Microglia are a key component of the inflammatory response in the brain and
are associated with senile plaques in Alzheimer's disease (AD). Although t
here is evidence that microglial activation is important for the pathogenes
is of AD, the role of microglia in cerebral amyloidosis remains obscure. Th
e present study was undertaken to investigate the relationship between beta
-amyloid deposition and microglia activation in APP23 transgenic mice which
express human mutated amyloid-beta precursor protein (PPP) under the contr
ol of a neuron-specific promoter element. Light microscopic analysis reveal
ed that the majority of the amyloid plaques in neocortex and hippocampus of
14- to 18- month-old APP23 mice are congophilic and associated with cluste
rs of hypertrophic microglia with intensely stained Mac-1- and phosphotyros
ine-positive processes. No association of such activated microglia was obse
rved with diffuse plaques. In young APP23 mice, early amyloid deposits were
already of dense core nature and were associated with a strong microglial
response. Ultrastructurally, bundles of amyloid fibrils, sometimes surround
ed by an incomplete membrane, were observed within the microglial cytoplasm
, However, microglia with the typical characteristics of phagocytosis were
associated more frequently with dystrophic neurites than with amyloid fibri
ls, Although the present observations cannot unequivocally determine whethe
r microglia are causal, contributory, or consequential to cerebral amyloido
sis, our results suggest that microglia are involved in cerebral amyloidosi
s either by participating in the processing of neuron-derived PPP into amyl
oid fibrils and/or by ingesting amyloid fibrils via an uncommon phagocytoti
c mechanism. In any case, our observations demonstrate that neuron-derived
PPP is sufficient to induce not only amyloid plaque formation but also amyl
oid-associated microglial activation similar to that reported in AD. Moreov
er, our results are consistent with the idea that microglia activation may
be important for the amyloid-associated neuron loss previously reported in
these mice.