Targeting innate immunity to protect and cure Alzheimer's disease: opportunities and pitfalls.

Giulia Cisbani, Serge Rivest

Journal: Molecular psychiatry 2022;26(10):5504-5515

PMID: 33854189

Abstract

Innate immunity has been the focus of many new directions to understand the mechanisms involved in the aetiology of brain diseases, especially Alzheimer's disease (AD). AD is a multifactorial disorder, with the innate immune response and neuroinflammation at the forefront of the pathology. Thus, microglial cells along with peripheral circulating monocytes and more generally the innate immune response have been the target of several pre-clinical and clinical studies. More than a decade ago, inhibiting innate immune cells was considered to be the critical angle for preventing and treating brain diseases. After the failing of numerous clinical trials and the discovery that it may actually be the opposite in various pre-clinical models, the field has changed considerably. Here, we present both sides of the story with a particular emphasis on the beneficial properties of innate immune cells and how they can be targeted to have neuroprotective properties.

© 2021. The Author(s), under exclusive licence to Springer Nature Limited.

Address: Faculty of Medicine, Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada.; CHU de Québec Research Center and Department of Molecular Medicine, Faculty of Medicine, Laval University, Québec City, QC, Canada. [email protected].

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