Neuroscience Therapeutic Area, New Medicines, UCB Biopharma SPRL, Chemin du Foriest, 1420, Braine-l'Alleud, Belgium.
J Neuroimmune Pharmacol. 2019 Sep;14(3):448-461. doi: 10.1007/s11481-019-09839-0. Epub 2019 Feb 13.
Bruton's tyrosine kinase (BTK), a critical component of B cell receptor signaling, has recently been implicated in regulation of the peripheral innate immune response. However, the role of BTK in microglia, the resident innate immune cells of the central nervous system, and its involvement in the pathobiology of neurodegenerative disease has not been explored. Here we found that BTK is a key regulator of microglial phagocytosis. Using potent BTK inhibitors and small interfering RNA (siRNA) against BTK, we observed that blockade of BTK activity decreased activation of phospholipase gamma 2, a recently identified genetic risk factor in Alzheimer's disease (AD), and reduced phagocytosis in rodent microglia and human monocyte-derived macrophages. Inhibition of BTK signaling also decreased microglial uptake of synaptosomes but did not have major impacts on other key microglial functions such as migration and cytokine release. Similarly, blocking BTK function ex vivo in acute brain slices reduced microglial phagocytosis and maintained numbers of resting microglia. In brain tissues from the 5xFAD mouse model of AD, levels of microglial BTK were elevated while in two gene expression datasets of post-mortem AD patient brain tissues, upregulation of BTK transcript was observed. Our study provides novel insights into the role of BTK in regulating microglial phagocytosis and uptake of synaptic structures and suggests that inhibiting microglial BTK may improve cognition in AD by preventing microglial activation and synaptic loss. Graphical Abstract Microglial-mediated synapse loss has been implicated in AD pathogenesis. Inhibition of BTK decreases activation of PLCγ2, a genetic risk factor in AD, and reduces microglial phagocytosis and uptake of synaptic structures. As such BTK inhibition may represent a therapeutic route to prevent microglial activation and synapse loss in AD.
布鲁顿酪氨酸激酶(BTK)是 B 细胞受体信号的关键组成部分,最近已被牵连到外周固有免疫反应的调节中。然而,BTK 在中枢神经系统固有免疫细胞——小胶质细胞中的作用及其在神经退行性疾病发病机制中的参与尚未得到探索。在这里,我们发现 BTK 是小胶质细胞吞噬作用的关键调节因子。使用有效的 BTK 抑制剂和针对 BTK 的小干扰 RNA(siRNA),我们观察到 BTK 活性的阻断降低了磷脂酶γ 2 的激活,磷脂酶γ 2 是最近在阿尔茨海默病(AD)中发现的遗传风险因素,并减少了啮齿动物小胶质细胞和人单核细胞源性巨噬细胞的吞噬作用。BTK 信号转导的抑制也减少了小胶质细胞对突触小体的摄取,但对其他关键的小胶质细胞功能(如迁移和细胞因子释放)没有重大影响。同样,在急性脑切片中体外阻断 BTK 功能可减少小胶质细胞的吞噬作用并维持静止小胶质细胞的数量。在 AD 的 5xFAD 小鼠模型的脑组织中,小胶质细胞 BTK 的水平升高,而在两个 AD 患者死后脑组织的基因表达数据集,BTK 转录物的上调。我们的研究为 BTK 在调节小胶质细胞吞噬作用和摄取突触结构中的作用提供了新的见解,并表明抑制小胶质细胞 BTK 可能通过防止小胶质细胞激活和突触丢失来改善 AD 认知。
图表摘要 小胶质细胞介导的突触丢失已被牵连到 AD 的发病机制中。BTK 的抑制降低了 AD 中的遗传风险因素 PLCγ2 的激活,并减少了小胶质细胞的吞噬作用和对突触结构的摄取。因此,BTK 抑制可能代表了预防 AD 中小胶质细胞激活和突触丢失的一种治疗途径。
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