Evidence map›Paper›PMID 42581323›Full record

ArticleNature genetics2026

Plasticity of human microglia and brain perivascular macrophages in aging and Alzheimer's disease.

Donghoon Lee, James M Vicari, Christian Porras, Collin Spencer, Milos Pjanic, Xinyi Wang, Seon Kinrot, Philipp Weiler, Roman Kosoy, Jaroslav Bendl and 25 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
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  7. Single-cell analysis reveals neuroprotective histone deacetylase inhibitor pathways.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  8. Article
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  10. Review
  11. Article
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  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Donghoon Lee *Center for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA. donghoon.lee@mssm.edu.ORCID http://orcid.org/0000-0003-0453-6059
James M Vicari *Center for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0002-4633-9961
Christian Porras *Center for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0002-2621-6753
Collin Spencer *Center for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Milos PjanicCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Xinyi WangCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Seon KinrotCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0001-5614-0983
Philipp WeilerInstitute of Computational Biology, Helmholtz Center Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-0992-7043
Roman KosoyCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0002-3080-7900
Jaroslav BendlCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0001-9989-2720
Prashant N MCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Konstantina PsychogyiouCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0009-0000-1849-1715
Periklis MalakatesCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0009-0005-6248-8931
Evelyn HenniganCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0009-0002-8311-4750
Jennifer Monteiro FortesCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Shiwei ZhengDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Karen TherrienCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0003-3351-7260
Deepika MathurCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Steven P KleopoulosCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Zhiping ShaoCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Stathis ArgyriouCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Marcela AlviaCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Clara CaseyCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Aram HongCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Kristin G BeaumontDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0003-3075-9977
Robert SebraDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0001-9267-2426
Christopher P KellnerDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0003-4604-8205
David A BennettRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA.
Guo-Cheng YuanDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0002-2283-4714
Georgios VoloudakisCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0002-5729-632X
Fabian J TheisInstitute of Computational Biology, Helmholtz Center Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-2419-1943
Vahram HaroutunianDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0001-5860-2512
Gabriel E HoffmanCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0002-0957-0224
John F FullardCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.ORCID http://orcid.org/0000-0001-9874-2907
Panos RoussosCenter for Disease Neurogenomics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA. panagiotis.roussos@mssm.edu.ORCID http://orcid.org/0000-0002-4640-6239

Funding

U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) P30AG10161, P30AG72975, R01AG15819, R01AG17917, U01AG46152, U01AG61356U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG065582, R01AG067025, R01AG082185
6 · The paper itself

Abstract

Myeloid cells, including microglia and perivascular macrophages, are central to Alzheimer's disease (AD) neurobiology, yet their role remains incompletely understood. We profiled 832,505 human myeloid cells from the prefrontal cortex of 1,607 donors spanning the lifespan and showing varying degrees of AD neuropathology. We delineated six subclasses comprising 13 transcriptionally distinct subtypes and identified adaptive changes associated with aging and AD progression. Here we show that a disease-associated microglial subtype, characterized by elevated GPNMB expression and enriched for polygenic AD risk, expands with AD pathology and shows increased phagocytic activity. We identify MITF as an upstream regulator required to maintain this microglial state. Cell-cell interaction analyses prioritize APOE-SORL1 and APOE-TREM2 signaling pairs associated with disease progression. Using human and mouse models, we demonstrate that the neuroprotective effects of this microglial subtype depend on TREM2. These findings provide mechanistic insights into myeloid cell function in aging and AD, aiding therapeutic discovery.

Indexed as

AgingAlzheimer DiseaseBrainMacrophagesMicrogliaAnimalsApolipoproteins EDisease Models, AnimalFemaleHumansMaleMembrane GlycoproteinsMicePhagocytosisReceptors, ImmunologicSignal TransductionApolipoproteins EGPNMB protein, humanMembrane GlycoproteinsReceptors, ImmunologicTREM2 protein, human

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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.