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  4. Mitochondrial dysfunction in microglia: a novel perspective for pathogenesis of Alzheimer’s disease

Mitochondrial dysfunction in microglia: a novel perspective for pathogenesis of Alzheimer’s disease

Journal of Neuroinflammation, 2022 · DOI: https://doi.org/10.1186/s12974-022-02613-9 · Published: January 1, 2022

ImmunologyNeurologyGenetics

Simple Explanation

Alzheimer’s disease (AD) is the most common neurodegenerative disease in the elderly globally. Emerging evidence has demonstrated microglia-driven neuroinflammation as a key contributor to the onset and progression of AD, however, the mechanisms that mediate neuroinflammation remain largely unknown. Recent studies have suggested mitochondrial dysfunction including mitochondrial DNA (mtDNA) damage, metabolic defects, and quality control (QC) disorders precedes microglial activation and subsequent neuroinflammation. Therefore, an in-depth understanding of the relationship between mitochondrial dysfunction and microglial activation in AD is important to unveil the pathogenesis of AD and develop effective approaches for early AD diagnosis and treatment.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    mtDNA abnormality triggers mitochondrial dysfunction, causing inflammatory responses and microglial activation and ultimately leading to irreversible neuronal death and loss of glial function.
  • 2
    Microglial mitochondrial energy metabolism disorder and metabolic reprogramming have been reported to be directly linked with the pathogenesis of AD.
  • 3
    Growing literatures have demonstrated damaged mitochondria in activated microglia due to dysregulation of mitochondrial dynamics in a mouse model of AD.

Research Summary

In summary, multiple hypotheses have been proposed for the pathogenesis of AD, one of the most complicated and progressive neurodegenerative disease, and among them, mitochondrial dysfunction has emerged as a hotspot. Growing evidence have demonstrated the tight association of mitochondrial dysfunction and microglia-driven neuroinflammation. Aβ deposition and other pathological changes damage mtDNA, disturb mitochondrial membrane permeability, alter mitochondrial metabolism and QC, leading to microglial activation and neuroinflammation. Inspiringly, strategies that aim to correct mitochondrial dysfunction in activated microglia have obtained convincing outcomes in vitro and in vivo, indicating mitochondrial dysfunction as a promising target for AD treatment.

Practical Implications

Targeting Warburg Effect

Modulating aerobic glycolysis with compounds like 2-DG and DMF may enhance microglial phagocytic capacity and reduce Aβ burden.

Restoring Mitochondrial Fission/Fusion Balance

Inhibiting excessive mitochondrial fission with P110 or enhancing mitochondrial fusion with cannabidiol may suppress neuroinflammation.

Promoting Mitophagy

Using mitophagy agonists like urolithin A and actinonin may facilitate microglial phagocytosis of Aβ, mitigate neuroinflammation, and improve cognitive function.

Study Limitations

  • 1
    Paucity of AD animal models sufficiently similar to humans.
  • 2
    Targeting efficiency of drug delivery to microglia requires further improvement.
  • 3
    Existence and function of mitochondria transportation pathway between microglia and neurons needs examination.

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