Evidence map›Paper›PMID 39644493›Full record

ArticleCell reports2024

Microglia degrade Alzheimer's amyloid-beta deposits extracellularly via digestive exophagy.

Rudy G Jacquet, Fernando González Ibáñez, Katherine Picard, Lucy Funes, Mohammadparsa Khakpour, Gunnar K Gouras, Marie-Ève Tremblay, Frederick R Maxfield, Santiago Solé-Domènech

Abstract read
In one paragraph

Article in Cell reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Review
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  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Autophagy-lysosomal pathway in neurodegeneration.Molecular neurodegeneration advances · 2026
    Review
  14. Microglial phagocytosis in Alzheimer disease.Nature reviews. Neurology · 2026
    Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
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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

9 authors.

Rudy G JacquetDepartment of Biochemistry, Weill Cornell Medicine, New York, NY 10065, USA.
Fernando González IbáñezAxe Neurosciences, Centre de Recherche du CHU de Québec-Université Laval, Québec, QC G1E 6W2, Canada; Département de Médecine Moléculaire, Université Laval, Québec City, QC G1V 0A6, Canada; Division of Medical Sciences, University of Victoria, Victoria, BC V8W 2Y2, Canada.
Katherine PicardAxe Neurosciences, Centre de Recherche du CHU de Québec-Université Laval, Québec, QC G1E 6W2, Canada; Département de Médecine Moléculaire, Université Laval, Québec City, QC G1V 0A6, Canada; Division of Medical Sciences, University of Victoria, Victoria, BC V8W 2Y2, Canada.
Lucy FunesDepartment of Biochemistry, Weill Cornell Medicine, New York, NY 10065, USA.
Mohammadparsa KhakpourAxe Neurosciences, Centre de Recherche du CHU de Québec-Université Laval, Québec, QC G1E 6W2, Canada; Département de Médecine Moléculaire, Université Laval, Québec City, QC G1V 0A6, Canada; Division of Medical Sciences, University of Victoria, Victoria, BC V8W 2Y2, Canada.
Gunnar K GourasExperimental Dementia Unit, BMC, Lund University, 221 84 Lund, Sweden.
Marie-Ève TremblayAxe Neurosciences, Centre de Recherche du CHU de Québec-Université Laval, Québec, QC G1E 6W2, Canada; Département de Médecine Moléculaire, Université Laval, Québec City, QC G1V 0A6, Canada; Division of Medical Sciences, University of Victoria, Victoria, BC V8W 2Y2, Canada; Neurology and Neurosurgery Department, McGill University, Montréal, QC H3A 2B4, Canada; Department of Biochemistry and Molecular Biology, The University of British Columbia, Vancouver, BC V6T 1Z3, Canada; Centre for Advanced Materials and Related Technology (CAMTEC) and Institute on Aging and Lifelong Health (IALH), University of Victoria, Victoria, BC V8W 2Y2, Canada.
Frederick R MaxfieldDepartment of Biochemistry, Weill Cornell Medicine, New York, NY 10065, USA. Electronic address: frmaxfie@med.cornell.edu.
Santiago Solé-DomènechDepartment of Biochemistry, Weill Cornell Medicine, New York, NY 10065, USA. Electronic address: sas2068@med.cornell.edu.

Funding

Macrophage-Lipoprotein InteractionsR01HL093324 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI MAXFIELD, FREDERICK R. · 2009 to 2025
$6.7M
Role of microglial lysosomes in amyloid-A-beta degradationRF1AG078244 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI MAXFIELD, FREDERICK R. · 2023 to 2023
$1.7M
NHLBI NIH HHS R01 HL093324NIA NIH HHS RF1 AG078244
6 · The paper itself

Abstract

How microglia digest Alzheimer's fibrillar amyloid-beta (Aβ) plaques that are too large to be phagocytosed is not well understood. Here, we show that primary microglial cells create acidic extracellular compartments, lysosomal synapses, on model plaques and digest them with exocytosed lysosomal enzymes. This mechanism, called digestive exophagy, is confirmed by electron microscopy in 5xFAD mouse brains, which shows that a lysosomal enzyme, acid phosphatase, is secreted toward the plaques in structures resembling lysosomal synapses. Signaling studies demonstrate that the PI3K-AKT pathway modulates the formation of lysosomal synapses, as inhibition of PI3K1β or AKT1/2 reduces both lysosome exocytosis and actin polymerization, both required for the formation of the compartments. Finally, we show that small fibrils of Aβ previously internalized and trafficked to lysosomes are exocytosed toward large Aβ aggregates by microglia. Thus, the release of lysosomal contents during digestive exophagy may also contribute to the spread and growth of fibrillar Aβ.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesExocytosisLysosomesMicrogliaAnimalsHumansMicePhosphatidylinositol 3-KinasesPlaque, AmyloidProto-Oncogene Proteins c-aktSignal TransductionSynapsesAmyloid beta-PeptidesPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-akt5xFADacid phosphataseAlzheimer’s diseaseamyloid-betaCP: Neurosciencedigestive exophagyelectron microscopyextracellular degradationlysosomal pHlysosomemicroglia

Identifiers

PMID39644493
PMCPMC11760508

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.