bims-microg Biomed News
on Microglia in health and disease
Issue of 2026–04–26
twenty papers selected by
Marcus Karlstetter, Universität zu Köln



  1. Cell. 2026 Apr 21. pii: S0092-8674(26)00341-7. [Epub ahead of print]
      Alzheimer's disease (AD) is a neurodegenerative condition characterized by microglia-mediated neuroinflammation. Deep (>1,000×) panel sequencing of 311 brain samples revealed enrichment of somatic single-nucleotide variants (sSNVs) in cancer driver genes in AD brains, especially in genes associated with clonal hematopoiesis (CH). These sSNVs were associated with clonal expansion and carried by both microglia-like brain macrophages (MLBMs) in multiple brain regions as well as paired blood, suggesting a likely hematopoietic origin. Single-nucleus RNA sequencing data from 62 additional AD and control brains revealed increased somatic copy number variants (sCNVs) associated with CH in AD MLBMs, whereas single-cell multi-omic analyses demonstrated that sSNV- and sCNV-carrying MLBMs exhibited inflammatory and proliferative transcriptional signatures characteristic of disease-associated microglia. These signatures were recapitulated in induced pluripotent stem cell-derived microglia-like cells with TET2, ASXL1, and DNMT3A variants. These findings suggest that clonal somatic driver variants in MLBMs are enriched in AD, potentially promoting neuroinflammation and neurodegeneration.
    Keywords:  Alzheimer’s disease; brain macrophage; clonal expansion; microglia; somatic variant
    DOI:  https://doi.org/10.1016/j.cell.2026.03.040
  2. Nat Commun. 2026 Apr 22.
      Neuroinflammation plays a key role in Alzheimer's disease (AD) and many other neurodegenerative disorders. Chronic activation of astrocytes and microglia fuels neuronal damage via cytokine secretion, oxidative stress, and proteolysis, yet glial inflammatory regulation remains poorly understood. Using chemoproteomics, we identified CK2, particularly the brain-enriched catalytic subunit CK2α2, as a key driver of astrocytic inflammation. CK2 enhances NF-κB activity by phosphorylating NF-κB S529 and IκBα S32, promoting pro-inflammatory gene expression. Genetic or chemical CK2 inhibition dampens inflammation, including IL-6 and IL-8 expression in a TNFα acute neuroinflammation mouse model. CK2α2 is upregulated in AD postmortem tissues and patient-derived astrocytes. AD astrocytes exhibit a hyperinflammatory state that can be attenuated by CK2 inhibition. Overexpression of CK2α2 in cortical organoids mimics AD pathology, whereas CK2 inhibition using the potent, selective, and brain-penetrant probe TAL606 rescues inflammatory markers in AD APP/PS1 mice. These findings position CK2 as a central regulator of neuroinflammation and a promising therapeutic target for AD and related disorders.
    DOI:  https://doi.org/10.1038/s41467-026-71736-x
  3. Alzheimers Dement. 2026 Apr;22(4): e71390
       INTRODUCTION: The rs11218343 is a non-coding variant of genome-wide significance for sporadic Alzheimer's disease (AD) with one of the most protective effects known to date. It localizes to SORL1, encoding the AD risk factor Sortilin-related receptor with A type repeats (SORLA). Still, the functional significance of rs11218343 for AD-related processes remains unclear.
    METHODS: We used induced pluripotent stem cell (iPSC) lines from donors, or genome-engineered to carry major and minor rs11218343 alleles, to study the impact of rs11218343 on cellular activities.
    RESULTS: We show that rs11218343 is uniquely linked to functional expression of SORLA in microglia, with increased expression in the protective allele correlating with reduced pro-inflammatory responses. These anti-inflammatory effects are seen in donor lines but not in single nucleotide polymorphism (SNP) -engineered isogenic lines, arguing that this polymorphism alone is insufficient but acting context-dependent.
    DISCUSSION: Our data infer genetically defined expression of SORL1 in microglia as a determinant of protection from pro-inflammatory stimulation, a function likely encoded by a haplotype linked to rs11218343.
    Keywords:  SORLA; functional validation of risk genotype; genome‐wide association; human induced pluripotent stem cells; microglia; pro‐inflammatory response; sporadic Alzheimer disease
    DOI:  https://doi.org/10.1002/alz.71390
  4. Exploration (Beijing). 2026 Apr;6(2): 70160
      Alzheimer's disease (AD) pathogenesis is strongly influenced by APOE4, though how cooperative genetic factors modulate this relationship remains unclear. While genomic studies have tentatively linked RBFOX1 to AD susceptibility, its functional synergy with APOE4 has never been experimentally defined. We engineered APOE3 or APOE4 isogenic human cerebral organoids with CRISPR/Cas9-mediated RBFOX1 knockout. Remarkably, RBFOX1 depletion selectively triggered robust microglial generation exclusively in APOE4 organoids. Time-course gene expression revealed that this APOE4-specific effect correlated with prolonged mesodermal priming during early embryoid body differentiation, creating a permissive niche for microglial lineage specification. The emergent microglia exhibited pronounced neurotoxic phenotypes, including pro-inflammatory factor secretion, synaptic architecture remodeling, and lipid droplet accumulation in organoids. These changes coincided with aggravated Tau hyperphosphorylation and electrophysiological abnormalities, collectively mirroring multifaceted AD pathology. Our findings establish RBFOX1 as a potential AD protective factor, a critical suppressor of APOE4-glia crosstalk, and demonstrate that its loss unleashes a microglia-mediated neurodegenerative cascade. By developing cerebral organoids with autonomous microglial networks, we present a platform capable of modeling genotype-dependent neuron-glia interactions in AD, opening new avenues for mechanistic and therapeutic exploration.
    Keywords:  APOE4; Alzheimer's disease; RBFOX1; microglia generation; organoids
    DOI:  https://doi.org/10.1002/exp2.70160
  5. Mol Psychiatry. 2026 Apr 22.
      Major Depressive Disorder (MDD) is a serious mental illness, and neuroinflammation is increasingly recognized as a contributor to its pathogenesis; however, the underlying cellular and molecular mechanisms remain largely unknown. In this study, we performed single-nucleus RNA sequencing to profile prefrontal cortex transcriptomics in interleukin-15 receptor subunit alpha knockout (Il15ra-/-) mice displaying depressive-like behaviors. Il15ra-/- mice exhibited cell-type-specific transcriptomic alterations, particularly affecting synapse assembly. Co-expression network analysis identified two gene clusters predominantly linked to synaptic pathways in microglia, excitatory neurons, and interneurons, suggesting dysregulated neuron-microglial interactions in depression. Morphological analysis revealed microglial activation and synapse remodeling driven by enhanced neuron-microglia communication via the CX3CL1/CX3CR1 signaling pathway. Pharmacological inhibition of CX3CL1/CX3CR1 signaling using a CX3CR1 antagonist reversed depressive-like behaviors and microglia-mediated excessive synapse pruning caused by IL-15RA deficiency. Collectively, these findings demonstrate that IL-15RA deficiency contributes to depression onset by modulating microglia-mediated synaptic remodeling, highlighting a targetable neuroimmune pathway for therapeutic interventions in MDD.
    DOI:  https://doi.org/10.1038/s41380-026-03593-5
  6. Proc Natl Acad Sci U S A. 2026 Apr 28. 123(17): e2535044123
      In the zebrafish retina, Müller glia (MG) respond to retinal injury by dividing and producing a multipotent progenitor for retinal repair. This cell division is regulated by microglia; however, the underlying mechanism remains unknown. Here, we report that MG-derived Il34 attracts microglia to sites of retinal injury where they stimulate MG proliferation via the release of cytokines, like M17, Spp1, Tnfa, and Tnfb. Remarkably, RNA sequencing analysis of MG's regeneration-associated transcriptome with and without microglia depletion suggests microglia stimulate MG proliferation by preferentially enhancing the expression of regeneration-associated genes involved in cell division-related processes. In contrast, genetic ablation of essentially all microglia from early development appears to reprogram MG, so they exhibit enhanced injury-dependent proliferation, but their survival is compromised. Our studies illustrate the profound effects MG-microglia cross talk can have on MG transcriptional programs related to cell division processes.
    Keywords:  Müller glia; microglia; regeneration; retina; stem cell
    DOI:  https://doi.org/10.1073/pnas.2535044123
  7. J Neuroinflammation. 2026 Apr 23.
      
    Keywords:  Cholesterol reprogramming; HSP90; High-altitude cognitive impairment; Lipid droplets; Microglia; NRF1; Neuroinflammation; SREBP2; Synaptic pruning
    DOI:  https://doi.org/10.1186/s12974-026-03830-2
  8. Int J Biol Sci. 2026 ;22(7): 3635-3657
      Postoperative cognitive dysfunction (POCD) in the elderly is a serious clinical concern. Although microglial phagocytosis is known to depend on mitochondrial metabolism, and its dysregulation can lead to abnormal synaptic pruning and neuronal injury, the molecular link between these processes in POCD pathogenesis requires further elucidation. In this study, we established a POCD animal model of aged mice using isoflurane exposure and partial hepatectomy to investigate how anesthesia and surgery impacted synaptic plasticity via microglial phagocytosis. Our findings demonstrated that anesthesia and surgery significantly reduced hippocampal peroxisome proliferators-activated receptor γ coactivator-1α (PGC-1α) expression, leading to impaired mitochondrial energy metabolism, abnormal microglial phagocytosis and excessive synaptic pruning, which was associated with synaptic deficits and cognitive dysfunction. Importantly, the treatment with the PGC-1α activator ZLN005 or AAV-mediated overexpression of PGC-1α not only successfully restored PGC-1α level in the hippocampus of aged mice, but also effectively ameliorated mitochondrial dysfunction, reversed abnormal microglia-mediated synaptic pruning, restored synaptic plasticity, and improved POCD. Our findings identify microglial PGC-1α as a critical mediator in the pathogenesis of POCD, linking mitochondrial energy metabolism with microglia-mediated synaptic pruning, and highlight the potential of microglial PGC-1α as a promising therapeutic target for prevention and treatment of POCD.
    Keywords:  Microglia; Mitochondrial energy metabolism; Postoperative cognitive dysfunction; Synaptic pruning; peroxisome proliferators-activated receptor γ coactivator-1α
    DOI:  https://doi.org/10.7150/ijbs.121472
  9. Pharmacol Res. 2026 Apr 21. pii: S1043-6618(26)00118-0. [Epub ahead of print] 108203
      Dysregulated iron metabolism is a pivotal driver of Alzheimer's disease (AD). Excess iron promotes Aβ aggregation and tau hyperphosphorylation, thereby accelerating disease progression. Serving as the primary iron reservoir in the central nervous system, microglia are intrinsically susceptible to ferroptosis, thereby amplifying neurotoxicity to neighboring neurons. While plaque-associated receptors (e.g., TREM2, AXL, MERTK) govern microglial responses, their precise contribution to metabolic susceptibility to ferroptosis remains elusive. Here, we identify the receptor tyrosine kinase AXL as a critical metabolic safeguard against Aβ-induced ferroptosis in microglia. Mechanistically, our findings indicate that, under our experimental conditions, oAβ exposure is associated with downregulation of AXL in microglia, thereby impairing SLC2A3-dependent glucose uptake and mitochondrial ATP production, which ultimately increases ferroptotic vulnerability. Moreover, through an optimized surface plasmon resonance imaging (SPRi) screening approach, we identified the FDA-approved drug levothyroxine (L-T4) as a potent AXL agonist. L-T4 treatment restores microglial homeostasis, inhibits Aβ-induced ferroptosis, and ameliorates neuropathology in vivo. These findings establish AXL as a novel metabolic safeguard in microglia and highlight L-T4 as a promising therapeutic strategy for AD and other ferroptosis-related disorders via drug repurposing.
    Keywords:  AXL; Alzheimer’s disease; SLC2A3; ferroptosis; levothyroxine sodium; microglia
    DOI:  https://doi.org/10.1016/j.phrs.2026.108203
  10. Brain Behav Immun. 2026 Apr 19. pii: S0889-1591(26)00518-0. [Epub ahead of print] 106770
      Gestational maternal immune activation (MIA) has been recognized as a risk factor for neurodevelopmental disorders (NDDs) later in life. Furthermore, sex is a significant modifying factor for NDDs. Microglia, the resident immune cells of the brain, appear to be critical mediators of MIA-associated NDD pathology and are known to play a pivotal role in the pathological process of MIA-induced behavioral abnormalities. However, the exact mechanisms linking microglial perturbations to neurodevelopmental abnormalities in adult MIA offspring remain unclear. Here, we demonstrated that MIA induced sex-specific behavioral deficits in male offspring. Bulk RNA sequencing revealed pronounced transcriptional dysregulation related to synaptic transmission and immune responses specifically in males. Single-cell RNA sequencing further indicated that MIA blunted microglial reactivity in the developing prefrontal cortex (PFC) of male offspring. Consistently, further validation confirmed that MIA led to sex-specific synaptic pruning deficits, accompanied by a reduction in the number of proliferating microglia specifically in males during PFC development. As a consequence, male MIA offspring exhibited increased synaptic protein levels in the PFC. Our findings show that impaired microglial activity may contribute to sex-biased neurodevelopmental abnormalities induced by MIA, providing new insights into the neuroimmune mechanisms underlying NDDs.
    Keywords:  Maternal immune activation; Microglia; Neurodevelopmental disorder; Sex differences; Synaptic pruning
    DOI:  https://doi.org/10.1016/j.bbi.2026.106770
  11. Brain Behav Immun. 2026 Apr 19. pii: S0889-1591(26)00519-2. [Epub ahead of print]136 106771
      Microglia critically influence multiple sclerosis (MS) pathophysiology through debris clearance, myelin repair, and modulation of neuroinflammation. These processes are partly regulated by ATP-gated ion channel P2X4, predominantly expressed in microglia. We previously reported that ivermectin (IVM), a positive allosteric modulator of P2X4, modulates microglia activation and function in myelin phagocytosis and promotes following lysolecithin-induced demyelination, and ameliorates neurological symptoms in experimental autoimmune encephalomyelitis (EAE). Here, we dissected the molecular and cellular basis of this protective effect using P2X4mCherryIN knock-in (P2X4KI) mice, in which P2X4 is replaced by a non-internalized variant (P2X4KI), leading to increased surface localization at the plasma membrane. Indeed, ATP-evoked currents were increased in P2X4KI microglia. Transcriptomic analyses revealed that P2X4KI microglia exhibit suppressed inflammatory and immune signaling pathways, suggesting that P2X4 orchestrates microglial responses to injury. Both constitutive and myeloid-specific P2X4KI mice showed a significant amelioration of EAE motor deficits, although exclusively in females. Notably, ovariectomy abolished P2X4-mediated protection in females whereas administration of progesterone gave protection to P2X4KI males, confirming the requirement of female hormones for P2X4-mediated protection. Indeed, progesterone potentiated P2X4 currents and prolonged channel deactivation, revealing direct hormonal modulation of P2X4 gating. These findings identify P2X4 as a key regulator of neuroinflammatory outcomes and reveal a previously unrecognized interaction between female hormones and P2X4 that underlies sex-specific disease modulation. Targeting this pathway may enable the development of precision therapies for MS.
    Keywords:  EAE; Microglia; Multiple sclerosis; P2X4 receptor; Sex dimorphism
    DOI:  https://doi.org/10.1016/j.bbi.2026.106771
  12. Brain Behav Immun. 2026 Apr 20. pii: S0889-1591(26)00524-6. [Epub ahead of print] 106776
       BACKGROUND: Clozapine is the most effective treatment for treatment-resistant schizophrenia but has been linked to cognitive impairment and brain volume reductions. The potential mechanisms underlying these effects remain unclear. Microglial exosomes, which carry microRNAs (miRNAs) and other cargo, act as immune-neuron communication vectors capable of modulating neuronal function and cognition.
    METHODS: We compared cognitive performance and inflammatory markers across clozapine-treated individuals, haloperidol-treated individuals, and healthy controls. Human microglial cells were treated with clozapine and assessed for phenotypic changes and exosome production. Exosomes from control and clozapine-treated microglia were applied to neuroblastoma cells and primary murine cortical neurons to assess neurite outgrowth and brain-derived neurotrophic factor (BDNF) expression. C. elegans were exposed to exosomes and evaluated for lifespan, healthspan markers, and cognitive function via olfactory associative learning assays. Exosomal miRNA cargo was characterized by small RNA sequencing.
    RESULTS: Clozapine-treated individuals exhibited elevated systemic inflammatory markers and lower cognitive performance compared with healthy controls. Clozapine altered microglial morphology, reduced proliferation and migration, and significantly increased exosome production. Small RNA sequencing identified six dysregulated miRNAs in clozapine-induced microglial exosomes, including upregulation of miR-34a-5p. Exposure of neurons to clozapine-induced exosomes reduced neurite length, branch points, and BDNF expression. In C. elegans, clozapine-induced exosomes reduced lifespan and severely impaired learning and short-term memory.
    CONCLUSIONS: These findings identify a neuroimmune exosomal pathway through which clozapine-exposed microglia can impair neuronal structure and cognition, associated with dysregulated miRNA cargo. This work provides a framework linking microglial immune signalling, extracellular vesicle biology, and cognitive vulnerability during clozapine exposure.
    Keywords:  C.elegans; Clozapine; Cognitive function; Exosomes; Microglia; Neurite outgrowth; Neuroinflammation
    DOI:  https://doi.org/10.1016/j.bbi.2026.106776
  13. Brain Behav Immun. 2026 Apr 22. pii: S0889-1591(26)00516-7. [Epub ahead of print] 106768
      Chronic pain is a widespread and debilitating condition, presenting significant clinical, socio-economic, and public health challenges. Microglia, the resident immune cells of the central nervous system, are implicated in the regulation of chronic pain, but the precise mechanisms, particularly brain region-specific contributions, remain poorly understood. In this study, we used a mouse model of complete Freund's adjuvant (CFA)-induced inflammatory pain to explore the role of T-cell intracellular antigen 1 (TIA1), an RNA-binding protein, in microglia. We found that conditional knockout of Tia1 in microglia (Tia1CX3CR1-CKO mice) resulted in a significant reduction in pain sensitivity. Notably, the lateral septum (LS) emerged as a key brain region, where microglial activation was most significantly elevated in response to CFA-induced inflammation. Mechanistically, we discovered that TIA1 binds to and suppresses the translation of IκBα mRNA, triggering NF-κB signaling that contributes to neuroinflammation and neuronal hyperexcitability in the LS. In Tia1CX3CR1-CKO mice, chronic pain was alleviated, accompanied by restored IκBα expression and reduced NF-κB activation in the LS. In contrast, forced degradation of IκBα in the LS of these pain-resistant mice reinstated NF-κB activity and reversed the analgesic effects. These findings uncover a previously unknown post-transcriptional mechanism in microglia, where TIA1 links RNA-binding protein activity to NF-κB-driven neuroinflammation. Our results underscore the lateral septum as a critical region in chronic pain persistence and highlight TIA1 as a promising therapeutic target for intervention.
    Keywords:  IκBα; LateralSeptum; Microglia; NF-κB; TIA1
    DOI:  https://doi.org/10.1016/j.bbi.2026.106768
  14. Brain Behav Immun. 2026 Apr 19. pii: S0889-1591(26)00517-9. [Epub ahead of print]136 106769
      Gut microbial metabolites abnormity links to Alzheimer's disease (AD) progression, yet the mechanism remains unknown. Here, we observed a markedly decreased level of indole-3-acetic acid (IAA) in AD patients, and the IAA level was negatively correlated with cognitive impairment. IAA supplementation improved cognitive dysfunction and synaptic damage, and suppressed microglial activation and synaptic phagocytosis in AD mouse and cell models. RNA sequencing revealed an increase in phagocytosis-associated pathway activity and gene expression, and C-C chemokine receptor 4 (CCR4) was identified as a key regulator of this process. IAA could inhibit the expression level of CCR4, and siRNAs CCR4 markedly inhibited microglia-mediated phagocytosis of synapse. We further demonstrated that microglial CCR4 interacts with aryl hydrocarbon receptor (AHR), a key receptor of IAA, and proposed the hypothesis that AHR binds to the CCR4 promoter, thereby inhibiting its transcriptional activity. Moreover, we further revealed that bacteria producing IAA supplementation inhibited microglia-mediated synaptic loss by down-regulating CCR4, thus delaying Alzheimer's progression. These findings elucidate the mechanisms underlying microbial metabolite IAA's impact on AD, highlighting that targeting CCR4 inhibition in microglia-mediated synaptic phagocytosis represents a promising therapeutic strategy for AD.
    Keywords:  Alzheimer’sdisease; Arylhydrocarbonreceptor; C-Cchemokinereceptor4; Indole-3-aceticacid; Microglia; Synapticphagocytosis
    DOI:  https://doi.org/10.1016/j.bbi.2026.106769
  15. Cell Death Dis. 2026 Apr 19.
      Spinal cord injury (SCI) leads to severe mitochondrial dysfunction and ROS cascade, with microglia playing a dual role in both exacerbating damage and providing neuroprotection. Recent evidence has highlighted the importance of P2Y12R in microglial-neuron interactions, particularly in modulating mitochondrial quality control and mitigating oxidative stress. Here, we develop a dual-targeting nanoparticle system (P2Y-TK-Nano) to enhance P2Y12R expression in microglia and promote neuronal mitophagy, aiming to reduce mitochondrial reactive oxygen species (mtROS) and improve neuronal survival following SCI. The P2Y-TK-Nano system combines a ROS-responsive thioketal bond for injury-site targeting with an MG1 peptide to selectively target microglia. This design enables precise nanoparticle delivery to the ROS-enriched injury microenvironment, effectively restoring P2Y12R expression in microglia. Microglia treated with P2Y-TK-Nano exhibit elevated P2Y12R expression, leading to increased interaction with injured neurons, improved mitophagy, and reduced mtROS production. These combined effects significantly attenuate secondary damage and contribute to neuroprotection post-SCI. Our findings reveal a novel regulatory mechanism by which P2Y12R overexpression in microglia enhances neuronal mitophagy and mitigates oxidative stress after SCI. The dual-targeting P2Y-TK-Nano system offers a promising therapeutic approach to address microglial activation and mitochondrial dysfunction in the context of SCI.
    DOI:  https://doi.org/10.1038/s41419-026-08596-2
  16. Glia. 2026 Jun;74(6): e70163
      Microglial cells are key players in maintaining brain homeostasis and responding to pathological conditions. Their multifaceted roles in health and disease have garnered significant attention in the context of neurodegeneration. In recent years, single-cell transcriptomic techniques have provided unprecedented insights into microglial heterogeneity, revealing distinct subpopulations and gene expression patterns associated with neuroprotection or neurotoxicity. Here, we dissect the transcriptomic landscape of microglia by leveraging human single-nuclei RNA sequencing datasets from multiple neurodegenerative conditions, including Amyotrophic Lateral Sclerosis, frontotemporal dementia, Alzheimer's disease, aging, and Parkinson's disease. This integrative analysis identifies distinct microglial subpopulations, reflecting functional heterogeneity across diseases and reveals a shared cross-disease microglial transcriptional program associated with inflammatory and neurodegenerative processes. Using a machine learning framework, we further demonstrate that this transcriptional program enables robust discrimination between neurodegenerative and control samples. Experimental validation in primary microglia isolated from a mouse model of Niemann-Pick disease type C, also known as juvenile Alzheimer's disease, supports the conservation of key components of this program and highlights Spp1 as a biomarker of disease-associated microglia states. Overall, this study provides an improved portrait of microglia transcriptional remodeling across neurodegenerative disorders and offers a framework for identifying conserved molecular features that may inform therapeutic strategies aimed at modulating microglial activity to mitigate disease progression and foster neuroprotection.
    Keywords:  Niemann‐Pick; SPP1; genomics; macrophages; microglia; neurodegeneration
    DOI:  https://doi.org/10.1002/glia.70163