RT Journal Article T1 Amyloid-β impairs the phagocytosis of dystrophic synapses by astrocytes in Alzheimer's disease. A1 Sanchez-Mico, Maria V A1 Jimenez, Sebastian A1 Gomez-Arboledas, Angela A1 Muñoz-Castro, Clara A1 Romero-Molina, Carmen A1 Navarro, Victoria A1 Sanchez-Mejias, Elisabeth A1 Nuñez-Diaz, Cristina A1 Sanchez-Varo, Raquel A1 Galea, Elena A1 Davila, Jose C A1 Vizuete, Marisa A1 Gutierrez, Antonia A1 Vitorica, Javier K1 Alzheimer K1 amyloid-beta K1 astrocytes K1 dystrophic synapses K1 microglia K1 pathology K1 phagocytosis AB Reactive astrocytes and dystrophic neurites, most aberrant presynaptic elements, are found surrounding amyloid-β plaques in Alzheimer's disease (AD). We have previously shown that reactive astrocytes enwrap, phagocytose, and degrade dystrophic synapses in the hippocampus of APP mice and AD patients, but affecting less than 7% of dystrophic neurites, suggesting reduced phagocytic capacity of astrocytes in AD. Here, we aimed to gain insight into the underlying mechanisms by analyzing the capacity of primary astrocyte cultures to phagocytose and degrade isolated synapses (synaptoneurosomes, SNs) from APP (containing dystrophic synapses and amyloid-β peptides), Tau (containing AT8- and AT100-positive phosphorylated Tau) and WT (controls) mice. We found highly reduced phagocytic and degradative capacity of SNs-APP, but not AT8/AT100-positive SNs-Tau, as compared with SNs-WT. The reduced astrocyte phagocytic capacity was verified in hippocampus from 12-month-old APP mice, since only 1.60 ± 3.81% of peri-plaque astrocytes presented phagocytic structures. This low phagocytic capacity did not depend on microglia-mediated astrocyte reactivity, because removal of microglia from the primary astrocyte cultures abrogated the expression of microglia-dependent genes in astrocytes, but did not affect the phagocytic impairment induced by oligomeric amyloid-β alone. Taken together, our data suggest that amyloid-β, but not hyperphosphorylated Tau, directly impairs the capacity of astrocytes to clear the pathological accumulation of oligomeric amyloid-β, as well as of peri-plaque dystrophic synapses containing amyloid-β, perhaps by reducing the expression of phagocytosis receptors such as Mertk and Megf10, thus increasing neuronal damage in AD. Therefore, the potentiation or recovery of astrocytic phagocytosis may be a novel therapeutic avenue in AD. PB John Wiley & Sons, Inc. YR 2021 FD 2021-02-06 LK http://hdl.handle.net/10668/16745 UL http://hdl.handle.net/10668/16745 LA en NO Sanchez-Mico MV, Jimenez S, Gomez-Arboledas A, Muñoz-Castro C, Romero-Molina C, Navarro V, et al. Amyloid-β impairs the phagocytosis of dystrophic synapses by astrocytes in Alzheimer's disease. Glia. 2021 Apr;69(4):997-1011. DS RISalud RD Apr 6, 2025