The Journal of Experimental Medicine · 2017 · 138 citations · 60 references
Life SciencesNeurobiologyNeuroscienceInnate ImmunityMolecular NeuroscienceNeuroimmunologyComplement RegulationComplement SystemMicroglia BiologyNeuroinflammationNeuroprotectionAmyloid ClearanceComplement In Neurodegenerative DiseaseComplement In NeuroinflammationComplement System ModulationMicrodialysis MeasurementMicroglia ModulationNeuroinflammation In Alzheimer DiseaseTherapeutic Target Identification
Recent genetic evidence supports a link between microglia and the complement system in Alzheimer's disease (AD). In this study, we uncovered a novel role for the microglial complement receptor 3 (CR3) in the regulation of soluble β-amyloid (Aβ) clearance independent of phagocytosis. Unexpectedly, ablation of CR3 in human amyloid precursor protein-transgenic mice results in decreased, rather than increased, Aβ accumulation. In line with these findings, cultured microglia lacking CR3 are more efficient than wild-type cells at degrading extracellular Aβ by secreting enzymatic factors, including tissue plasminogen activator. Furthermore, a small molecule modulator of CR3 reduces soluble Aβ levels and Aβ half-life in brain interstitial fluid (ISF), as measured by in vivo microdialysis. These results suggest that CR3 limits Aβ clearance from the ISF, illustrating a novel role for CR3 and microglia in brain Aβ metabolism and defining a potential new therapeutic target in AD.
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