Alzheimer's Disease Genetics: A Dampened Microglial Response?

Neuroscientist. 2023 Apr;29(2):245-263. doi: 10.1177/10738584211024531. Epub 2021 Jun 18.

Abstract

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.

Keywords: Alzheimer’s disease; CD33; HLA; SPI1; TREM2; genetics; microglia.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease* / pathology
  • Central Nervous System / metabolism
  • Humans
  • Microglia / metabolism