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Type I interferon response drives neuroinflammation and synapse loss in Alzheimer disease
Ethan R. Roy, Baiping Wang, Ying-wooi Wan, Gabriel Chiu, Allysa Cole, Zhuoran Yin, Nicholas E. Propson, Yin Xu, Joanna L. Jankowsky, Zhandong Liu, Virginia M.-Y. Lee, John Q. Trojanowski, Stephen D. Ginsberg, Oleg Butovsky, Hui Zheng, Wei Cao
Ethan R. Roy, Baiping Wang, Ying-wooi Wan, Gabriel Chiu, Allysa Cole, Zhuoran Yin, Nicholas E. Propson, Yin Xu, Joanna L. Jankowsky, Zhandong Liu, Virginia M.-Y. Lee, John Q. Trojanowski, Stephen D. Ginsberg, Oleg Butovsky, Hui Zheng, Wei Cao
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Research Article Immunology Neuroscience

Type I interferon response drives neuroinflammation and synapse loss in Alzheimer disease

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Abstract

Type I interferon (IFN) is a key cytokine that curbs viral infection and cell malignancy. Previously, we demonstrated a potent IFN immunogenicity of nucleic acid–containing (NA-containing) amyloid fibrils in the periphery. Here, we investigated whether IFN is associated with β-amyloidosis inside the brain and contributes to neuropathology. An IFN-stimulated gene (ISG) signature was detected in the brains of multiple murine Alzheimer disease (AD) models, a phenomenon also observed in WT mouse brain challenged with generic NA-containing amyloid fibrils. In vitro, microglia innately responded to NA-containing amyloid fibrils. In AD models, activated ISG-expressing microglia exclusively surrounded NA+ amyloid β plaques, which accumulated in an age-dependent manner. Brain administration of rIFN-β resulted in microglial activation and complement C3-dependent synapse elimination in vivo. Conversely, selective IFN receptor blockade effectively diminished the ongoing microgliosis and synapse loss in AD models. Moreover, we detected activated ISG-expressing microglia enveloping NA-containing neuritic plaques in postmortem brains of patients with AD. Gene expression interrogation revealed that IFN pathway was grossly upregulated in clinical AD and significantly correlated with disease severity and complement activation. Therefore, IFN constitutes a pivotal element within the neuroinflammatory network of AD and critically contributes to neuropathogenic processes.

Authors

Ethan R. Roy, Baiping Wang, Ying-wooi Wan, Gabriel Chiu, Allysa Cole, Zhuoran Yin, Nicholas E. Propson, Yin Xu, Joanna L. Jankowsky, Zhandong Liu, Virginia M.-Y. Lee, John Q. Trojanowski, Stephen D. Ginsberg, Oleg Butovsky, Hui Zheng, Wei Cao

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Figure 2

Nucleic acid–containing amyloid activates the IFN pathway by stimulating microglia in vitro.

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Nucleic acid–containing amyloid activates the IFN pathway by stimulating...
(A) Generation and treatment of generic amyloid composed of soluble protein oligomers (oHSA) and anionic cofactors (heparin or RNA) to organotypic hippocampal slice cultures. Quantification of CD68+ relative occupancy in Iba1+ microglia (n = 5–6 slices/treatment), transcript analysis (n = 5–16 slices/treatment), and secreted cytokine measurement (n = 2–11 supernatants/treatment) is presented. Slices derived from approximately 2–5 animals were used for each treatment group. Microglial CD68 staining is also shown in Supplemental Figure 1. (B) Quantification of Ifnb1 mRNA, secreted IFN-β, and CXCL10 in mixed glial cultures stimulated for 6 hours with RNA-containing amyloid or control mixture; n = 3 samples/treatment. Full results of additional interferon subtypes and with control treatments are shown in Supplemental Figure 4. (C) Levels of secreted CXCL10 and TNF-α from stimulated primary microglial cultures; n = 3 samples/treatment. For all panels, data are presented as mean ± SEM. *P < 0.05, **P < 0.01, ***P < 0.001 by 1-way ANOVA with Sidak’s correction (A), 2-sided t tests (B), or 2-way ANOVA with Tukey’s correction (C).

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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