Microglia and myelin's role in Alzheimer’s disease

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Tom.G
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From popular article at:
https://www.dailybreeze.com/2023/09...er-possible-new-cause-for-alzheimers-disease/
Microglia cleans up debris when myelin is damaged. Myelin acts as an insulator and protective covering for your brain’s nerve fibers, according to OHSU.

However, researchers found that microglia are demolished while getting rid of myelin, which is heavily rich in iron. This sabotage happens through a form of cell death named ferroptosis.
The research article, Ferroptosis of Microglia in Aging Human White Matter Injury,
is at Annals of Neurology, https://onlinelibrary.wiley.com/doi/10.1002/ana.26770

Objective​

Because the role of white matter (WM) degenerating microglia (DM) in remyelination failure is unclear, we sought to define the core features of this novel population of aging human microglia.

Interpretation​

Ferroptosis appears to be a major mechanism of WM injury in Alzheimer's disease and vascular dementia. WM DM are a novel therapeutic target to potentially reduce the impact of WM injury and myelin loss on the progression of cognitive impairment. ANN NEUROL 2023
 
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I'm confused. Microglia cleans up damaged myelin but then also itself gets damaged.
 
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Greg Bernhardt said:
I'm confused. Microglia cleans up damaged myelin but then also itself gets damaged.
A quick reading by a decidedly amateur yields --

Per paragraph 4, last sentence:
Aging human WMI in AD and VCID thus involves pronounced susceptibility to ferroptosis-mediated degeneration of iron-rich senescent microglia where lipid peroxidation injury appears to be promoted by dysfunctional microglial clearance of a high burden of myelin debris.

That seems to say:
The microglial are overloaded by heavy clean-up work, and they have been further injured by their inability to clear the extra debris. (think serious constipation!)

Cheers,
Tom

p.s. Come on you medical folks, how about some knowledgable interpretation of the article.
 
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Having lost two grandparents to it, and having seen what it does to a person, I have to say there is no other disease that scares me as much as Alzheimer's. I don't have the credentials to evaluate or even really understand this. But any research that may lead to improved understanding of the disease and potentially treatment is massively important in my book.
 
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Having lost one parent, and losing a friend to Alzheimer's, I have been collecting links. This is what I have run across in the last few years:

Why sleep and exercise can reduce risk of Alzheimer’s: Paywalled article: https://www.economist.com/science-a...ers-are-studying-the-brains-plumbing/21808465.

Healthy lifestyle has 60% lower risk of Alzheimer’s (2765 participants) over 100 related ongoing studies as of 2020: Article: https://www.nih.gov/news-events/new...le-traits-may-substantially-reduce-alzheimers.

The MIND diet reduced chances of Alzheimer’s by 53%: Article: https://www.webmd.com/alzheimers/what-to-know-about-mind-diet.

Highest to lowest quartile of lifestyle factors = 36% lower risk of dementia in large scale study: Article: https://scitechdaily.com/5-lifestyle-factors-linked-to-dementia/.

LIfestyle choices reduce chances of dementia by almost 90% in large scale ten year study:
Article: https://www.medicaldaily.com/decade...style-choices-slow-down-memory-decline-467856.
Paper: https://www.bmj.com/content/380/bmj-2022-072691.

Exercise produces hormone that protects against Alzheimer’s:
Article: https://www.medicalnewstoday.com/ar...y-help-reduce-plaque-and-tangles-in-the-brain.
Paper: https://www.cell.com/neuron/fulltex...m/retrieve/pii/S0896627323006232?showall=true.

All of which greatly helps me to motivate myself to strap on the running shoes and run 4 or 5 miles every morning at age 71.
 
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1. What are microglia and how are they involved in Alzheimer's disease?

Microglia are a type of immune cell found in the brain and spinal cord, primarily involved in the central nervous system's innate immune response. In the context of Alzheimer's disease, microglia play a dual role. They can help clear amyloid-beta plaques, a hallmark of Alzheimer’s pathology, by phagocytosis. However, when activated chronically, they can also release inflammatory cytokines that may contribute to neuronal damage and exacerbate the disease's progression.

2. What is myelin and what role does it play in Alzheimer’s disease?

Myelin is a fatty substance that forms a sheath around the axons of many neurons, facilitating rapid and efficient electrical signal transmission along the nerve cells. In Alzheimer’s disease, myelin degradation has been observed, which contributes to cognitive decline by disrupting neuronal communication. The loss of myelin integrity affects brain connectivity and functionality, thereby playing a significant role in the progression of Alzheimer's disease symptoms.

3. How do microglia interact with myelin in Alzheimer’s disease?

In Alzheimer’s disease, microglia interact with myelin through processes that involve both protection and destruction. Microglia can aid in repairing damaged myelin and clearing myelin debris, which is crucial for maintaining neuronal health. However, in a diseased state, microglia can become overactivated and may mistakenly attack myelin, leading to further neuronal damage and contributing to the neurodegenerative process seen in Alzheimer's disease.

4. Can targeting microglia and myelin provide therapeutic avenues for Alzheimer’s disease?

Yes, targeting microglia and myelin presents a promising therapeutic strategy for Alzheimer’s disease. Modulating microglial activation to enhance their beneficial roles, such as clearing amyloid-beta and repairing myelin, while minimizing their harmful inflammatory responses, is an area of active research. Additionally, therapies aimed at promoting myelin repair and preventing myelin degradation are being explored to help restore cognitive function and slow disease progression.

5. What are the latest research findings on microglia and myelin in Alzheimer’s disease?

Recent research has highlighted the complexity of microglia and myelin interactions in Alzheimer’s disease. Advanced imaging and molecular techniques have shown that microglia activation patterns are closely linked to the severity and progression of Alzheimer's. Studies have also discovered genetic markers that influence microglial behavior and myelin integrity, offering potential targets for new drugs. Furthermore, ongoing clinical trials are investigating the efficacy of treatments that focus on reducing microglial-induced inflammation and enhancing myelin repair mechanisms.

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