Evidence map›Paper›PMID 32479996›Full record

ArticleNeurobiology of disease2020

Microglia depletion rapidly and reversibly alters amyloid pathology by modification of plaque compaction and morphologies.

Brad T Casali, Kathryn P MacPherson, Erin G Reed-Geaghan, Gary E Landreth

Open access · goldAbstract read
In one paragraph

Article in Neurobiology of disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 1 synthesis or guideline pooled it, 185 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Human IL-34 Deficiency Primes Microglia Toward Alzheimer's Disease-Associated States.medRxiv : the preprint server for health sciences · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Microglial phagocytosis in Alzheimer disease.Nature reviews. Neurology · 2026
    Review
  13. Nanoscopic Mapping of the Extracellular Space in Amyloid Plaque-rich Cortex.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  14. Article
  15. Article
  16. Beyond Neuroinflammation: Microglia at the Crossroads of Amyloid, Tau, and Neurodegeneration in Alzheimer's Disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  17. Microglial CLEC7A restrains amyloid beta plaque pathology in a mouse model of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  18. Article
  19. Review
  20. Article

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Brad T CasaliDepartment of Neurosciences, Case Western Reserve University, School of Medicine, Cleveland, OH 44106, USA; Stark Neurosciences Research Institute, Indiana University, School of Medicine, Indianapolis, IN 46202, USA. Electronic address: btc8@case.edu.
Kathryn P MacPhersonStark Neurosciences Research Institute, Indiana University, School of Medicine, Indianapolis, IN 46202, USA. Electronic address: kpmartin@indiana.edu.
Erin G Reed-GeaghanCollege of Pharmacy, Northeast Ohio Medical University, Rootstown, OH 44272, USA. Electronic address: ereedgeaghan@neomed.edu.
Gary E LandrethStark Neurosciences Research Institute, Indiana University, School of Medicine, Indianapolis, IN 46202, USA. Electronic address: glandret@iu.edu.
Indiana University – Purdue University Indianapolis · USNortheast Ohio Medical University · USUniversity School · US

Funding

Central and Peripheral Roles of TREM2 in Alzheimer's DiseaseRF1AG051495 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI LAMB, BRUCE T, LANDRETH, GARY E. · 2015 to 2015
$3.6M
Actions of Nuclear Receptors on TREM2+ myeloid cells and microglia in AD brainRF1AG050597 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI LANDRETH, GARY E. · 2016 to 2016
$2.0M
Functional Significance of Amyloid Dynamics and Deposition in the AD BrainR01AG043522 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI LANDRETH, GARY E. · 2013 to 2017
$1.6M
NIA NIH HHS R01 AG043522NIA NIH HHS RF1 AG050597NIA NIH HHS RF1 AG051495
6 · The paper itself

Abstract

Alzheimer's disease (AD) is a prominent neurodegenerative disorder characterized by deposition of β-amyloid (Aβ)-containing extracellular plaques, accompanied by a microglial-mediated inflammatory response, that leads to cognitive decline. Microglia perform many disease-modifying functions such as phagocytosis of plaques, plaque compaction, and modulation of inflammation through the secretion of cytokines. Microglia are reliant upon colony-stimulating factor receptor-1 (CSF1R) activation for survival. In AD mouse models, chronic targeted depletion of microglia via CSF1R antagonism attenuates plaque formation in early disease but fails to alter plaque burden in late disease. It is unclear if acute depletion of microglia during the peak period of plaque deposition will alter disease pathogenesis, and if so, whether these effects are reversible upon microglial repopulation. To test this, we administered the CSF1R antagonist PLX5622 to the 5XFAD mouse model of AD at four months of age for approximately one month. In a subset of mice, the drug treatment was discontinued, and the mice were fed a control diet for an additional month. We evaluated plaque burden and composition, microgliosis, inflammatory marker expression, and neuritic dystrophy. In 5XFAD animals, CSF1R blockade for 28 days depleted microglia across brain regions by over 50%, suppressed microgliosis, and reduced plaque burden. In microglial-depleted AD animals, neuritic dystrophy was enhanced, and increased diffuse-like plaques and fewer compact-like plaques were observed. Removal of PLX5622 elicited microglial repopulation and subsequent plaque remodeling, resulting in more compact plaques predominating microglia-repopulated regions. We found that microglia limit diffuse plaques by maintaining compact-like plaque properties, thereby blocking the progression of neuritic dystrophy. Microglial repopulation reverses these effects. Collectively, we show that microglia are neuroprotective through maintenance of plaque compaction and morphologies during peak disease progression.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAnimalsBrainDisease Models, AnimalMice, TransgenicMicrogliaOrganic ChemicalsPlaque, AmyloidReceptors, Granulocyte-Macrophage Colony-Stimulating FactorAmyloid beta-PeptidesCsf1r protein, mouseOrganic ChemicalsPLX5622Receptors, Granulocyte-Macrophage Colony-Stimulating FactorADBarrierCSF1RInflammationMicrogliaNeuroprotectionPlaques

Identifiers

PMID32479996
PMCPMC7526856
OpenAlexW3029846955

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.