Abstract
Alzheimer’s disease (AD) is characterized by the formation of insoluble deposits of β-amyloid (Aβ) within the parenchyma of the brain. These deposits are associated with a robust microglia-mediated inflammatory response. Recent work has demonstrated that Toll-like receptors (TLRs) participate in this inflammatory response. This chapter reviews the mechanisms whereby TLRs contribute to the induction of a microglial inflammatory response to promote AD pathogenesis. Specifically, the involvement of CD14 and the TLRs in microglial activation is delineated. The TLR-mediated microglial response has beneficial roles in stimulating phagocytosis as well as detrimental roles in the Aβ-stimulated release of neurotoxic products.
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- Aβ:
-
β-Amyloid
- AD:
-
Alzheimer’s disease
- APP:
-
Amyloid precursor protein
- BACE:
-
β-Secretase
- FPRL1:
-
Formyl peptide receptor-like 1
- IFN:
-
Interferon
- IL:
-
Interleukin
- IRAK:
-
IL-1 receptor-associated kinase
- IRF:
-
Interferon regulatory factor
- MAPK:
-
Mitogen-activated protein kinase
- MHC II:
-
Major histocompatibility complex II
- mFPR2:
-
Murine formyl peptide receptor 2
- MyD88:
-
Myeloid differentiation primary response gene 88
- NSAIDs:
-
Nonsteroidal anti-inflammatory drugs
- PRRs:
-
Pattern recognition receptors
- PAMPs:
-
Pathogen-associated molecular patterns
- RIP1:
-
Receptor-interacting protein 1
- TABs:
-
TAK1-binding proteins
- TAK:
-
TGF-β-activated kinase
- TBK1:
-
TRAF family member-associated NF-κB activator binding kinase 1
- TGF-β:
-
Transforming growth factor-β
- Th2:
-
T-helper 2
- TIR:
-
Toll/IL-1 receptor
- TIRAP/MAL:
-
TIR-containing adaptor protein/MyD88 adaptor-like
- TNF-α:
-
Tumor necrosis factor α
- TLRs:
-
Toll-like receptors
- TRAF:
-
TNF-associated factor
- TRAM/TICAM2:
-
TIR-domain-containing adaptor molecule/TRIF-related adaptor molecule 2
- TRIF/TICAM:
-
1 TIR-containing adaptor inducing IFN-β/TIR-domain containing adaptor molecule 1
References
Adhikari A, Xu M, Chen Z (2007) Ubiquitin-mediated activation of TAK1 and IKK. Oncogene 26:3214–3226
Akiyama H, Barger S, Barnum S, Bradt B, Bauer J, Cole G, Cooper N, Eikelenboom P, Emmerling M, Fiebich B, Finch C, Frautschy S, Griffin W, Hampel H, Hull M, Landreth G, Lue L, Mrak R, Mackenzie I, McGeer P, O’Banion K, Pachter J, Pasinetti G, Plata-Salaman C, Rogers J, Rydel R, Shen Y, Streit W, Strohmeyer R, Tooyoma I, Van Muiswinkel F, Veerhuis R, Walker D, Webster S, Wegrzyniak B, Wenk G, Wyss-Coray T (2000) Inflammation and Alzheimer’s disease. Neurobiol Aging 21:383–421
Arbour N, Lorenz E, Schutte B, Zabner J, Kline J, Jones M, Frees K, Watt J, Schwartz D (2000) TLR4 mutations are associated with endotoxin hyporesponsiveness in humans. Nat Genet 25:187–191
Bamberger ME, Harris ME, McDonald DR, Husemann J, Landreth GE (2003) A cell surface receptor complex for fibrillar beta-amyloid mediates microglial activation. J Neurosci 23:2665–2674
Bate C, Kempster S, Williams A (2006) Prostaglandin D2 mediates neuronal damage by amyloid-beta or prions which activate microglial cells. Neuropharmacology 50:229–237
Bate C, Veerhuis R, Eikelenboom P, Williams A (2004) Microglia kill amyloid-b1–42 damaged neurons by a CD14-dependent process. NeuroReport 15:1427–1430
Blander J, Medzhitov R (2004) Regulation of phagosome maturation by signals from toll-like receptors. Science 304:1014–1018
Blasko I, Grubeck-Loebenstein B (2003) Role of the immune system in the pathogenesis, prevention and treatment of Alzheimer’s disease. Drugs Aging 20:101–113
Bolmont T, Haiss F, Eicke D, Radde R, Mathis C, Klunk W, Kohsaka S, Jucker M, Calhoun M (2008) Dynamics of the microglial/amyloid interaction indicate a role in plaque maintenance. J Neurosci 28:4283–4292
Bornemann K, Wiederhold K, Pauli C, Ermini F, Stalder M, Schnell L, Sommer B, Jucker M, Staufenbiel M (2001) Abeta-induced inflammatory processes in microglial cells of APP23 transgenic mice. Am J Pathol 158:63–73
Chan W, Kohsaka S, Rezaie P (2007) The origin and cell lineage of microglia: new concepts. Brain Res Rev 53:344–354
Chen F, Bhatia D, Chang Q, Castranova V (2006a) Finding NEMO by K63-linked polyubiquitin chain. Cell Death Differ 13:1835–1838
Chen K, Iribarren P, Hu J, Chen J, Gong W, Cho E, Lockett S, Dunlop N, Wang J (2006b) Activation of Toll-like receptor 2 on microglia promotes cell uptake of Alzheimer disease-associated amyloid beta peptide. J Biol Chem 281:3651–3659
Combs C, Karlo J, Kao S, Landreth G (2001) Beta-amyloid stimulation of microglia and monocytes results in TNFalpha-dependent expression of inducible nitric oxide synthase and neuronal apoptosis. J Neurosci 21:1179–1188
Crouch P, Harding S, White A, Camakaris J, Bush A, Masters C (2008) Mechanisms of Ab mediated neurodegeneration in Alzheimer’s disease. Int J Biochem Cell Biol 40:181–198
Cui Y, Le Y, Yazawa H, Gong W, Wang J (2002) Potential role for the formyl peptide receptor-like 1 (FPRL1) in inflammatory aspects of Alzheimer’s disease. J Leukoc Biol 72:628–635
Cusson-Hermance N, Khurana S, Lee T, Fitzgerald K, Kelliher M (2005) Rip1 mediates the Trif-dependent toll-like receptor 3- and 4-induced NF-{kappa}B activation but does not contribute to interferon regulatory factor 3 activation. J Biol Chem 280:36560–36566
Davalos D, Grutzendler J, Yang G, Kim JV, Zuo Y, Jung S, Littman DR, Dustin ML, Gan WB (2005) ATP mediates rapid microglial response to local brain injury in vivo. Nat Neurosci 8:752–758
Dziedzic T (2006) Systemic inflammatory markers and risk of dementia. Am J Alzheimers Dis Other Demen 21:258–262
El Benna J, Han J, Park J, Schmid E, Ulevitch R, Babior B (1996) Activation of p38 in stimulated human neutrophils: phosphorylation of the oxidase component p47phox by p38 and ERK but not by JNK. Arch Biochem Biophys 334:395–400
Fassbender K, Walter S, Kuhl S, Landmann R, Ishii K, Bertsch T, Stalder A, Muehlhauser F, Liu Y, Ulmer A, Rivest S, Lentschat A, Gulbins E, Jucker M, Stafenbiel M, Brechtel K, Walter J, Multhaup G, Penke B, Adachi Y, Hartmann T, Beyreuther K (2004) The LPS receptor (CD14) links innate immunity with Alzheimer’s disease. FASEB J 18:203–205
Fiala M, Liu P, Espinosa-Jeffery A, Rosenthal M, Bernard G, Ringman J, Sayre M, Zhang L, Zaghi J, Dejbakhsh S, Chiang B, Hui J, Mahanian M, Baghaee A, Hong P, Cashman J (2007) Innate immunity and transcription of MGAT-III and Toll-like receptors in Alzheimer’s disease patients are improved by bisdemethoxycurcumin. Proc Natl Acad Sci USA 104:12849–12854
Findeis M (2007) The role of amyloid b peptide 42 in Alzheimer’s disease. Pharmacol Ther 116:266–286
Fitzgerald K, McWhirter S, Faia K, Rowe D, Latz E, Golenbock D, Coyle A, Liao S, Maniatis T (2003) IKKepsilon and TBK1 are essential components of the IRF3 signaling pathway. Nat Immunol 4:491–496
Franceschi C, Bonafe M, Valensin S, Olivieri F, De Luca M, Ottaviani E, De Benedictis G (2000) Inflamm-aging. An evolutionary perspective on immunosenescence. Ann NY Acad Sci 908:244–254
Fratiglioni L, Winblad B, von Strauss E (2007) Prevention of Alzheimer’s disease and dementia. Major findings from the Kungsholmen Project. Physiol Behav 92:98–104
Goerdt S, Orfanos CE (1999) Other functions, other genes: alternative activation of antigen-presenting cells. Immunity 10:137–142
Gordon S (2003) Alternative activation of macrophages. Nat Rev Immunol 3:23–35
Gorelick P (2004) Risk factors for vascular dementia and Alzheimer’s disease. Stroke 35:2620–2622
Haga S, Akai K, Ishii T (1989) Demonstration of microglial cells in and around senile (neuritic) plaques in the Alzheimer brain. An immunohistochemical study using a novel monoclonal antibody. Acta Neuropathol (Berl) 77:569–575
Han J, Ulevitch R (2005) Limiting inflammatory responses during activation of innate immunity. Nat Immunol 6:1198–1205
Hanisch U, Kettenmann H (2007) Microglia: active sensor and versatile effector cells in the normal and pathologic brain. Nat Neurosci 10:1387–1394
Hickman SE, Allison EK, El Khoury J (2008) Microglial dysfunction and defective beta-amyloid clearance pathways in aging Alzheimer’s disease mice. J Neurosci 28:8354–8360
in’t Veld B, Ruitenberg A, Launer J (2000) Duration of nonsteroidal anti-inflammatory drug use and risk of Alzheimer’s disease. The Rotterdam study. Neurobiol Aging 21:S204
Iribarren P, Chen K, Hu J, Gong W, Cho E, Lockett S, Uranchimeg B, Wang J (2005a) CpG-containing oligodeoxynucleotide promotes microglial cell uptake of amyloid beta 1–42 peptide by up-regulating the expression of the G-protein-coupled receptor mFPR2. FASEB J 19:2032–2034
Iribarren P, Zhou Y, Hu J, Le Y, Wang J (2005b) The role of formyl peptide receptor like 1 (FPRL1/MFPR2) in mononuclear phagocyte responses in Alzheimer’s disease. Immunol Res 31:165–176
Jana M, Palencia CA, Pahan K (2008) Fibrillar amyloid-beta peptides activate microglia via TLR2: implications for Alzheimer’s disease. J Immunol 181:7254–7262
Jankowsky J, Fadale D, Anderson J, Xu G, Gonzales V, Jenkins N, Copeland N, Lee M, Younkin L, Wagner S, Younkin S, Borchelt D (2004) Mutant presenilins specifically elevate levels of the 42 residue beta-amyloid peptide in vivo: evidence for augmentation of a 42-specific gamma secretase. Human Mol Genet 13:159–170
Jiang Z, Mak T, Sen G, Li X (2004) Toll-like receptor 3-mediated activation of NF-kappaB and IRF3 diverges at Toll-IL-1 receptor domain-containing adapter inducing IFN-beta. Proc Natl Acad Sci USA 101:3533–3538
Jin JJ, Kim HD, Maxwell JA, Li L, Fukuchi K (2008) Toll-like receptor 4-dependent upregulation of cytokines in a transgenic mouse model of Alzheimer’s disease. J Neuroinflammation 5:23
Kawai T, Akira S (2007) Signaling to NF-kB by Toll-like receptors. Trends Mol Med 13:460–469
Kielian T (2006) Toll-like receptors in central nervous system glial inflammation and homeostasis. J Neurosci Res 83:711–730
Koenigsknecht J, Landreth G (2004) Microglial phagocytosis of fibrillar beta-amyloid through a beta1 integrin-dependent mechanism. J Neurosci 24:9838–9846
Koenigsknecht-Talboo J, Landreth GE (2005) Microglial phagocytosis induced by fibrillar beta-amyloid and IgGs are differentially regulated by pro-inflammatory cytokines. J Neurosci 25:8240–8249
Letiembre M, Hao W, Liu Y, Walter S, Mihaljevic I, Rivest S, Hartmann T, Fassbender K (2007) Innate immune receptor expression in normal brain aging. Neuroscience 146:248–254
Letiembre M, Liu Y, Walter S, Hao W, Pfander T, Wrede A, Schulz-Schaeffer W, Fassbender K (2009) Screening of innate immune receptors in neurodegenerative diseases: a similar pattern. Neurobiol Aging 30:759–768
Liu Y, Walter S, Stagi M, Cherny D, Letiembre M, Schulz-Schaeffer W, Heine H, Penke B, Neumann H, Fassbender K (2005) LPS receptor (CD14): a receptor for phagocytosis of Alzheimer’s amyloid peptide. Brain 128:1778–1789
Lotz M, Ebert S, Esselmann H, Iliev A, Prinz M, Wiazewicz N, Wiltfang J, Gerber J, Nau R (2005) Amyloid beta peptide 1–40 enhances action of Toll like receptor-2 and -4 agonists but antagonizes Toll-like receptor-9-induced inflammation in primary mouse microglial cell cultures. J Neurochem 94:289–298
Luber-Narod J, Rogers J (1988) Immune system associated antigens expressed by cells of the human central nervous system. Neurosci Lett 94:17–22
Mantovani A, Sozzani S, Locati M, Allavena P, Sica A (2002) Macrophage polarization: tumor-associated macrophages as a paradigm for polarized M2 mononuclear phagocytes. Trends Immunol 23:549–555
McDonald DR, Bamberger ME, Combs CK, Landreth GE (1998) b-Amyloid fibrils activate parallel mitogen-activated protein kinase pathways in microglia and THP-1 monocytes. J Neurosci 18:4451–4460
McGeer P, Akiyama H, Itagaki S, McGeer E (1989) Immune system response in Alzheimer’s disease. Can J Neurol Sci 16:516–527
McGeer P, Schulzer M, McGeer E (1996) Arthritis and antiiinflammatory agents as possible protective factors for Alzheimer’s disease: a review of 17 epidemiological studies. Neurology 47:425–432
Medzhitov R (2001) Toll-like receptors and innate immunity. Nat Rev Immunol 1:135–145
Meylan E, Burns K, Hofmann K, Blancheteau V, Martinon F, Kelliher M, Tschopp J (2004) RIP1 is an essential mediator of Toll-like receptor 3-induced NF-kappa B activation. Nat Immunol 5:503–507
Minoretti P, Gazzaruso C, Vito C, Emanuele E, Bianchi M, Coen E, Reino M, Geroldi D (2006) Effect of the functional toll-like receptor 4 Asp299Gly polymorphism on susceptibility of late-onset Alzheimer’s disease. Neurosci Lett 391:147–149
Neumann H, Wekerle H (1998) Neuronal control of the immune response in the central nervous system: linking brain immunity to neurodegeneration. J Neuropathol Exp Neurol 57:1–9
Nimmerjahn A, Kirchhoff F, Helmchen F (2005) Resting microglial cells are highly dynamic surveillants of brain parenchyma in vivo. Science 308:1314–1318
Nomura F, Kawai T, Nakanishi K, Akira S (2000) NF-kappaB activation through IKK-i-dependent I-TRAF/TANK phosphorylation. Genes Cells 5:191–202
Patel N, Paris D, Mathura V, Quadros A, Crawford F, Mullan M (2005) Inflammatory cytokine levels correlate with amyloid load in transgenic mouse models of Alzheimer’s disease. J Neuroinflammation 2:9
Poltorak A, He X, Smirnova I, Liu M, Van Huffel C, Du X, Birdwell D, Alejos E, Silva M, Galanos C, Freudenberg M, Ricciari-Castagnoli P, Layton B, Beutler B (1998) Defective LPS signaling in C3H/HeJ and C57BL/10ScCr mice: mutations in TLR4 gene. Science 282:2085–2088
Pomerantz J, Baltimore D (1999) NF-kappaB activation by a signaling complex containing TRAF2, TANK and TBK1, a novel IKK-related kinase. EMBO J 18:6694–6704
Ransohoff R (2007) Microgliosis: the questions shape the answers. Nat Neurosci 10:1507–1509
Reed-Geaghan E, Landreth G (2007) CD14 and its associated toll like receptors mediate microglial activation by fAb. In: Society for Neuroscience (ed) 2007 Neuroscience Meeting Planner, vol 688. Society for Neuroscience, San Diego
Rich JB, Rasmusson DX, Folstein MF, Carson KA, Kawas C, Brandt J (1995) Nonsteroidal anti-inflammatory drugs in Alzheimer’s disease. Neurology 45:51–55
Richard KL, Filali M, Prefontaine P, Rivest S (2008) Toll-like receptor 2 acts as a natural innate immune receptor to clear amyloid beta 1–42 and delay the cognitive decline in a mouse model of Alzheimer’s disease. J Neurosci 28:5784–5793
Rodriguez-Rodriguez E, Sanchez-Juan P, Mateo I, Infante J, Sanchez-Quintana C, Garcia-Gorostiaga I, Berciano J, Combarros O (2008) Interaction between CD14 and LXRbeta genes modulates Alzheimer’s disease risk. J Neurol Sci 264:97–99
Rogers J, Kirby LC, Hempelman SR, Berry DL, McGeer PL, Kaszniak AW, Zalinski J, Cofield M, Mansukhani L, Willson P, et al. (1993) Clinical trial of indomethacin in Alzheimer’s disease. Neurology 43:1609–1611
Rogers J, Luber-Narod J, Styren S, Civin W (1988) Expression of immune system-associated antigens by cells of the human central nervous system: relationship to the pathology of Alzheimer’s disease. Neurobiol Aging 9:339–349
Sanjo H, Takeda K, Tsujimura T, Ninomiya-Tsuji J, Matsumoto K, Akira S (2003) TAB2 is essential for prevention of apoptosis in fetal liver but not for interleukin-1 signaling. Mol Cell Biol 23:1231–1238
Sato S, Sugiyama M, Yamamoto M, Watanabe Y, Kawai T, Takeda K, Akira S (2003) Toll/IL-1 receptor domain-containing adaptor inducing IFN-beta (TRIF) associates with TNF receptor-associated factor 6 and TANK-binding kinase 1, and activates two distinct transcription factors, NF-kappa B and IFN-regulatory factor-3, in the Toll-like receptor signaling. J Immunol 171:4303–4310
Selkoe D (2000) Toward a comprehensive theory for Alzheimer’s disease. Hypothesis: Alzheimer’s disease is caused by the cerebral accumulation and cytotoxicity of amyloid beta-protein. Ann NY Acad Sci 924:17–25
Seong S, Matzinger P (2004) Hydrophobicity: an ancient damage-associated molecular pattern that initiates innate immune responses. Nat Rev 4:469–478
Sharma S, tenOever B, Grandvaux N, Zhou G, Lin R, Hiscott J (2003) Triggering the interferon antiviral response through an IKK-related pathway. Science 300:1148–1151
Shim J, Xiao C, Paschal A, Bailey S, Rao P, Hayden M, Lee K, Bussey C, Steckel M, Tanaka N, Yamada G, Akira S, Matsumoto K, Ghosh S (2005) TAK1, but not TAB1 or TAB2, plays an essential role in multiple signaling pathways in vivo. Genes Dev 19:2668–2681
Simard A, Rivest S (2004) Bone marrow stem cells have the ability to populate the entire central nervous system into fully differentiated parenchymal microglia. FASEB J 18:998–1000
Stalder M, Deller T, Staufenbiel M, Jucker M (2001) 3D-reconstruction of microglia and amyloid in APP23 transgenic mice: no evidence of intracellular amyloid. Neurobiol Aging 22:427–434
Stewart W, Kawas C, Corrada M, Metter E (1997) Rish of Alzheimer’s disease and duration of NSAID use. Neurology 4:626–632
Styren S, Civin W, Rogers J (1990) Molecular, cellular, and pathologic characterization of HLA-DR immunoreactivity in normal elderly and Alzheimer’s disease brain. Exp Neurol 110:93–104
Tahara K, Kim H, Jin J, Maxwell J, Li L, Fukuchi K (2006) Role of toll-like receptor signalling in Abeta uptake and clearance. Brain 129:3006–3019
Tiffany H, Lavigne M, Cui Y, Wang J, Leto T, Gao J, Murphy M (2001) Amyloid-beta induces chemotaxis and oxidant stress by acting at formylpeptide receptor 2, a G protein-coupled receptor expressed in phagocytes and brain. J Biol Chem 276:645–652
Tsan M, Gao B (2007) Pathogen-associated molecular pattern contamination as putative endogenous ligands of Toll-like receptors. J Endotoxin Res 13:6–14
Udan M, Ajit D, Crouse N, Nichols M (2008) Toll-like receptors 2 and 4 mediate Ab(1–42) activation of the innate immune response in a human monocytic cell line. J Neurochem 104:524–533
Walter S, Letiembre M, Liu Y, Heine H, Penke B, Hao W, Bode B, Manietta N, Walter J, Schulz-Schaeffer W, Fassbender K (2007) Role of the Toll-like receptor 4 in neuro-inflammation in Alzheimer’s disease. Cell Physiol Biochem 20:947–956
Wang C, Deng L, Hong M, Akkaraju G, Inoue J, Chen Z (2001) TAK1 is a ubiquitin-dependent kinase of MKK and IKK. Nature 412:346–351
Wilkinson B, Koenigsknecht-Talboo J, Grommes C, Lee CY, Landreth G (2006) Fibrillar beta-amyloid-stimulated intracellular signaling cascades require Vav for induction of respiratory burst and phagocytosis in monocytes and microglia. J Biol Chem 281:20842–20850
Yamamoto M, Sato S, Mori K, Hoshino K, Takeuchi O, Takeda K, Akira S (2002) A novel Toll/IL-1 receptor domain-containing adapter that preferentially activates the IFN-beta promoter in the Toll-like receptor signaling. J Immunol 169:6668–6672
Yazawa H, Yu Z, Takeda X, Le Y, Gong W, Ferrans V, Oppenheim J, Li C, Wang J (2001) Beta amyloid peptide (Abeta42) is internalized via the G-protein-coupled receptor FPRL1 and forms fibrillar aggregates in macrophages. FASEB J 15:2454–2462
Ying G, Iribarren P, Zhou Y, Gong W, Zhang N, Yu Z, Le Y, Cui Y, Wang J (2004) Humanin, a newly identified neuroprotective factor, uses the G protein coupled formylpeptide receptor-like-1 as a functional receptor. J Immunol 172:7078–7085
Younkin S (1998) The role of A beta 42 in Alzheimer’s disease. J Physiol Paris 92:289–292
Zelcer N, Khanlou N, Clare R, Jiang Q, Reed-Geaghan E, Landreth G, Vinters H, Tontonoz P (2007) Attenuation of neuroinflammation and Alzheimer’s disease pathology by liver x receptors. Proc Natl Acad Sci USA 104:10601–10606
Acknowledgments
This work was supported by the NIA (AG16047), the Blanchette Hooker Rockefeller Foundation, and the American Health Assistance Foundation. Erin Reed-Geaghan is supported by a predoctoral Ruth L. Kirschstein National Research Service Award (F31NS057867) from the NINDS.
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Landreth, G.E., Reed-Geaghan, E.G. (2009). Toll-Like Receptors in Alzheimer's Disease. In: Kielian, T. (eds) Toll-like Receptors: Roles in Infection and Neuropathology. Current Topics in Microbiology and Immunology, vol 336. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00549-7_8
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