Jean-Pierre Bellenger, Benoit Laurent, Nabil Bosco, Tamas Fulop, Katsuiku Hirokawa, Eric Frost, Pascale B. Beauregard, Abdelouahed Khalil, David Dumoulin, Weili Xu, Mathieu Desroches, Simon Lévesque, Stephen C. Cunnane, Annelise E. Barron, Anis Larbi, Charles Ramassamy, Michael Catanzaro, Serafim Rodrigues, Usma Munawara, Crystal Tze Ying Tan, Jacek M. Witkowski, Centre de recherche sur le vieillissement - CSSS-UIGS (Université de Sherbrooke), Università degli Studi di Pavia = University of Pavia (UNIPV), Agency for science, technology and research [Singapore] (A*STAR), Tokyo Medical and Dental University [Japan] (TMDU), Nestlé Institute of Health Sciences SA [Lausanne, Switzerland], Université de Sherbrooke / Sherbrooke University (UdS), INRS-Centre Armand-Frappier Sante Biotechnologie, Stanford School of Medicine [Stanford], Stanford Medicine, Stanford University-Stanford University, Ikerbasque - Basque Foundation for Science, Basque Center for Applied Mathematics (BCAM), Basque Center for Applied Mathematics, Mathématiques pour les Neurosciences (MATHNEURO), Inria Sophia Antipolis - Méditerranée (CRISAM), Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria), Université Côte d'Azur (UCA), and Medical University of Gdańsk
Background Alzheimer’s disease (AD) is the most common neurodegenerative disease ultimately manifesting as clinical dementia. Despite considerable effort and ample experimental data, the role of neuroinflammation related to systemic inflammation is still unsettled. While the implication of microglia is well recognized, the exact contribution of peripheral monocytes/macrophages is still largely unknown, especially concerning their role in the various stages of AD. Objectives AD develops over decades and its clinical manifestation is preceded by subjective memory complaints (SMC) and mild cognitive impairment (MCI); thus, the question arises how the peripheral innate immune response changes with the progression of the disease. Therefore, to further investigate the roles of monocytes/macrophages in the progression of AD we assessed their phenotypes and functions in patients at SMC, MCI and AD stages and compared them with cognitively healthy controls. We also conceptualised an idealised mathematical model to explain the functionality of monocytes/macrophages along the progression of the disease. Results We show that there are distinct phenotypic and functional changes in monocyte and macrophage populations as the disease progresses. Higher free radical production upon stimulation could already be observed for the monocytes of SMC patients. The most striking results show that activation of peripheral monocytes (hyperactivation) is the strongest in the MCI group, at the prodromal stage of the disease. Monocytes exhibit significantly increased chemotaxis, free radical production, and cytokine production in response to TLR2 and TLR4 stimulation. Conclusion Our data suggest that the peripheral innate immune system is activated during the progression from SMC through MCI to AD, with the highest levels of activation being in MCI subjects and the lowest in AD patients. Some of these parameters may be used as biomarkers, but more holistic immune studies are needed to find the best period of the disease for clinical intervention.