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Phagocytes as plaque catalysts: Human macrophages generate seeding-competent Aβ42 fibrils with cross-seeding activity - PubMed

6 hours ago
  • #Alzheimer's disease
  • #Microglia
  • #Amyloid beta
  • Human phagocytes, including macrophages and microglia, actively produce extracellular, seeding-competent Aβ42 fibrils, challenging the view that they only guard against Aβ accumulation in Alzheimer's disease (AD).
  • These cell-generated Aβ42 fibrils differ from synthetic ones, showing enhanced seeding and tau cross-seeding activity in biosensor models.
  • Aβ42 fibril formation requires active cellular processes and is worsened by the loss of TREM2, a major AD risk gene.
  • Transcriptomic profiling reveals an early inflammatory response similar to microglial states in human AD models.
  • The findings suggest microglia and macrophages may have a dual role in AD, acting both as responders and inadvertent facilitators of amyloid assembly, with implications for early therapeutic intervention.