RT Journal Article SR Electronic T1 Accelerated cognitive decline in obese mouse model of Alzheimer’s disease is linked to sialic acid-driven immune deregulation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.02.05.479219 DO 10.1101/2022.02.05.479219 A1 Stefano Suzzi A1 Tommaso Croese A1 Adi Ravid A1 Or Gold A1 Abbe R. Clark A1 Sedi Medina A1 Daniel Kitsberg A1 Miriam Adam A1 Katherine A. Vernon A1 Eva Kohnert A1 Inbar Shapira A1 Sergey Malitsky A1 Maxim Itkin A1 Sarah P. Colaiuta A1 Liora Cahalon A1 Michal Slyper A1 Anna Greka A1 Naomi Habib A1 Michal Schwartz YR 2022 UL http://biorxiv.org/content/early/2022/02/08/2022.02.05.479219.abstract AB Systemic immunity supports healthy brain homeostasis. Accordingly, conditions causing systemic immune deregulation may accelerate onset of neurodegeneration in predisposed individuals. Here we show that, in the 5xFAD mouse model of Alzheimer’s disease (AD), high-fat diet-induced obesity accelerated cognitive decline, which was associated with immune deviations comprising increased splenic frequencies of exhausted CD4+ T effector memory cells and CD4+FOXP3+ regulatory T cells (Tregs). Non-targeted plasma metabolomics identified N-acetylneuraminic acid (NANA), the predominant sialic acid, as the major obesity-induced metabolite in 5xFAD mice, the levels of which directly correlated with Tregs abundance and inversely correlated with cognitive performance. Visceral adipose tissue macrophages were identified by sNuc-Seq as one potential source of NANA. Exposure to NANA led to immune deregulation in middle-aged wild-type mice, and ex vivo in human T cells. Our study identified diet-induced immune deregulation, potentially via sialic acid, as a previously unrecognized link between obesity and AD.Competing Interest StatementM. Schwartz is a consultant of ImmunoBrain Checkpoint LTD.