期刊
NEURON
卷 101, 期 6, 页码 1099-+出版社
CELL PRESS
DOI: 10.1016/j.neuron.2019.01.014
关键词
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资金
- Conrad N. Hilton Foundation
- H. Lundbeck A/S
- S.D. Bechtel, Jr. Foundation
- NIH [P01AG019724, P50AG023501]
- Consortium for Frontotemporal Dementia Research
- Tau Consortium
- Swiss National Science Foundation Early Postdoc Mobility Fellowship
- NIH/NINDS [F32NS096920-02, R35 NS097976]
- Race to Erase MS Young Investigator Awards
- American Heart Association Scientist Development Grants
- Ray and Dagmar Dolby Family Fund
- Conrad N. Hilton Foundation [17348]
Cerebrovascular alterations are a key feature of Alzheimer's disease (AD) pathogenesis. However, whether vascular damage contributes to synaptic dysfunction and how it synergizes with amyloid pathology to cause neuroinflammation and cognitive decline remain poorly understood. Here, we show that the blood protein fibrinogen induces spine elimination and promotes cognitive deficits mediated by CD11b-CD18 microglia activation. 3D molecular labeling in cleared mouse and human AD brains combined with repetitive in vivo two-photon imaging showed focal fibrinogen deposits associated with loss of dendritic spines independent of amyloid plaques. Fibrinogen-induced spine elimination was prevented by inhibiting reactive oxygen species (ROS) generation or genetic ablation of CD11b. Genetic elimination of the fibrinogen binding motif to CD11b reduced neuroinflammation, synaptic deficits, and cognitive decline in the 5XFAD mouse model of AD. Thus, fibrinogen-induced spine elimination and cognitive decline via CD11b link cerebrovascular damage with immune-mediated neurodegeneration and may have important implications in AD and related conditions.
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