Research published in the journal Nature Genetics revealed the existence of an immune cell subtype in the brain capable of helping to contain the damage related to Alzheimer's disease. To reach this conclusion, scientists examined over 830,000 cells from 1,607 donors, covering various age ranges and degrees of alteration associated with the pathology.
The study, conducted by the Icahn School of Medicine at Mount Sinai, demonstrated that these cells undergo modifications throughout the aging process and during the progression of Alzheimer's. A specific group of microglia, which constitutes the main cerebral immune defense, captured the researchers' attention.
Scientists analyzed myeloid-derived immune cells, which originate in the bone marrow and migrate to the nervous system. This cellular set included microglia and perivascular macrophages, both involved in modulating the immune response.
Cell samples were collected from the prefrontal cortex of the 1,607 participants. From this material, six subclasses were delineated, totaling 13 distinct subtypes.
This mapping allowed for the tracking of transformations in these populations both during aging and as Alzheimer's symptoms progressed. A population was observed that intensifies with the advancement of Alzheimer's, but whose data suggest that this microglial subtype does not contribute to the worsening of brain damage; on the contrary, it demonstrates an opposite behavior, beginning to phagocytose and eliminate harmful materials more effectively.
Molecular Details and Therapeutic Implications
The team also identified a molecular pathway involving the proteins TREM2, MITF, and GPNMB, which is essential for maintaining microglia in this protective state. Tests conducted on human tissues and murine models confirmed that the observed benefits depend on TREM2-mediated signaling.
Donghoon Lee, Assistant Professor of Genetics and Genomic Sciences and Psychiatry at the Icahn School of Medicine at Mount Sinai and the lead author of the work, stated that the study offers 'the clearest view to date of how the brain's immune cells adapt during aging and Alzheimer's disease.' The findings help explain why genetic variations linked to the immune system, such as TREM2 and APOE, are correlated with an elevated risk of developing Alzheimer's.
Lee added that, 'by identifying the specific immune cells that appear to protect the brain and analyzing the molecular signals they depend on, we discovered new potential targets for therapies aimed at slowing the progression of Alzheimer's disease.' This discovery points to a new therapeutic approach that transcends amyloid protein plaques, focusing on strengthening the inherent immune defenses of the brain itself.