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Publication : A neurodegenerative cellular stress response linked to dark microglia and toxic lipid secretion.

First Author  Flury A Year  2025
Journal  Neuron Volume  113
Issue  4 Pages  554-571.e14
PubMed ID  39719704 Mgi Jnum  J:361768
Mgi Id  MGI:7864968 Doi  10.1016/j.neuron.2024.11.018
Citation  Flury A, et al. (2025) A neurodegenerative cellular stress response linked to dark microglia and toxic lipid secretion. Neuron 113(4):554-571.e14
abstractText  The brain's primary immune cells, microglia, are a leading causal cell type in Alzheimer's disease (AD). Yet, the mechanisms by which microglia can drive neurodegeneration remain unresolved. Here, we discover that a conserved stress signaling pathway, the integrated stress response (ISR), characterizes a microglia subset with neurodegenerative outcomes. Autonomous activation of ISR in microglia is sufficient to induce early features of the ultrastructurally distinct "dark microglia" linked to pathological synapse loss. In AD models, microglial ISR activation exacerbates neurodegenerative pathologies and synapse loss while its inhibition ameliorates them. Mechanistically, we present evidence that ISR activation promotes the secretion of toxic lipids by microglia, impairing neuron homeostasis and survival in vitro. Accordingly, pharmacological inhibition of ISR or lipid synthesis mitigates synapse loss in AD models. Our results demonstrate that microglial ISR activation represents a neurodegenerative phenotype, which may be sustained, at least in part, by the secretion of toxic lipids.
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