Key result
ANGPTL8 knockout improved cognitive function and reduced amyloid beta deposition by reducing microglial pyroptosis and neuroinflammation in 5xFAD mice.
Why the study?
Liver dysfunction contributes to Alzheimer disease pathogenesis and amyloid clearance, but the specific regulatory mechanism remains elusive.
Liver-specific ANGPTL8 promotes Alzheimer's disease progression via microglial pyroptosis, and its inhibition (e.g., with metformin) may offer a therapeutic strategy.
ANGPTL8's role in AD remains hypothesis-generating from animal models; human studies needed to assess therapeutic relevance.
Liver dysfunction contributes to Alzheimer’s disease (AD) pathogenesis, and evidence suggests that the liver is involved in amyloid β (Aβ) clearance, and regulates Aβ deposition in the brain. However, the specific regulatory mechanism remains elusive. Angiopoietin-like protein 8 (ANGPTL8), a high expression of liver-specific secreted proinflammatory factor, crosses the blood‒brain barrier from the bloodstream to abnormally activate microglia and promote AD progression. The ANGPTL8 −/− mice and 5 × FAD mice were crossed mutated and subjected to the Morris water maze test and novel object recognition test to assess cognitive ability in different cohorts. Thioflavin-S, NeuN, and Nissl staining were used to assess Aβ deposition and neuron loss. The number of phagocytic microglia was evaluated with Fitc latex beads. Adeno-associated virus 8 (AAV8) hydrodynamically injected restored the liver ANGPTL8 levels of ANGPTL8 −/− 5 × FAD mice for further experiments. Single-cell RNA sequencing, bulk RNA sequencing and transmission electron microscopy were used to explore the role of ANGPTL8 in regulating AD progression, and drug screening was carried out to identify an effective inhibitor of ANGPTL8. ANGPTL8 knockout improved cognitive function and reduced Aβ deposition by reducing microgliosis and microglial activation in 5xFAD mice. Mechanistically, ANGPTL8 crossed the blood‒brain barrier and interacted with the microglial membrane receptor PirB/LILRB2. This interaction subsequently activated the downstream NLRP3 inflammasome, leading to microglial pyroptosis and exacerbating the Aβ-induced release of inflammatory factors, thereby accelerating AD progression. Furthermore, the administration of metformin, an ANGPTL8 inhibitor, improved learning and memory deficits in 5 × FAD mice by negating microglial pyroptosis and neuroinflammation. ANGPTL8 aggravates microglial pyroptosis via the PirB/NLRP3 pathway to accelerate the pathogenesis of AD. Targeting high expression of ANGPTL8 in the liver may hold potential for developing therapies for AD.
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Wei et al. (2025) studied Alzheimer's disease. ANGPTL8 knockout and Metformin vs. Wild-type or untreated 5xFAD mice was evaluated on Cognitive function and amyloid beta deposition. ANGPTL8 knockout improved cognitive function and reduced amyloid beta deposition by reducing microglial pyroptosis and neuroinflammation in 5xFAD mice.
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