Because the mechanisms of AD are poorly understood, drug therapy has focused on restoring the normal function of neurons and microglia, the cells mediating brain inflammation. There is, however, no available treatment to slow down its progression.
This study shows that astrocytes, also known as the housekeeping cells of the brain, promote the decline of neuron function in AD. The findings suggest that at least some familial forms of AD are strongly associated with irregular astrocyte function, which promotes brain inflammation and weakens neurons’ energy production and signalling.
Astrocytes In Alzheimer’s
Astrocytes are important brain cells, supporting neurons in many ways. Astrocytes are responsible, for example, for the energy production of the brain, ion and pH balance, and they regulate synapse formation.
Recent evidence suggests that human astrocytes are very different from their rodent counterparts, and thus, it would be essential to use human cells to study human diseases. However, the availability of human astrocytes for research has been very limited.
The study carried out at the University of Eastern Finland used the induced pluripotent stem cell technology, which enables the generation of pluripotent stem cells from human skin fibroblasts. These induced stem cells can then be further differentiated to brain cells, e.g. neurons and astrocytes, with the same genetic background as the donor had.
The study compared astrocytes from familial AD patients carrying a mutation in the presenilin 1 gene to astrocytes from healthy donors, and the effects of these cells on healthy neurons were also analysed.
Reduced Calcium Signaling Activity
The researchers found that astrocytes in patients with Alzheimer’s disease produced significantly more beta amyloid than astrocytes in persons without AD. Beta amyloid is a toxic protein that is known to accumulate in the brains of AD patients.
In addition, AD astrocytes secreted more cytokines, which are thought to mediate inflammation. AD astrocytes also showed alterations in their energy metabolism, which likely led to increased production of reactive oxygen species and reduced production of lactate, an important energy substrate for neurons.
Finally, when astrocytes were co-cultured with healthy neurons, AD astrocytes caused significant changes to the calcium signalling activity of neurons when compared to healthy astrocytes.
This study was the first to show that astrocytes in patients with Alzheimer’s disease manifest many pathological changes typical of AD. Astrocytes could thus play a key role in the early stages of the disease and changes in the function of these cells could lead to neurodegeneration.
“The induced pluripotent stem cells we used in this study proved to be extremely useful in disease modelling, and they could offer an excellent platform for drug discovery and testing new therapeutic targets for Alzheimer’s disease in the future,”
says researcher Minna Oksanen, the lead author of the study.