Liu Xiaoli, Wang Huijin, Tian Xi, Luo Yingqi, Ma Minmin, Zheng Zilong, Wang Yaping, Feng Shi, Wang Qiushi, Xu Zhuo, Yao Wen, Ren Siqiang
Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, State Key Laboratory of Multi-organ Injury Prevention and Treatment, Key Laboratory of Mental Health of the Ministry of Education, Guangdong Province Key Laboratory of Psychiatric Disorders, Guangdong Basic Research Center of Excellence for Integrated Traditional and Western Medicine for Qingzhi Diseases, Guangdong-Hong Kong Joint Laboratory for Psychiatric Disorders, Department of Neurobiology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Center for Kidney Disease, 2nd Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu, 210003, China.
J Neuroinflammation. 2025 Jun 27;22(1):166. doi: 10.1186/s12974-025-03488-2.
Depression has been widely recognized as an important accelerating factor contributing to the aggravation of cognitive decline in Alzheimer's disease (AD) patients. Previous studies show that microglia-mediated neuroinflammation is a common and critical event in the etiology of both depression and dementia, but whether and how microglia participate in the process of depression-exacerbating AD pathology is largely unknown. By establishing the learned helplessness depression model on 5×FAD mice, we confirmed that depression can indeed promote Aβ plaque deposition and deteriorate the cognitive performance of the AD mice. Importantly, we found that microglial lactate concentration is dramatically increased in the depressed AD brain, leading to activation of potassium channel Kv1.3 likely through non-direct-lactylation. The activated Kv1.3 further facilitates Aβ-containing exosome spreading from microglia in the vicinity of Aβ plaque into the surrounding brain tissue. Notably, conditional knock-out of Kv1.3 in microglia can reverse the depression-induced acceleration of AD pathology and cognitive decline. Together, our study highlights an important function of microglia Kv1.3 in the promotion of Aβ propagation in the context of depression-exacerbating AD pathology.
抑郁症已被广泛认为是导致阿尔茨海默病(AD)患者认知衰退加剧的一个重要加速因素。先前的研究表明,小胶质细胞介导的神经炎症是抑郁症和痴呆症病因中常见且关键的事件,但小胶质细胞是否以及如何参与抑郁症加剧AD病理过程在很大程度上尚不清楚。通过在5×FAD小鼠上建立习得性无助抑郁模型,我们证实抑郁症确实会促进Aβ斑块沉积并恶化AD小鼠的认知表现。重要的是,我们发现抑郁的AD大脑中小胶质细胞乳酸浓度显著增加,可能通过非直接乳酸化导致钾通道Kv1.3激活。激活的Kv1.3进一步促进含Aβ的外泌体从小胶质细胞在Aβ斑块附近扩散到周围脑组织。值得注意的是,小胶质细胞中Kv1.3的条件性敲除可以逆转抑郁症诱导的AD病理加速和认知衰退。总之,我们的研究突出了小胶质细胞Kv1.3在抑郁症加剧AD病理背景下促进Aβ传播中的重要作用。
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