PICALM 阿尔茨海默病风险等位基因会导致小胶质细胞中出现异常脂滴。

PICALM Alzheimer's risk allele causes aberrant lipid droplets in microglia.

作者信息

Kozlova Alena, Zhang Siwei, Sudwarts Ari, Zhang Hanwen, Smirnou Stanislau, Byeon Seul Kee, Thapa Christina, Sun Xiaotong, Stephenson Kimberley, Zhao Xiaojie, Jamison Brendan, Ponnusamy Moorthi, He Xin, Schneider Julie A, Pandey Akhilesh, Bennett David A, Pang Zhiping P, Sanders Alan R, Bellen Hugo J, Thinakaran Gopal, Duan Jubao

机构信息

Center for Psychiatric Genetics, Endeavor Health Research Institute, Evanston, IL, USA.

Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, IL, USA.

出版信息

Nature. 2025 Sep 3. doi: 10.1038/s41586-025-09486-x.

Abstract

Despite genome-wide association studies (GWAS) of late-onset Alzheimer's disease (LOAD) having identified many genetic risk loci, the underlying disease mechanisms remain largely unclear. Determining causal disease variants and their LOAD-relevant cellular phenotypes has been a challenge. Here, using our approach for identifying functional GWAS risk variants showing allele-specific open chromatin, we systematically identified putative causal LOAD-risk variants in human induced pluripotent stem (iPS)-cell-derived neurons, astrocytes and microglia, and linked a PICALM LOAD-risk allele to a microglial-specific role of PICALM in lipid droplet (LD) accumulation. Allele-specific open-chromatin mapping revealed functional risk variants for 26 LOAD-risk loci, mostly specific to microglia. At the microglial-specific PICALM locus, the LOAD-risk allele of the single-nucleotide polymorphism rs10792832 reduced transcription factor (PU.1) binding and PICALM expression, impairing the uptake of amyloid beta (Aβ) and myelin debris. Notably, microglia carrying the PICALM risk allele showed transcriptional enrichment of pathways for cholesterol synthesis and LD formation. Genetic and pharmacological perturbations of microglia further established a causal link between reduced PICALM expression, LD accumulation and phagocytosis deficits. Our work elucidates the selective LOAD vulnerability in microglia at the PICALM locus through detrimental LD accumulation, providing a neurobiological basis that can be exploited for developing clinical interventions.

摘要

尽管晚发性阿尔茨海默病(LOAD)的全基因组关联研究(GWAS)已经确定了许多遗传风险位点,但其潜在的疾病机制仍不清楚。确定因果疾病变体及其与LOAD相关的细胞表型一直是一项挑战。在这里,我们使用识别显示等位基因特异性开放染色质的功能性GWAS风险变体的方法,系统地在人诱导多能干细胞(iPS)衍生的神经元、星形胶质细胞和小胶质细胞中确定了推定的因果LOAD风险变体,并将一个PICALM LOAD风险等位基因与PICALM在脂滴(LD)积累中的小胶质细胞特异性作用联系起来。等位基因特异性开放染色质图谱揭示了26个LOAD风险位点的功能性风险变体,其中大多数是小胶质细胞特有的。在小胶质细胞特异性的PICALM位点,单核苷酸多态性rs1079——2832的LOAD风险等位基因减少了转录因子(PU.1)的结合和PICALM的表达,损害了淀粉样β(Aβ)和髓鞘碎片的摄取。值得注意的是,携带PICALM风险等位基因的小胶质细胞显示出胆固醇合成和LD形成途径的转录富集。小胶质细胞的基因和药理学扰动进一步建立了PICALM表达降低、LD积累和吞噬功能缺陷之间的因果联系。我们的工作通过有害的LD积累阐明了PICALM位点小胶质细胞中LOAD的选择性易感性,为开发临床干预措施提供了一个可利用的神经生物学基础。

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