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Autophagy enables microglia to engage amyloid plaques and prevents microglial senescence

Abstract

Dysfunctional autophagy has been implicated in the pathogenesis of Alzheimer’s disease (AD). Previous evidence suggested disruptions of multiple stages of the autophagy-lysosomal pathway in affected neurons. However, whether and how deregulated autophagy in microglia, a cell type with an important link to AD, contributes to AD progression remains elusive. Here we report that autophagy is activated in microglia, particularly of disease-associated microglia surrounding amyloid plaques in AD mouse models. Inhibition of microglial autophagy causes disengagement of microglia from amyloid plaques, suppression of disease-associated microglia, and aggravation of neuropathology in AD mice. Mechanistically, autophagy deficiency promotes senescence-associated microglia as evidenced by reduced proliferation, increased Cdkn1a/p21Cip1, dystrophic morphologies and senescence-associated secretory phenotype. Pharmacological treatment removes autophagy-deficient senescent microglia and alleviates neuropathology in AD mice. Our study demonstrates the protective role of microglial autophagy in regulating the homeostasis of amyloid plaques and preventing senescence; removal of senescent microglia is a promising therapeutic strategy.

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Fig. 1: Analysis of microglial autophagy associated with DAM in AD mouse models.
Fig. 2: Examination of neuropathology and microglia associated with amyloid plaques in AD mice lacking microglial autophagy.
Fig. 3: Molecular profiling of microglia from Atg7cKO mice.
Fig. 4: Characterization of cellular senescence in Atg7-deficient microglia in vivo.
Fig. 5: Characterization of autophagy-deficient microglia and cellular senescence in vitro.
Fig. 6: Examination of DAM and cellular senescence in autophagy-deficient microglia from Atg7cKO; 5xFAD mouse brains.
Fig. 7: The effect of senolytic drug treatment in altering neuropathology of Atg7cKO; 5xFAD mice.

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Data availability

The RNA sequencing data used in this publication have been deposited in NCBI’s Gene Expression Omnibus74 and are accessible through GEO Series accession number GSE192964. The proteomics data have been deposited in PRIDE (https://proteomecentral.proteomexchange.org/cgi/GetDataset?ID=PXD041588). Source data are provided with this paper. All other data supporting the findings of this study are available from the corresponding author on reasonable request.

Code availability

All custom code used for analysis in this paper is available from the corresponding author upon request.

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Acknowledgements

This work was supported by R01AG072520 (Z.Y.), U01AG046170 and R01AG057907 (B.Z.), RF1AG068581 (J.P.) and a Research Education Component (I.C.) of Alzheimer’s Disease Research Center (P30AG066514) of NIH. We thank the assistance of members in the core facilities for Flow Cytometry, Microscopy and Genomics at the Icahn School of Medicine at Mount Sinai. We thank G. Heaton for critical reading and editing.

Author information

Authors and Affiliations

Authors

Contributions

Z.Y. conceived the project, supervised the entire study and wrote the paper; I.C. designed, performed and analysed most of the experiments and wrote the paper; M.W., S.Y., P.X., Q.W. and B.Z. analysed scRNA-seq data and proteomic data; S.P.S. helped with SASP and autophagosome analysis; X.H. and J.P. performed proteomics; X.L. participated in animal model establishment.

Corresponding author

Correspondence to Zhenyu Yue.

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Competing interests

S.Y. is an employee of Sema4, a for-profit organization that promotes personalized patient care through information-driven insights. All other authors declare no competing interests.

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Nature Cell Biology thanks Hui Zheng, Li Gan and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

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Extended data

Extended Data Fig. 1 Purity test for microglia in Percoll-enriched fraction from the brain.

Brains from Cx3cr1CreER mice (constitutively express EYFP, 3 female mice) and WT mice (negative control for EYFP signals) were processed to obtain microglia-enriched fraction (see in method). ~80% of cells were EYFP+ microglia. Scale bar, 10 µm. Values are reported as mean ± SEM. Source numerical data are available in source data.

Source data

Extended Data Fig. 2 Altered p-ACC and autophagy gene expression in the DAM of 5xFAD mice.

(a) The staining intensities of p-ACC in EYFP+ microglia were determined using Imaris software (see method) from Cx3cr1CreER; 5xFAD brains (3 female mice, 178 cells) and Cx3cr1CreER brains (3 female mice, 268 cells). No tamoxifen injection. p < 0.0001. Scale bar, 20 µm. (b) Clec7a+ and Clec7amicroglia (CD11b+ and CD45Low) from 5xFAD mice (2 male and 4 female mice) were collected and processed for RT-qPCR using primers detecting autophagy-essential genes. The level of Apoe was used for validating Clec7a+ and Clec7amicroglia populations. p = 0.0017 for Becn1; p = 0.0017 for Apoe. p-values were calculated by unpaired two-tailed Student’s t-test. All values are reported as mean ± SEM. (c) Heatmap showing the expression of essential autophagy genes through re-analysis of bulk-RNA sequencing data of Clec7a+ and Clec7amicroglia collected at 24-months-old APP/PS1 mice. p-values were calculated by unpaired two-tailed Student’s t-test (b) or two-tailed Mann-Whitney U test (a). p-values were calculated from Deseq2 analysis pipeline (c). All values are reported as mean ± SEM. Source numerical data are available in source data.

Source data

Extended Data Fig. 3 Analysis of levels of full-length APP, C-terminal fragments (CTF), and Aβ, tau, and the number and size of amyloid plaques.

(a) The size of X-34+ amyloid plaques was quantified from 489 plaques for Atg7cKO; 5xFAD (7 male mice) and 763 plaques for Atg7WT; 5xFAD (4 male mice). Scale bar, 10 µm. (b) The number of X-34+ amyloid plaques was quantified from Atg7cKO; 5xFAD (8 male mice) and Atg7WT; 5xFAD (7 male mice). Scale bar, 500 µm. (c, d) Brains from 5xFAD mice (3 female, c) and littermate controls (3 female) or Atg7cKO; 5xFAD mice (4 male mice, d) and Atg7WT; 5xFAD mice (4 male mice) were homogenized, fractionated into 1% Triton x-100 soluble and insoluble fractions, and processed for Western blot using antibodies against amyloid-beta (c) and APP (Y188 clone) (d). (e) Brains from Atg7cKO; 5xFAD (7 male mice) and Atg7WT; 5xFAD mice (6 male mice) were homogenized in 1% Triton x-100. Levels of amyloid-beta, p-tau (AT8), and tau were examined through Western blot. EYFP indicates the presence of Cx3crCreER in the mice that co-express EYFP and CreER. Actin was used as a loading control. p = 0.008. p-values were calculated by unpaired two-tailed Student’s t-test. All values are reported as mean ± SEM. Source numerical data and unprocessed blots are available in source data.

Source data

Extended Data Fig. 4 Alteration of presynaptic markers.

Levels of several presynaptic markers, including SV2A, SV2B, VGLUT1, VGLUT2, Synaptophysin, and Synaptogyrin, were determined in 8-months-old mice brains from 5xFAD and WT (a, 5 male and 3 female mice per group), Atg7cKO; 5xFAD (7 male mice) and Atg7WT; 5xFAD (b, 6 male mice), and Atg7cKO (4 male and 4 female mice) and Atg7WT (c, 4 male and 3 female mice). (d) Immunostaining of Lamp1 and VGLUT2 along with APP. Representative image from at least 3 different experiments. Scale bar, 50 µm. p = 0.02 for SV2B (a); p = 0.03 for VGLUT1 (a); p = 0.003 for VGLUT2 (a); p = 0.0042 for VGLUT2 (b). p-values were calculated by unpaired two-tailed Student’s t-test. All values are reported as mean ± SEM. Source numerical data and unprocessed blots are available in source data.

Source data

Extended Data Fig. 5 The whole flow of single-cell RNA sequencing.

CD11b+/CD45Low microglia were collected and processed for single-cell RNA sequencing through the 10X Genomics pipeline. The detailed process is described in the Method.

Extended Data Fig. 6 Representative cluster marker genes.

Marker genes from each cluster were shown.

Extended Data Fig. 7 Analysis of single-cell RNA sequencing.

(a) Violin plot for well-known cell-specific markers including Slc17a7 (excitatory neurons), Aqp4 (astrocytes), Mog (oligodendrocytes), Flt1 (endothelial cells), P2ry12 (microglia) and Hexb (microglia), and Ifitm3 and Irf7 (border-associated macrophages). (b) Heatmap for gene set enrichment analysis using HALLMARK 50 database and upregulated genes (adjusted p-values < 0.05, Log2FC > 0.5) of each cluster. (c) Volcano plot for showing upregulated DEGs (adjusted p-values < 0.05, Log2FC > 0.5) of cluster 2 and 5. (d) Heatmap for the expression of Ftl1 and Fth1, markers for dystrophic microglia. (e) Heatmap for gene enrichment test between each cluster DEGs (adjusted p-values < 0.05, Log2FC > 0.5) and human AD microglia clusters. (f) Heatmap for mouse microglia clusters enriched for canonical senescence signatures. p-values (e, f) were calculated by one-sided Fisher’s exact test.

Extended Data Fig. 8 Examination of heterogenous microglial populations in Atg7cKO brain.

(a) Percoll-enriched fractions of microglia from Atg7cKO (2 male and 3 female mice) and Atg7WT (2 male and 3 female mice) mice brains were processed for Western blot using antibodies against p62 and p21Cip1. Actin was used as a loading control. p < 0.0001 for p62; p = 0.0015 for p21Cip1. (b) The staining intensities of p16Ink4a (149 cells for Atg7WT, 97 cells for Atg7cKO) were determined by Imaris software (see method). 2 male and 2 female mice for each genotype. p < 0.0001. Scale bar, 50 µm; 10 µm for magnified images. (c) Volcano plot of upregulated genes of cluster 4 (C4 vs. other clusters; adjusted p-values < 0.05, Log2FC > 0.5). (d) GO term analysis for upregulated genes of cluster 4. (e) Volcano plot of DEGs of cluster 4 (Atg7cKO vs. Atg7WT; adjusted p-values < 0.05, Log2FC > 0.5 and <-0.5). (f) GO term analysis for downregulated DEGs in Atg7cKO compared to Atg7WT of cluster 4. (g) The staining intensity of p21Cip1 in nuclei of CD11b+ microglia was quantified from Atg7cKO; 5xFAD mice (2 male and 2 female mice, 96 cells) and Atg7WT; 5xFAD mice (2 male and 2 female mice, 111 cells). p < 0.0001. Scale bar, 10 µm. (h) The volumes of Lipofuscin were measured from Atg7cKO; 5xFAD mice (2 male and 1 female mice, 50 cells) and Atg7WT; 5xFAD mice (2 male and 1 female mice, 25cells) were analysed. Yellow asterisks (g, h) indicate DAPI-stained amyloid plaques. p < 0.0001. Scale bar, 10 µm. p-values were calculated by unpaired two-tailed Student’s t-test (a), two-tailed Mann-Whitney U test (b, g, h), or Wilcox rank-sum test (c, e). p-values (d, f) were provided by Metascape (default setting, see method). All values are reported as mean ± SEM. Source numerical data and unprocessed blots are available in source data.

Source data

Extended Data Fig. 9 Additional cellular senescence phenotypes in Atg7cKO microglia.

(a) At 1-year post-tamoxifen or corn-oil injection, the number of EYFP+ microglia was quantified from Atg7cKO (tamoxifen, 3 male and 4 female mice, Cx3cr1CreER; Atg7f/f) and Atg7WT (corn-oil, 2 male and 3 female mice, Cx3cr1CreER; Atg7f/f) brain slices. The number of microglia was quantified. p = 0.0004. Scale bar, 500 µm. (b-d) The staining intensities of LaminB1 (b, 106 cells for Atg7WT, 97 cells for Atg7cKO), HMGB1 (c, 113 cells for Atg7WT, 108 cells for Atg7cKO), and γH2A.X (d, 95 cells for Atg7WT, 78 cells for Atg7cKO) were measured in microglia using Imaris software (see method). p = 0.0147 for LaminB1; p = 0.0532 for HMGB1; p = 0.0043 for γH2A.X. Scale bar, 10 µm. p-values were calculated by unpaired two-tailed Student’s t-test (a) or two-tailed Mann-Whitney U test (b, c, d). All values are reported as mean ± SEM. Source numerical data are available in source data.

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Extended Data Fig. 10 The effect of senolytic drug treatment in 5xFAD mice.

(a) Following chronic D + Q (5 female, once a week, 11-weeks) or vehicle treatment (3 female) of 5xFAD mice, the number of X-34+ amyloid plaques was quantified from the vehicle or D + Q-treated mice. Scale bar, 1 mm. (b) The size, circularities, and the number of Lamp1+ dystrophic neurites were quantified from mice treated with either vehicle (128 plaques) or D + Q (169 plaques). Scale bar, 20 µm. (c) The number of Iba-1+ microglia around amyloid plaques (15 µm radius of amyloid plaques) from 5xFAD mice treated with either vehicle (70 plaques) or D + Q (87 plaques) and the staining intensity of Clec7a in microglia from 5xFAD mice treated with either vehicle (139 plaques) or D + Q (149 plaques) were measured. p = 0.0032 for Clec7a. p-values were calculated by two-tailed Mann-Whitney U test. Scale bar, 20 µm. (d) A proposed model for roles of autophagy-deficient senescent microglia in AD pathophysiology. Source numerical data are available in source data.

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Supplementary information

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Choi, I., Wang, M., Yoo, S. et al. Autophagy enables microglia to engage amyloid plaques and prevents microglial senescence. Nat Cell Biol 25, 963–974 (2023). https://doi.org/10.1038/s41556-023-01158-0

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