Chatila Zena K, Bradshaw Elizabeth M
Columbia University Medical Center, New York, NY, USA.
Neuroscientist. 2023 Apr;29(2):245-263. doi: 10.1177/10738584211024531. Epub 2021 Jun 18.
Alzheimer's disease (AD) is a debilitating age-related neurodegenerative condition. Unbiased genetic studies have implicated a central role for microglia, the resident innate immune cells of the central nervous system, in AD pathogenesis. On-going efforts are clarifying the biology underlying these associations and the microglial pathways that are dysfunctional in AD. Several genetic risk factors converge to decrease the function of activating microglial receptors and increase the function of inhibitory receptors, resulting in a seemingly dampened microglial phenotype in AD. Moreover, many of these microglial proteins that are genetically associated with AD appear to interact and share pathways or regulatory mechanisms, presenting several points of convergence that may be strategic targets for therapeutic intervention. Here, we review some of these studies and their implications for microglial participation in AD pathogenesis.
阿尔茨海默病(AD)是一种与年龄相关的使人衰弱的神经退行性疾病。无偏倚的遗传学研究表明,小胶质细胞(中枢神经系统中的常驻固有免疫细胞)在AD发病机制中起核心作用。正在进行的研究工作正在阐明这些关联背后的生物学机制以及AD中功能失调的小胶质细胞途径。几种遗传风险因素共同作用,降低了激活小胶质细胞受体的功能并增强了抑制性受体的功能,导致AD中出现看似受到抑制的小胶质细胞表型。此外,许多与AD存在遗传关联的小胶质细胞蛋白似乎相互作用并共享途径或调节机制,呈现出几个可能成为治疗干预战略靶点的交汇点。在此,我们综述其中一些研究及其对小胶质细胞参与AD发病机制的影响。