Locus ceruleus controls Alzheimer's disease pathology by modulating microglial functions through norepinephrine

MT Heneka, F Nadrigny, T Regen… - Proceedings of the …, 2010 - National Acad Sciences
MT Heneka, F Nadrigny, T Regen, A Martinez-Hernandez, L Dumitrescu-Ozimek, D Terwel…
Proceedings of the National Academy of Sciences, 2010National Acad Sciences
Locus ceruleus (LC)-supplied norepinephrine (NE) suppresses neuroinflammation in the
brain. To elucidate the effect of LC degeneration and subsequent NE deficiency on
Alzheimer's disease pathology, we evaluated NE effects on microglial key functions. NE
stimulation of mouse microglia suppressed Aβ-induced cytokine and chemokine production
and increased microglial migration and phagocytosis of Aβ. Induced degeneration of the
locus ceruleus increased expression of inflammatory mediators in APP-transgenic mice and …
Locus ceruleus (LC)-supplied norepinephrine (NE) suppresses neuroinflammation in the brain. To elucidate the effect of LC degeneration and subsequent NE deficiency on Alzheimer's disease pathology, we evaluated NE effects on microglial key functions. NE stimulation of mouse microglia suppressed Aβ-induced cytokine and chemokine production and increased microglial migration and phagocytosis of Aβ. Induced degeneration of the locus ceruleus increased expression of inflammatory mediators in APP-transgenic mice and resulted in elevated Aβ deposition. In vivo laser microscopy confirmed a reduced recruitment of microglia to Aβ plaque sites and impaired microglial Aβ phagocytosis in NE-depleted APP-transgenic mice. Supplying the mice the norepinephrine precursor L-threo-DOPS restored microglial functions in NE-depleted mice. This indicates that decrease of NE in locus ceruleus projection areas facilitates the inflammatory reaction of microglial cells in AD and impairs microglial migration and phagocytosis, thereby contributing to reduced Aβ clearance. Consequently, therapies targeting microglial phagocytosis should be tested under NE depletion.
National Acad Sciences