Iron loading is a prominent feature of activated microglia in Alzheimer’s disease patients

Boyd Kenkhuis, Antonios Somarakis, Lorraine de Haan, Oleh Dzyubachyk, Marieke E. Ijsselsteijn, Noel F. C. C. de Miranda, Boudewijn P.F. Lelieveldt, Jouke Dijkstra, Willeke Van Roon-Mom, Thomas Höllt, Louise van der Weerd

Research output: Contribution to journalArticleScientificpeer-review

5 Downloads (Pure)


Brain iron accumulation has been found to accelerate disease progression in amyloid-β(Aβ) positive Alzheimer patients, though the mechanism is still unknown. Microglia have been identified as key players in the disease pathogenesis, and are highly reactive cells responding to aberrations such as increased iron levels. Therefore, using histological methods, multispectral immunofluorescence and an automated in-house developed microglia segmentation and analysis pipeline, we studied the occurrence of iron-accumulating microglia and the effect on its activation state in human Alzheimer brains. We identified a subset of microglia with increased expression of the iron storage protein ferritin light chain (FTL), together with increased Iba1 expression, decreased TMEM119 and P2RY12 expression. This activated microglia subset represented iron-accumulating microglia and appeared morphologically dystrophic. Multispectral immunofluorescence allowed for spatial analysis of FTL+Iba1+-microglia, which were found to be the predominant Aβ-plaque infiltrating microglia. Finally, an increase of FTL+Iba1+-microglia was seen in patients with high Aβ load and Tau load. These findings suggest iron to be taken up by microglia and to influence the functional phenotype of these cells, especially in conjunction with Aβ.

Original languageEnglish
Article number27
Pages (from-to)1-15
Number of pages15
JournalActa Neuropathologica Communications
Issue number1
Publication statusPublished - 2021


  • Alzheimer
  • Ferritin
  • Human
  • Iron
  • Microglia

Fingerprint Dive into the research topics of 'Iron loading is a prominent feature of activated microglia in Alzheimer’s disease patients'. Together they form a unique fingerprint.

Cite this