Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Wu Tsai Neurosciences Institute, Stanford University, Stanford, CA, USA.
Nature. 2024 Apr;628(8006):154-161. doi: 10.1038/s41586-024-07185-7. Epub 2024 Mar 13.
Several genetic risk factors for Alzheimer's disease implicate genes involved in lipid metabolism and many of these lipid genes are highly expressed in glial cells. However, the relationship between lipid metabolism in glia and Alzheimer's disease pathology remains poorly understood. Through single-nucleus RNA sequencing of brain tissue in Alzheimer's disease, we have identified a microglial state defined by the expression of the lipid droplet-associated enzyme ACSL1 with ACSL1-positive microglia being most abundant in patients with Alzheimer's disease having the APOE4/4 genotype. In human induced pluripotent stem cell-derived microglia, fibrillar Aβ induces ACSL1 expression, triglyceride synthesis and lipid droplet accumulation in an APOE-dependent manner. Additionally, conditioned media from lipid droplet-containing microglia lead to Tau phosphorylation and neurotoxicity in an APOE-dependent manner. Our findings suggest a link between genetic risk factors for Alzheimer's disease with microglial lipid droplet accumulation and neurotoxic microglia-derived factors, potentially providing therapeutic strategies for Alzheimer's disease.
几种阿尔茨海默病的遗传风险因素涉及参与脂代谢的基因,其中许多脂代谢基因在神经胶质细胞中高度表达。然而,神经胶质细胞中的脂代谢与阿尔茨海默病病理之间的关系仍知之甚少。通过对阿尔茨海默病脑组织的单细胞 RNA 测序,我们鉴定出一种由脂滴相关酶 ACSL1 表达定义的小胶质细胞状态,具有 ACSL1 阳性的小胶质细胞在携带 APOE4/4 基因型的阿尔茨海默病患者中最为丰富。在人诱导多能干细胞衍生的小胶质细胞中,纤维状 Aβ 以 APOE 依赖性方式诱导 ACSL1 表达、甘油三酯合成和脂滴积累。此外,含有脂滴的小胶质细胞的条件培养基以 APOE 依赖性方式导致 Tau 磷酸化和神经毒性。我们的发现表明,阿尔茨海默病的遗传风险因素与小胶质细胞脂滴积累和神经毒性小胶质细胞衍生因子之间存在联系,可能为阿尔茨海默病提供治疗策略。
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