AbstractBackgroundAlzheimer’s disease (AD) is a progressive neurodegenerative disorder characterized by accumulated beta‐amyloid (Aβ) deposits and robust microgliosis. Recent genome‐wide association studies have identified genetic risk factors in late‐onset AD (LOAD) which are largely microglia. Among the risk factors, Inositol polyphosphate‐5‐phosphatase D (INPP5D) confers an increased risk of developing AD and is associated with increased plaque deposition. As a microglia‐specific lipid phosphatase, INPP5D negatively regulates signaling via several microglial cell surface receptors, including TREM2; however, the impact of INPP5D inhibition on AD pathology remains unclear.MethodsTo determine the impact of Inpp5d on disease pathogenesis and microglial phenotypes, we utilized the 5xFAD model expressing Inpp5d haplodeficiency.ResultsInpp5d deficiency perturbs microglial intracellular signaling pathways that regulate the immune response, including phagocytosis, microglia‐plaque engagement, and Aβ clearance. Importantly, Inpp5d haploinsufficiency leads to the preservation of cognitive function in 5xFAD mice. Furthermore, a novel spatial transcriptomic analysis revealed genetic profiles altered by Inpp5d haploinsufficiency are related to microglial functions, synaptic regulation, and immune cell activation.ConclusionThese data demonstrate that Inpp5d deficiency enhances microglial functions by increasing plaque clearance and preserves cognitive abilities in 5xFAD mice. Inhibition of INPP5D may serve as a potential therapeutic strategy targeting microglia for AD.
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