PT - JOURNAL ARTICLE AU - Liu, Jianguo AU - Geraghty, Joseph R. AU - Schram, Sarah AU - Cropper, Haley C. AU - Lei, Justin AU - Loeb, Jeffrey A. AU - Song, Fei TI - Prevention of Alzheimer Pathology by Blocking Neuregulin Signaling on Microglia AID - 10.1523/ENEURO.0422-23.2023 DP - 2023 Nov 01 TA - eneuro PG - ENEURO.0422-23.2023 VI - 10 IP - 11 4099 - http://www.eneuro.org/content/10/11/ENEURO.0422-23.2023.short 4100 - http://www.eneuro.org/content/10/11/ENEURO.0422-23.2023.full SO - eNeuro2023 Nov 01; 10 AB - Plaque formation, microglial activation, and synaptic loss are pathologic hallmarks of Alzheimer’s disease; however, removing plaques has had little clinical benefit. Here, we show that neuregulin-1, a glial growth factor, induces inflammatory cytokines and promotes phagocytic activity in vitro and augments microglial activation and plaque formation in 5XFAD Alzheimer’s mice. Brain-specific targeting of neuregulin-1 by intraventricular delivery of a novel neuregulin-1 fusion protein antagonist, GlyB4, significantly alters microglial morphology and function to a nonpathogenic morphology in early-stage 5XFAD mice and prevents plaques from forming. Once plaques have already formed, GlyB4 reduces new plaque formation and prevents synaptic loss. Selective, targeted disruption of neuregulin-1 signaling on brain microglia with GlyB4 could be a novel “upstream” approach to slow or stop disease progression in Alzheimer’s disease.