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院長日記

If you think you might have mild cognitive impairment (MCI) Part 4: Complement protein C3

武本 重毅

Microglia contribute to neuroimmunity by phagocytosing and presenting antigens to T cells.

It is also thought to be involved in the elimination of superfluous neurons and synapses

during neurodevelopment and to maintain homeostasis of brain tissue.

And after maturity, it is involved in cognitive functions.

 

In Alzheimer’s disease,

it has been suggested that microglia remove plaques and abnormal tau proteins and

simultaneously damage normal neurons and synapses, leading to cognitive decline.

Especially, the anomaly has been reported at presynaptic sites.

 

As a mechanism,

microglia appear to use complement to contact synapses and then

remove them to erase and modify memory.

It was revealed that microglia use C1q and C3 among the complements.

In a mouse model of Alzheimer’s disease,

C1q was shown to increase at synapses prior to plaque formation,

revealing that administration of oligomeric amyloid-β protein increased C1q.

Furthermore, administration of oligomers of amyloid-β protein was shown to

eliminate synapses by microglia via C3 receptors in an acute model.

Conversely, knocking out C3 in an Alzheimer’s disease animal model

reduced synaptic loss and improved behavior.

It was also revealed that C1q and C3 are involved in memory loss.

Author:

武本 重毅

聚楽内科クリニックの院長、医学博士。