For nearly two decades, academic and industry researchers working to find ways to slow the progression of Alzheimer’s disease have focused chiefly on the amyloid-β plaques that accumulate among neurons. Dozens of clinical trials have tested drugs designed to remove or reduce these plaques, but successes have been few. Aducanumab, Biogen’s amyloid-attacking antibody drug (brand name Aduhelm) that was approved earlier this year following a long drought in new treatments for Alzheimer’s disease (AD), has been mired in controversy after scientists raised questions about the drug’s efficacy.
This lack of progress has prompted many research groups to look instead at non-neuronal cells in the brain, and in particular, at immune cells known as microglia. Vital in both developing and mature brains, these cells help shape neurons, control how they communicate, keep an eye out for pathogenic intruders, and mediate neuroinflammation. This last role has emerged as ...