Abstract

BackgroundThe role of physical exercise in the prevention of Alzheimer’s disease (AD) has been widely studied. Microglia play an important role in AD. Triggering receptor expressed in myeloid cells 2 (TREM2) is expressed on microglia and is known to mediate microglial metabolic activity and brain glucose metabolism. However, the relationship between brain glucose metabolism and microglial metabolic activity during running exercise in APP/PS1 mice remains unclear.MethodsTen-month-old male APP/PS1 mice and wild-type mice were randomly divided into sedentary groups or running groups (AD_Sed, WT_Sed, AD_Run and WT_Run, n = 20/group). Running mice had free access to a running wheel for 3 months. Behavioral tests, [18]F-FDG-PET and hippocampal RNA-Seq were performed. The expression levels of microglial glucose transporter (GLUT5), TREM2, soluble TREM2 (sTREM2), TYRO protein tyrosine kinase binding protein (TYROBP), secreted phosphoprotein 1 (SPP1), and phosphorylated spleen tyrosine kinase (p-SYK) were estimated by western blot or ELISA. Immunohistochemistry, stereological methods and immunofluorescence were used to investigate the morphology, proliferation and activity of microglia.ResultsLong-term voluntary running significantly improved cognitive function in APP/PS1 mice. Although there were few differentially expressed genes (DEGs), gene set enrichment analysis (GSEA) showed enriched glycometabolic pathways in APP/PS1 running mice. Running exercise increased FDG uptake in the hippocampus of APP/PS1 mice, as well as the protein expression of GLUT5, TREM2, SPP1 and p-SYK. The level of sTREM2 decreased in the plasma of APP/PS1 running mice. The number of microglia, the length and endpoints of microglial processes, and the ratio of GLUT5+/IBA1+ microglia were increased in the dentate gyrus (DG) of APP/PS1 running mice. Running exercise did not alter the number of 5-bromo-2′-deoxyuridine (BrdU)+/IBA1+ microglia but reduced the immunoactivity of CD68 in the hippocampus of APP/PS1 mice.ConclusionsRunning exercise inhibited TREM2 shedding and maintained TREM2 protein levels, which were accompanied by the promotion of brain glucose metabolism, microglial glucose metabolism and morphological plasticity in the hippocampus of AD mice. Microglia might be a structural target responsible for the benefits of running exercise in AD. Promoting microglial glucose metabolism and morphological plasticity modulated by TREM2 might be a novel strategy for AD treatment.

Highlights

  • Alzheimer’s disease (AD), the most common cause of dementia, has become an important public issue worldwide and results in progressive cognitive decline and disability [1]

  • Promoting microglial glucose metabolism and morphological plasticity modulated by Triggering receptor expressed in myeloid cells 2 (TREM2) might be a novel strategy for AD treatment

  • If microglial glucose metabolism is involved in the elevated brain glucose metabolism induced by running exercise, what might be the underlying molecular mechanism? Triggering receptor expressed in myeloid cells 2 (TREM2) is a member of the immunoglobulin/lectin-like receptor superfamily that is highly expressed on microglia [24]

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Summary

Introduction

Alzheimer’s disease (AD), the most common cause of dementia, has become an important public issue worldwide and results in progressive cognitive decline and disability [1]. Recent clinical trials involving new drugs targeting these theories have failed to delay memory and cognitive decline in patients with AD [3]. Many clinical studies have confirmed that running exercise can alleviate memory loss in AD patients [5, 6]. The mechanism by which running exercise improves cognitive decline in AD remains to be further studied. The role of physical exercise in the prevention of Alzheimer’s disease (AD) has been widely studied. Triggering receptor expressed in myeloid cells 2 (TREM2) is expressed on microglia and is known to mediate microglial metabolic activity and brain glucose metabolism. The relation‐ ship between brain glucose metabolism and microglial metabolic activity during running exercise in APP/PS1 mice remains unclear

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