Journal of Neuroinflammation, 2022 · DOI: https://doi.org/10.1186/s12974-022-02613-9 · Published: January 1, 2022
Alzheimer’s disease (AD) is the most common neurodegenerative disease in the elderly globally. Emerging evidence has demonstrated microglia-driven neuroinflammation as a key contributor to the onset and progression of AD, however, the mechanisms that mediate neuroinflammation remain largely unknown. Recent studies have suggested mitochondrial dysfunction including mitochondrial DNA (mtDNA) damage, metabolic defects, and quality control (QC) disorders precedes microglial activation and subsequent neuroinflammation. Therefore, an in-depth understanding of the relationship between mitochondrial dysfunction and microglial activation in AD is important to unveil the pathogenesis of AD and develop effective approaches for early AD diagnosis and treatment.
Modulating aerobic glycolysis with compounds like 2-DG and DMF may enhance microglial phagocytic capacity and reduce Aβ burden.
Inhibiting excessive mitochondrial fission with P110 or enhancing mitochondrial fusion with cannabidiol may suppress neuroinflammation.
Using mitophagy agonists like urolithin A and actinonin may facilitate microglial phagocytosis of Aβ, mitigate neuroinflammation, and improve cognitive function.