls (P < 0.001); hippocampal deposition fell by 70% and 85%, respectively (P < 0.001). ELISA showed Aβ42 at 1375 ± 803 pmol/g wet brain in APPPS1;Cx3cr1−/− versus 4608 ± 861 pmol/g in APPPS1;Cx3cr1+/+ mice.
  • In 20–24-month-old R1.40 mice, Cx3cr1 heterozygosity or knockout also reduced cortical Thioflavine S-positive plaques (P < 0.05).
  • Plaque-associated Iba1-positive microglia were reduced in a gene dose-dependent manner: large plaques had about 13, 11, and 9 microglia in APPPS1;Cx3cr1+/+, +/−, and −/− mice; medium plaques had about 9, 7, and 5; small-plaque differences were not significant. CD68 staining was reduced, while CD45 was relatively unchanged.
  • TNFα and CCL2 mRNAs were lower and IL1β mRNA was higher in CX3CR1-deficient APPPS1 brains. In vitro, CX3CL1 treatment reduced wild-type microglial uptake of fluorescent microspheres from about 4 to 2 per cell (P < 0.05), but did not affect Cx3cr1−/− microglia. After cortical fibrillar Aβ1–42 injection, 66% of Cx3cr1−/− microglia contained Aβ versus 46% of Cx3cr1+/+ microglia (P < 0.01), with similar numbers of microglia near the injection site.

Methods

  • The authors crossed Cx3cr1 knockout mice with two AD models: rapid-onset APPPS1 mice, which mainly deposit Aβ42, and gradual-onset R1.40 mice, which mainly deposit Aβ40.
  • They used Thioflavine S staining, immunohistochemistry for CD68, CD45, GFAP, Iba1, 4G8, 6E10, CT15, and AT8, confocal quantification of plaque-associated microglia, Western blotting for APP and APP C-terminal fragments, Aβ42 ELISA, and quantitative RT-PCR for cytokines and chemokines.
  • They also cultured primary microglia from Cx3cr1+/+ and Cx3cr1−/− mice for phagocytosis assays with fluorescent microspheres and CX3CL1, and stereotaxically injected fibrillar Aβ1–42 or control Aβ42–1 into Cx3cr1+/+ and Cx3cr1−/− cortices to assess in vivo Aβ uptake.

Limitations

  • The paper states that astrocytes cannot be formally excluded as contributors to reduced Aβ deposition, although CX3CR1 is expressed by microglia in the murine CNS and reduced astrogliosis is interpreted as secondary.
  • The paper states that future studies are needed to determine whether fewer plaque-associated microglia arise from altered microglial death or proliferation; preliminary bromodeoxyuridine and cleaved caspase 3 analyses suggested no change.
  • Evident from the text: findings are limited to mouse models and do not establish human relevance; cytokine/chemokine changes are correlative; the in vitro phagocytosis assay uses microspheres rather than Aβ; the in vivo Aβ injection is an acute model; and cognitive or behavioral outcomes are not reported.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.2353/ajpath.2010.100265

Cites

64 of 64 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

33 of 76 cited sources checked · 14 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    The chemokine fractalkine (CX3CL1) and its cognate receptor, CX3CR1, play an important role in neuroinflammation via paracrine signaling between neurons and microglia.

    “The chemokine fractalkine (CX3CL1) and its cognate receptor, CX3CR1, play an important role in neuroinflammation via paracrine signaling between neurons and microglia.[12][13][14]”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [12] Limatola, 2005, Chemokine CX3CL1 protects rat hippocampal neurons against glutamate-mediated excitotoxicity, J Neuroimmunol source
    • cites [13] Cardona, 2006, Control of microglial neurotoxicity by the fractalkine receptor, Nat Neurosci source
    • cites [14] Harrison, 1998, Role for neuronally derived fractalkine in mediating interactions between neurons and CX3CR1-expressing microglia, Proc Natl Acad Sci USA source

      The Discussion (page not provided) identifies neurons as the primary source of fractalkine and microglia as the principal responding cells; it also links fractalkine–CX3CR1 signaling to the response to facial motor nerve injury. This supports neuron-to-microglia signaling in a pathological setting, but the paper does not establish a broad, important role in neuroinflammation specifically, and its evidence includes membrane-anchored as well as soluble fractalkine rather than solely paracrine signaling. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Premisecitation

    The APPPS1 model exhibits rapid deposition of primarily Aβ42.

    “we mated Cx3cr1 knockout mice to two different mouse models of AD that exhibit either rapid deposition of primarily A␤42 (the APPPS1 model) 21 or gradual deposition of primarily A␤40 (the R1.40 model).[22][23][24]”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [21] Radde, 2006, Abeta42-driven cerebral amyloidosis in transgenic mice reveals early and robust pathology, EMBO Rep source
  • Premisecitation

    APPPS1 mice exhibit early and robust Aβ deposition beginning at 6-8 weeks of age in the cortex and 3-4 months of age in the hippocampus.

    “APPPS1 mouse line coexpresses APP K670M/N671L and PS1 L166P mutations under the control of the neuronspecific Thy1 promoter and exhibits early and robust A␤ deposition beginning at 6 -8 weeks of age in the cortex and 3-4 months of age in the hippocampus.21”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [21] Radde, 2006, Abeta42-driven cerebral amyloidosis in transgenic mice reveals early and robust pathology, EMBO Rep source

      The Introduction identifies the APP and PS1 mutations and neuron-specific Thy1 promoter, and the Cerebral amyloidosis section reports the first neocortical plaques at 6 weeks. The hippocampal timing is less accurate: that section says deposition began in the dentate gyrus at 2–3 months and in CA1 at 4–5 months, rather than beginning throughout the hippocampus at 3–4 months. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Premisecitation

    APPPS1 mouse line coexpresses human amyloid precursor protein harboring the K670M/N671L familial AD mutation and presenilin 1 harboring the L166P familial AD mutation, under the control of the neuron-specific Thy1 promoter.

    “The APPPS1-21 (APPPS1) mouse line coexpresses human amyloid precursor protein harboring the K670M/ N671L familial AD mutation and presenilin 1 harboring the L166P familial AD mutation, under the control of the neuron-specific Thy1 promoter.21”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [21] Radde, 2006, Abeta42-driven cerebral amyloidosis in transgenic mice reveals early and robust pathology, EMBO Rep source

      The Introduction and mouse-generation methods identify line 21 as coexpressing APP and PS1-L166P under Thy1 promoter control. They specify the APP mutation as KM670/671NL, not the citing sentence’s K670M/N671L; that mutation designation is not supported. Page numbers are unavailable in our copy. (LLM, conf=0.91)

      Experimental — accuracy not yet measured
  • Premisecitation

    The R1.40 transgene is a full genomic copy of human APP carrying the K670M/N671L mutation.

    “The R1.40 transgene is a full genomic copy of human APP (carried on a 650-kb yeast artificial chromosome clone) carrying the K670M/N671L familial AD mutation associated with early-onset familial AD.”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [22] Lamb, 1993, Introduction and expression of the 400 kilobase amyloid precursor protein gene in transgenic mice [corrected], Nat Genet source
    • cites [23] Lamb, 1997, Altered metabolism of familial Alzheimer's disease-linked amyloid precursor protein variants in yeast artificial chromosome transgenic mice, Hum Mol Genet source
    • cites [25] Lehman, 2003, Genetic background regulates β-amyloid precursor protein processing and β-amyloid deposition in the mouse, Hum Mol Genet source

      The “Generation of R1.40 congenic strains” section says R1.40 contains the entire human APP gene on a YAC, but gives the mutation as K670N/M671L, not K670M/N671L. The Introduction identifies it as the Swedish familial AD mutation. The passages found do not specify a 650-kb YAC. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. 28
  • May combine two claims. 25
  • The quote only partly states this claim. 1
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CX3CL1 is highly expressed within neurons.

    “While CX3CR1 is expressed by many leukocyte cell types in the periphery, 15 in the brain CX3CR1 is exclusively expressed by microglia 13 whereas CX3CL1 is highly expressed within neurons.14”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [14] Harrison, 1998, Role for neuronally derived fractalkine in mediating interactions between neurons and CX3CR1-expressing microglia, Proc Natl Acad Sci USA source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Genetic variants in CX3CR1, which result in defective CX3CL1-CX3CR1 interactions, have been associated with age-related macular degeneration, a neuroinflammatory disorder.

    “Genetic variants in CX3CR1, which result in defective CX3CL1-CX3CR1 interactions, have been associated with age-related macular degeneration, a neuroinflammatory disorder.17,18”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [17] Tuo, 2004, The involvement of sequence variation and expression of CX3CR1 in the pathogenesis of age-related macular degeneration, FASEB J source
    • cites [18] Chan, 2005, Detection of CX3CR1 single nucleotide polymorphism and expression on archived eyes with age-related macular degeneration, Histol Histopathol source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Cx3cr1 knockout mice exhibited age-dependent subretinal microglial accumulation and retinal degeneration.

    “Cx3cr1 knockout mice exhibited age-dependent subretinal microglial accumulation and retinal degeneration.37,38”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [37] Combadiere, 2007, CX3CR1-dependent subretinal microglia cell accumulation is associated with cardinal features of age-related macular degeneration, J Clin Invest source
    • cites [38] Raoul, 2008, Role of the chemokine receptor CX3CR1 in the mobilization of phagocytic retinal microglial cells, J Neuroimmunol source
  • Classified as probably not a substantial claim.

    Premisecitation

    IL1β overexpression enhances Aβ clearance.

    “previous studies demonstrated that IL1␤ overexpression enhances A␤ clearance.9,53”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [9] Shaftel, 2007, Sustained hippocampal IL-1 beta overexpression mediates chronic neuroinflammation and ameliorates Alzheimer plaque pathology, J Clin Invest source

      The section “IL-1β overexpression reduces amyloid pathology” (page unavailable) reports reduced plaques and insoluble Aβ40 and Aβ42 in APP/PS1 mice after IL-1β overexpression. The Discussion describes plaque clearance and degradation as proposed explanations, but does not demonstrate increased Aβ clearance directly; “demonstrated” overstates that mechanistic finding. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [53] Quinn, 2003, Inflammation and cerebral amyloidosis are disconnected in an animal model of Alzheimer's disease, J Neuroimmunol source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    In the AD brain, microglia accumulate at the site of newly formed Aβ deposits via migration or local proliferation and may help restrict plaque growth.

    “In the AD brain, microglia accumulate at the site of newly formed A␤ deposits via migration or local proliferation and may help restrict plaque growth.4,5”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [4] Bolmont, 2008, Dynamics of the microglial/amyloid interaction indicate a role in plaque maintenance, J Neurosci source

      The Microglial migration and Discussion sections report movement toward new plaques and an increase in plaque-associated microglia; the Discussion offers cell division as one possible source of additional cells, rather than demonstrating local proliferation. The Discussion also finds that plaques with less microglial coverage tended to grow, consistent with the hedged suggestion that microglia may restrict growth. These observations come from transgenic mice, so the claim's unqualified reference to the AD brain extends beyond the studied setting. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [5] Meyer-Luehmann, 2008, Rapid appearance and local toxicity of amyloid-beta plaques in a mouse model of Alzheimer's disease, Nature source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The V249I and T280M polymorphisms in CX3CR1 are associated with altered risk for age-related macular degeneration in humans.

    “the V249I and T280M polymorphisms in CX3CR1 are associated with altered risk for age-related macular degeneration in humans.17,18”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [17] Tuo, 2004, The involvement of sequence variation and expression of CX3CR1 in the pathogenesis of age-related macular degeneration, FASEB J source
    • cites [18] Chan, 2005, Detection of CX3CR1 single nucleotide polymorphism and expression on archived eyes with age-related macular degeneration, Histol Histopathol source
  • Classified as probably not a substantial claim.

    Premisecitation

    MCP-1 promotes microglia-mediated Aβ oligomerization.

    “mRNA levels of MCP-1, which promotes microglia-mediated A␤ oligomerization, 54 was reduced in CX3CR1-deficient APPPS1 ani-mals”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [54] Kiyota, 2009, CCL2 accelerates microglia-mediated Abeta oligomer formation and progression of neurocognitive dysfunction, PLoS One source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Previous studies showed that in the CNS, CX3CL1 is expressed by neurons and signals to CX3CR1 on microglia.

    “Previous studies showed that in the CNS, CX3CL1 is expressed by neurons and signals to CX3CR1 on microglia.13,14”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [13] Cardona, 2006, Control of microglial neurotoxicity by the fractalkine receptor, Nat Neurosci source
    • cites [14] Harrison, 1998, Role for neuronally derived fractalkine in mediating interactions between neurons and CX3CR1-expressing microglia, Proc Natl Acad Sci USA source
  • Classified as probably not a substantial claim.

    Premisecitation

    Overexpression of IL1β, an inflammatory cytokine, leads to reduced Aβ pathology in mouse models of AD.

    “Recent studies demonstrated that overexpression of IL1␤, an inflammatory cytokine leads to reduced A␤ pathology in mouse models of AD. 9,53”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [9] Shaftel, 2007, Sustained hippocampal IL-1 beta overexpression mediates chronic neuroinflammation and ameliorates Alzheimer plaque pathology, J Clin Invest source
    • cites [53] Quinn, 2003, Inflammation and cerebral amyloidosis are disconnected in an animal model of Alzheimer's disease, J Neuroimmunol source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Gancyclovir-mediated depletion of microglia expressing thymidine kinase had no demonstrable effect on Aβ pathology in two mouse models of AD.

    “Finally, a recent study provided evidence that gancyclovir-mediated depletion of microglia expressing thymidine kinase had no demonstrable effect on A␤ pathology in two mouse models of AD. 57”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [57] Grathwohl, 2009, Formation and maintenance of Alzheimer's disease beta-amyloid plaques in the absence of microglia, Nat Neurosci source

      The Introduction reports no change in Aβ deposition or plaques after microglial depletion in APPPS1 mice. In the second model, APP23, it reports unchanged congophilic and vascular amyloid but a small reduction in total Aβ load, mainly from reduced diffuse amyloid. Thus, 'no demonstrable effect on Aβ pathology' overstates the result across both models. Page numbers are not provided in our copy. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    Altering the proliferation, signaling, and migration of microglia directly impacts development of Aβ pathology.

    “numerous other studies have suggested that altering the proliferation, 58 signaling, 8,9,11 and migration 7,59 of microglia directly impact development of A␤ pathology.”
    Quote in the paperSubstantial claim4 of 6 sources checked
    • cites [58] Manczak, 2009, Neutralization of granulocyte macrophage colony-stimulating factor decreases amyloid beta 1–42 and suppresses microglial activity in a transgenic mouse model of Alzheimer's disease, Hum Mol Genet source
    • cites [8] Town, 2008, Blocking TGF-beta-Smad2/3 innate immune signaling mitigates Alzheimer-like pathology, Nat Med source
    • cites [9] Shaftel, 2007, Sustained hippocampal IL-1 beta overexpression mediates chronic neuroinflammation and ameliorates Alzheimer plaque pathology, J Clin Invest source
    • cites [11] Maier, 2008, Complement C3 deficiency leads to accelerated amyloid beta plaque deposition and neurodegeneration and modulation of the microglia/macrophage phenotype in amyloid precursor protein transgenic mice, J Neurosci source

      The Results and Discussion report that C3-deficient APP mice had increased Aβ plaque burden and an altered microglia/macrophage activation phenotype, supporting an association between altered complement signaling and Aβ pathology. The study did not selectively alter microglial signaling or establish that the microglial change directly caused the plaque increase; the Discussion presents impaired phagocytosis as a possible explanation. The proliferation and migration clauses have separate citations and are not assessed against this source. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
    • cites [7] Yamamoto, 2005, Overexpression of monocyte chemotactic protein-1/CCL2 in beta-amyloid precursor protein transgenic mice show accelerated diffuse beta-amyloid deposition, Am J Pathol source
    • cites [59] El Khoury, 2007, Ccr2 deficiency impairs microglial accumulation and accelerates progression of Alzheimer-like disease, Nat Med source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Various genetically modified mouse models have demonstrated a role for other chemokines/cytokine pathways, including CCR2 and IL1β, in altering the accumulation of mononuclear phagocytes and Aβ pathology.

    “Various genetically modified mouse models have convincingly demonstrated the role for other chemokines/cytokine pathways in altering the accumulation of mononuclear phagocytes (monocytes, macrophages, and microglia) and A␤ pathology, including CCR2 59 and IL1␤.9”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [59] El Khoury, 2007, Ccr2 deficiency impairs microglial accumulation and accelerates progression of Alzheimer-like disease, Nat Med source
    • cites [9] Shaftel, 2007, Sustained hippocampal IL-1 beta overexpression mediates chronic neuroinflammation and ameliorates Alzheimer plaque pathology, J Clin Invest source
  • May combine two claims.

    Findingown data

    Reduced beta-amyloid pathology correlated with reduced levels of TNFα and CCL2 mRNAs, but elevated IL1β mRNA levels.

    “The reduced ␤-amyloid pathology correlated with reduced levels of TNF␣ and CCL2 mRNAs , but elevated IL1␤ mRNA levels , suggesting an altered neuroinflammatory milieu.”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    Immunohistochemical analysis revealed reduced staining for CD68, a marker of microglial activation, in CX3CR1-deficient mice.

    “Immunohistochemical analysis revealed reduced staining for CD68, a marker of microglial activation.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    For medium plaques, APPPS1;Cx3cr1 -/- mice exhibited a significant decrease in plaque-associated microglia compared to APPPS1;Cx3cr1 +/- mice, indicating a gene dose-dependent effect.

    “In addition, for medium plaques, APPPS1;Cx3cr1 Ϫ/Ϫ mice exhibited a significant decrease in plaque associated microglia when compared to APPPS1;Cx3cr1 ϩ/Ϫ mice, indicating a gene dose-dependent effect.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Wild-type non-transgenic brain sections demonstrated no Congo Red-positive deposits and sparse CD68 and CD45 immunoreactivity.

    “Wild-type non-transgenic sections demonstrated no Congo Red-positive deposits and sparse CD68 (Figure 3A) and CD45 immunoreactivity (Figure 3B).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    APPPS1;Cx3cr1−/− mice demonstrated significantly reduced cortical deposition when compared to APPPS1;Cx3cr1+/− mice, indicating a gene dose-dependent effect (P < 0.05).

    “tical deposition when compared to APPPS1;Cx3cr1 ϩ/Ϫ mice, indicating a gene dose-dependent effect (P Ͻ 0.05).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Large plaques (>1000 μm2) in APPPS1;Cx3cr1 +/+ controls exhibited an average of approximately 13 plaque-associated microglia, whereas those in APPPS1;Cx3cr1 +/- and APPPS1;Cx3cr1 -/- animals exhibited only approximately 11 and approximately 9 plaque-associated microglia, respectively.

    “Large plaques (Ͼ1000 m 2 ) in APPPS1;Cx3cr1 ϩ/ϩ controls exhibited an average of ϳ13 plaque associated microglia, whereas those in APPPS1;Cx3cr1 ϩ/Ϫ and APPPS1;Cx3cr1 Ϫ/Ϫ animals exhibited only ϳ11 and ϳ9 plaque-associated microglia, respectively (Figure 4J).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Cortical Thioflavine S positive Aβ deposition was reduced by 35% in APPPS1;Cx3cr1+/− and by 57% in APPPS1;Cx3cr1−/− mice when compared to APPPS1;Cx3cr1+/+ controls (P < 0.001).

    “In a quantitative analysis of fibrillar A␤ burden, cortical Thioflavine S positive A␤ deposition was reduced by 35% in APPPS1;Cx3cr1 ϩ/Ϫ and by 57% in APPPS1;Cx3cr1 Ϫ/Ϫ mice when compared to APPPS1; Cx3cr1 ϩ/ϩ controls (P Ͻ 0.001; Figure 1D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Wild-type control mice exhibited no Congo Red-positive Aβ deposits and GFAP immunoreactivity limited to the meninges and perivascular regions.

    “As expected, wildtype controls exhibited no Congo Red-positive A␤ deposits and GFAP immunoreactivity was limited to the meninges and perivascular regions.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Sixty-six percent of Cx3cr1−/− microglia around fibrillar Aβ 1-42 injection sites were phagocytic, whereas only 46% of Cx3cr1+/+ microglia were phagocytic.

    “Sixty-six percent of Cx3cr1 Ϫ/Ϫ microglia around fibrillar A␤ 1-42 injection sites were phagocytic, whereas only 46% of Cx3cr1 ϩ/ϩ microglia were phagocytic.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Analysis of microglial markers demonstrated a gene dose-dependent reduction in both the numbers of Iba1-positive microglia surrounding individual Aβ deposits and staining for the microglial activation marker CD68 in CX3CR1-deficient APPPS1 mice.

    “Analysis of microglial markers demonstrated a gene dose-dependent reduction in both the numbers of Iba1positive microglia surrounding individual A␤ deposits (Figure 4) as well as staining for the microglial activation marker CD68 (Figure 3) in CX3CR1-deficient APPPS1 mice.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    No significant differences were observed in the relative levels of either holo-APP or CTF␤ between genotypes.

    “No significant differences were observed in the relative levels of either holo-APP or CTF␤ between genotypes.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    APPPS1;Cx3cr1+/+ animals exhibit abundant fibrillar A␤ deposition throughout the cortex with reduced A␤ deposition in the hippocampus.

    “APPPS1;Cx3cr1 ϩ/ϩ animals exhibit abundant fibrillar A␤ deposition throughout the cortex with reduced A␤ deposition in the hippocampus (A).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Wild-type sections contained no Congo Red-positive deposits and rare CD68 and CD45 immunoreactivity.

    “Wild-type sections contained no Congo Red-positive deposits and rare CD68 (A) and CD45 (B) immunoreactivity.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CX3CR1 deficiency ameliorates pathology in murine stroke models.

    “In contrast , CX3CR1 deficiency ameliorates pathology in murine stroke models.”
    • Also stated in: § Abstract · plain
      “Conversely, lack of CX3CR1 is protective in murine stroke models.19,20”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [19] Denes, 2008, Role of CX3CR1 (fractalkine receptor) in brain damage and inflammation induced by focal cerebral ischemia in mouse, J Cereb Blood Flow Metab source
    • cites [20] Soriano, 2002, Mice deficient in fractalkine are less susceptible to cerebral ischemia-reperfusion injury, J Neuroimmunol source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    CX3CL1 can signal to CX3CR1 in a membrane bound form, or as a secreted ligand after constitutive or inducible cleavage by ADAM10 and ADAM17 metalloproteases, respectively.

    “CX3CL1 can signal to CX3CR1 in a membrane bound form, or as a secreted ligand after constitutive or inducible cleavage by the ADAM10 and ADAM17 metalloproteases, respectively.16”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [16] Bazan, 1997, A new class of membrane-bound chemokine with a CX3C motif, Nature source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    To confirm equal protein loading, anti-α-tubulin or anti-GAPDH antibody was used.

    “To confirm equal protein loading, anti-␣-tubulin antibody (mouse monoclonal; 1:5000; Neomarkers, Fremont, CA) or anti-glyceraldehyde 3-phosphate dehydrogenase (GAPDH; mouse monoclonal; 1:20,000; Millipore, Billerica, MA) was used.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Before initiation of the studies, cDNA was serially diluted and amplified using the respective TaqMan probes to ensure that the amount of cDNA used was in the linear range.

    “In addition, before initiation of the studies, cDNA was serially diluted and amplified using the respective TaqMan probes to ensure that the amount of cDNA used was in the linear range.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data

    Unconjugated and HiLyte 555-conjugated Aβ1-42 injections triggered identical microglial reactions, and thus the results were combined into a single group.

    “Unconjugated and HiLyte 555-conjugated A␤ 1-42 injections triggered identical microglial reactions (data not shown), and thus the results were combined into a single group.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductreasoning

    To minimize potential experimental bias, high-resolution confocal Z-stacks spanning the entire thickness of the section were obtained and quantified via an unambiguous parameter (number of cells rather than percent area or optical density), and all sections were immunostained and imaged together using the same parameters.

    “To minimize any potential experimental bias, high-resolution confocal Z-stacks that spanned the entire thickness of the section were obtained and quantified via an unambiguous parameter (ie, number of cells rather than percent area or optical density).In addition, all sections were immunostained and imaged together using the same parameters.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Controls included sections in which the fluorescent dyes were swapped as well as no primary antibody.

    “Controls included sections in which the fluorescent dyes were swapped as well as no primary antibody (data not shown).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Control sections incubated with fluorescent anti-mouse IgG secondary antibodies revealed no specific labeling, thereby ruling out nonspecific mouse IgG binding at the injection site.

    “Finally, control sections incubated with fluorescent anti-mouse IgG secondary antibodies reveled no specific labeling (data not shown), thereby ruling out nonspecific mouse IgG binding at the injection site.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    CX3CR1 deficiency has a gene dose-dependent effect on microglial accumulation around Aβ deposits, with heterozygous mice exhibiting an intermediate phenotype.

    “Significantly, we also observed a gene dose-dependent effect of CX3CR1 deficiency, with heterozygous Cx3cr1 mice exhibiting an intermediate phenotype.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationown data

    Both the alterations in microglial activation and reduced astrocytosis could be due to the reduced Aβ deposition observed.

    “Taken together, these results indicate that, in addition to alterations in microglial activation, there is also reduced astrocytosis in CX3CR1deficient APPPS1 mice, although both of these alterations could be due to the reduced A␤ deposition observed.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    RNA samples from each individual animal were run in triplicate.

    “RNA samples from each individual animal were run in triplicate.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    One partial explanation for the results is that CX3CR1 deficiency alters the microglial activation status and enhances Aβ clearance.

    “One partial explanation for our results is that CX3CR1 deficiency alters the microglial activation status and enhances A␤ clearance.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: mRNA levels of cytokines/chemokines reflect their protein levels and functional activity in the brain.
  • Probably not a substantial claim: may not pass S1 (asserted).

    Interpretationreasoning

    The effect of CX3CR1 deficiency on Aβ deposition is mediated via alterations within microglia.

    “we postulated that the effect of CX3CR1 deficiency on A␤ deposition was mediated via alterations within microglia.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Alterations in CX3CR1 signaling could influence human AD pathogenesis.

    “This suggests that alterations in CX3CR1 signaling could influence human AD pathogenesis”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Increased IL1β levels were also observed in Cx3cr1 knockout mice in response to lipopolysaccharide injections, where it led to enhanced neurotoxicity.

    “Notably, increased IL1␤ levels were also observed in Cx3cr1 knockout mice in response to lipopolysaccharide injections, where it led to enhanced neurotoxicity.13”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [13] Cardona, 2006, Control of microglial neurotoxicity by the fractalkine receptor, Nat Neurosci source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CX3CR1 deficiency resulted in increased neuronal cell death and worsening of phenotypes via mechanisms cell-autonomous to microglia in various models of neurodegeneration.

    “in various models of neurodegeneration, including the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine model of Parkinson's disease; a transgenic mouse model of amyotrophic lateral sclerosis; and induction of neuroinflammation via systemic lipopolysaccharide administration, CX3CR1 deficiency resulted in increased neuronal cell death and worsening of phenotypes via mechanisms cell-autonomous to microgl”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [13] Cardona, 2006, Control of microglial neurotoxicity by the fractalkine receptor, Nat Neurosci source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Microglia can exist in multiple activation states determined by local stimuli and reflected in production of specific cytokines and chemokines.

    “Microglia can exist in multiple activation states that are determined by the local stimuli for activation and reflected in production of specific cytokines and chemokines.48”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [48] Ransohoff, 2009, Microglial physiology: unique stimuli, specialized responses, Annu Rev Immunol source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Cx3cr1 knockout mice exhibit smaller infarcts after transient middle cerebral artery occlusion.

    “Indeed, the effect of CX3CR1 deficiency appears to depend on the nature of the CNS insult as recent studies demonstrated that Cx3cr1 knockout mice exhibit smaller infarcts after transient middle cerebral artery occlusion.19,20”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [19] Denes, 2008, Role of CX3CR1 (fractalkine receptor) in brain damage and inflammation induced by focal cerebral ischemia in mouse, J Cereb Blood Flow Metab source
    • cites [20] Soriano, 2002, Mice deficient in fractalkine are less susceptible to cerebral ischemia-reperfusion injury, J Neuroimmunol source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Depending on the nature of the CNS insult, increased microglial phagocytosis may ameliorate or worsen pathology.

    “Depending on the nature of the CNS insult, increased microglial phagocytosis may ameliorate 46 or worsen pathology.56”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [46] Boissonneault, 2009, Powerful beneficial effects of macrophage colony-stimulating factor on beta-amyloid deposition and cognitive impairment in Alzheimer's disease, Brain source
    • cites [56] Gowing, 2009, Macrophage colony stimulating factor (M-CSF) exacerbates ALS disease in a mouse model through altered responses of microglia expressing mutant superoxide dismutase, Exp Neurol source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CX3CR1 signaling inhibits microglial apoptosis via Fas-mediated mechanisms in vitro.

    “Interestingly, CX3CR1 signaling inhibits microglial apoptosis via Fas-mediated mech- anisms in vitro.34”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [34] Boehme, 2000, The chemokine fractalkine inhibits Fas-mediated cell death of brain microglia, J Immunol source
  • May combine two claims.

    Interpretationreasoning

    Fewer Cx3cr1−/− microglia were associated with each plaque due to their enhanced phagocytic capacity, leading to reduced Aβ deposition and fewer microglia per plaque.

    “Accordingly, the simplest interpretation of our data are that fewer Cx3cr1 Ϫ/Ϫ microglia were associated with each plaque due to their enhanced phagocytic capacity, leading to the associated findings of reduced A␤ deposition and fewer microglia per plaque.”
    Quote in the paperSubstantial claim
46 of 46
  • The paper relies on this without support.

    Microglia become activated in Alzheimer's disease.

    “Microglia , the primary immune effector cells in the brain , continually monitor the tissue parenchyma for pathological alterations and become activated in Alzheimer's disease.”
  • The paper relies on this without support.

    The molecular mechanisms underlying beneficial or deleterious microglial activities remain incompletely understood.

    “flammation and AD pathophysiology, the molecular mechanisms underlying beneficial or deleterious microglial activities remain incompletely understood.”
  • The paper relies on this without support.

    Nearly all plaques in APPPS1 mice are fibrillar.

    “As reported previously, nearly all plaques are fibrillar.”
  • The paper relies on this without support.

    There is marked microglial activation around Aβ deposits in APPPS1 mice from the earliest time-points.

    “There is also marked microglial activation around the A␤ deposits from the earliest time-points.”
  • The paper relies on this without support.

    CX3CR1 is exclusively expressed in brain microglia.

    “instead suggest involvement of brain microglia, where CX3CR1 is exclusively expressed.”
  • The paper relies on this without support.

    Similar numbers of Cx3cr1+/+ and Cx3cr1−/− microglia around injection sites indicate that microglial migration is not impaired.

    “However, Cx3cr1 ϩ/ϩ and Cx3cr1 Ϫ/Ϫ microglia accumulated in similar numbers around the injection sites, suggesting that microglial migration was not impaired by CX3CR1 deficiency.”
  • The paper relies on this without support.

    mRNA levels of cytokines/chemokines reflect their protein levels and functional activity in the brain.

    “These observations suggest that CX3CR1 deficiency leads to a cytokine environment that harnesses the beneficial effects of microglial activation in response to A␤.”
  • The paper relies on this without support.

    In vitro phagocytosis of microspheres by primary microglia reflects microglial phagocytosis of Aβ.

    “In addition, in vitro phagocytosis assay revealed that CX3CL1-CX3CR1 signaling regulates the phagocytic capacity of microglia (Figure 6).”
  • The paper relies on this without support.

    In 3xTg mice at 4-6 months, there is no extracellular A␤ deposition but abundant intracellular A␤ immunoreactivity.

    “this study examined 3xTg animals at 4 -6 months, an age at which there is no extracellular deposition of A␤ but instead abundant intracellular A␤ immunoreactivity.”
9 of 9

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Microglia can have differential effects on Alzheimer's disease pathology depending on the disease stage.

    “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 [11]

    The “Microglial Removal of Aβ” section says microglial effects on amyloid pathology vary with activation status and with disease states or experimental conditions. It does not establish that those effects differ specifically by stage of Alzheimer’s disease; a stage-dependent effect is the unsupported part of the claim. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Earlier studies on other microglial AD risk genes reported opposing effects on AD-related pathologies using various animal models at different ages.

    “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 [11]

    The Discussion reports reduced amyloid pathology after CX3CR1 deficiency in two AD mouse models, while Microglial Proliferation/Migration (p. 2552) contrasts those findings with a study of younger 3xTg mice. This supports the point that findings differ across models and ages. The paper does not establish CX3CR1 as an AD risk gene or document opposing effects for multiple such genes. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Accumulating evidence shows that microglia and monocytes play distinct roles in AD pathogenesis, thus implicating both the central and peripheral immune response in long-term outcome.

    “Finally, accumulating evidence shows that microglia and monocytes play distinct roles in AD pathogenesis (116–119), thus implicating both the central and peripheral immune response in long-term outcome.”

    From The Inflammatory Continuum of Traumatic Brain Injury and Alzheimer’s Disease (2018) · cites this paper as [117]

    The Discussion reports enhanced amyloid-beta phagocytosis by microglia in the AD mouse models. The Microglial Proliferation/Migration section mentions migration of peripheral monocytes or macrophages only as a possibility; it does not establish a distinct role for them alongside microglia. The paper therefore supports a microglial role in amyloid pathology, but not the attributed distinction between the two cell populations. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • In Alzheimer's disease, complete deletion of CX3CR1 in models of amyloid deposition reduced Aβ deposits and enhanced microglial Aβ phagocytic ability.

    “In Alzheimer's disease complete deletion of CX3CR1 in models of amyloid deposition reduced Aβ deposits and enhanced microglial Aβ phagocytic ability (16, 17).”
  • Targeting CX3CR1 activity may be a therapeutic strategy to lower Aβ levels.

    “These studies provided important insight on the role of CX3CR1 in AD and suggested that targeting CX3CR1 activity may be a therapeutic strategy to lower Aβ levels.”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Small-plaque microglial differences are both nonsignificant and significant

    Major

    The results state that genotype differences for small plaques were not statistically significant, but the Figure 4 caption says both CX3CR1-deficient genotypes had statistically significant reductions around small plaques.

  • Figure 6 treatment labels for knockout microglia are reversed

    Minor

    The results identify panel C as CX3CL1-treated and panel D as untreated knockout microglia, but the Figure 6 caption assigns C to the absence and D to the presence of CX3CL1.

2 of 2

Cites

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Authors
Lee, S., Varvel, N. H., Konerth, M. E., Xu, G., Cardona, A. E., Ransohoff, R. M., & Lamb, B. T.
Affiliations
Cleveland Clinic (US)
Corresponding author
Lamb, Bruce T.
Venue
The American Journal of Pathology
Publisher
Elsevier BV
Published
2010-11
Volume
177
Issue
5
Pages
2549-2562
ISSN
0002-9440 (ISSN-L)
OpenAlex
W2115855931
Cited by
539
References
64
Citations by year
2026: 20 · 2025: 16 · 2024: 28 · 2023: 18 · 2022: 50 · 2021: 40 · 2020: 32 · 2019: 31 · 2018: 40 · 2017: 34 · 2016: 26 · 2015: 41 · 2014: 43 · 2013: 32 · 2012: 32
FWCI
14.03
Type
journal article
Language
en
Open access
Locations
  • American Journal Of Pathology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
  • National Institutes of Health (AG023012)
  • Alzheimer's Association
  • National Multiple Sclerosis Society (F30NS068003, TA-3021)
  • Dana Foundation
  • American Health Assistance Foundation (07-997)
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
CX3CR1, fractalkine, microglial activation, amyloid-beta deposition, Alzheimer's disease, microglial phagocytosis, neuroinflammation, TNF-α
MeSH terms
CX3C Chemokine Receptor 1, Alzheimer Disease, Animals, Cell Movement, Disease Models, Animal, Mice, Inbred C57BL, Mice, Transgenic, Neurons

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-20.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-20.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

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