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References
Leng F, Edison P. Neuroinflammation and microglial activation in Alzheimer disease: where do we go from here? Nat Rev Neurol. 2021;17:157–72.
Ozben T, Ozben S. Neuro-inflammation and anti-inflammatory treatment options for Alzheimer’s disease. Clin Biochem. 2019;72:87–89.
Desai MK, Sudol KL, Janelsins MC, Mastrangelo MA, Frazer ME, Bowers WJ. Triple-transgenic Alzheimer’s disease mice exhibit region-specific abnormalities in brain myelination patterns prior to appearance of amyloid and tau pathology. Glia. 2009;57:54–65.
Depp C, Sun T, Sasmita AO, Spieth L, Berghoff SA, Nazarenko T, et al. Myelin dysfunction drives amyloid-β deposition in models of Alzheimer’s disease. Nature. 2023;618:349–57.
Zhou Y, Huang Z, Lin B, Ma M, Hao Y, Liu J, et al. Demyelination-derived lysophosphatidylserine promotes microglial dysfunction and neuropathology in a mouse model of Alzheimer’s disease. Cell Mol Immunol. 2025;22:134–49.
Lin B, Zhou Y, Huang Z, Ma M, Qi M, Jiang Z, et al. GPR34 senses demyelination to promote neuroinflammation and pathologies. Cell Mol Immunol. 2024;21:1131–44.
Haney MS, Pálovics R, Munson CN, Long C, Johansson PK, Yip O, et al. APOE4/4 is linked to damaging lipid droplets in Alzheimer’s disease microglia. Nature. 2024;628:1–8.
Gouna G, Klose C, Bosch-Queralt M, Liu L, Gokce O, Schifferer M, et al. TREM2-dependent lipid droplet biogenesis in phagocytes is required for remyelination. J Exp Med. 2021;218:e20210227.
Wang N, Wang M, Jeevaratnam S, Rosenberg C, Ikezu TC, Shue F, et al. Opposing effects of apoE2 and apoE4 on microglial activation and lipid metabolism in response to demyelination. Mol Neurodegener. 2022;17:75.
Marschallinger J, Iram T, Zardeneta M, Lee SE, Lehallier B, Haney MS, et al. Lipid-droplet-accumulating microglia represent a dysfunctional and proinflammatory state in the aging brain. Nat Neurosci. 2020;23:194–208.
Funding
We apologize to the authors whose work could not be referenced in this review owing to space limitations. Graphical illustrations were made via BioRender (https://biorender.com/). This work was supported by the National Institutes of Health/National Institute of Aging (R01AG071996, R01AG087406, and 1RF1AG078684; awarded to JRL), the Alzheimer’s Association (ADSF-21-816651; awarded to JRL), the Cure Alzheimer’s Fund (awarded to JRL), and the Owens Family Foundation (awarded to JRL). JDS was supported by a University of Virginia Brain Institute Presidential Fellowship and an Immunology Training Program Grant (5T32AI7496-28).
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Samuels, J.D., Lukens, J.R. Myelin debris as an initiator of microglial dysfunction and neuropathology in Alzheimer’s disease. Cell Mol Immunol 22, 208–210 (2025). https://doi.org/10.1038/s41423-024-01243-w
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DOI: https://doi.org/10.1038/s41423-024-01243-w