PMID- 36331509 OWN - NLM STAT- MEDLINE DCOM- 20230103 LR - 20230119 IS - 1554-6578 (Electronic) IS - 0022-3069 (Linking) VI - 82 IP - 1 DP - 2022 Dec 19 TI - Silence of resident microglia in GPI anchorless prion disease and activation of microglia in Gerstmann-Straussler-Scheinker disease and sporadic Creutzfeldt-Jakob disease. PG - 38-48 LID - 10.1093/jnen/nlac098 [doi] AB - GPI anchorless prion diseases (GPIALPs) show numerous coarse prion protein (PrP) deposits in the CNS but neuropil spongiform changes are mild and the incidence of dementia is low. Here, we examined differences in resident microglial phenotypes between GPIALP (D178fs25) and the other prion diseases Gerstmann-Straussler-Scheinker (GSS) disease and sporadic Creutzfeldt-Jakob disease (sCJD) with respect to homeostasis and activation. Immunohistochemistry was performed on 2 GPIALP (D178fs25), 4 GSS (P102L), and 4 sCJD cases. Homeostatic microglia expressing TMEM119 and P2RY12 were preserved in GPIALP compared to GSS and sCJD. Microglia/macrophage activation in GSS and sCJD was associated with the extent of spongiform change. Immunoelectron microscopy revealed TMEM119 and P2RY12 in PrP plaque cores. Activated microglia/macrophages expressing HLA-DR and CD68 were predominant in GSS and sCJD whereas in GPIALP, homeostatic microglia were retained and activated microglia/macrophages were rarely observed. These data suggest that PrP deposition in GPIALP is less toxic and that microglia may be immune-tolerant to PrP deposition. This may be associated with milder tissue damage and a low incidence of dementia. Whereas microglia/macrophage activation is considered to be a reaction to tissue injury, this study shows that the degree of microglia/macrophage activity might influence the extent of tissue damage. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of American Association of Neuropathologists, Inc. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Noguchi, Hideko AU - Noguchi H AD - Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Koyama, Sachiko AU - Koyama S AD - Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Yagita, Kaoru AU - Yagita K AD - Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Shijo, Masahiro AU - Shijo M AD - Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Matsuzono, Kosuke AU - Matsuzono K AD - Division of Neurology, Department of Medicine, Jichi Medical University, Tochigi, Japan. FAU - Hamasaki, Hideomi AU - Hamasaki H AD - Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Kanemaru, Takaaki AU - Kanemaru T AD - Department of Morphology Core Unit, Kyushu University Hospital, Fukuoka, Japan. FAU - Okamoto, Tsuyoshi AU - Okamoto T AD - Faculty of Arts and Science, Kyushu University, Fukuoka, Japan. FAU - Kai, Keita AU - Kai K AD - Department of Pathology, Saga University Hospital, Saga, Japan. FAU - Aishima, Shinichi AU - Aishima S AD - Department of Pathology and Microbiology, Faculty of Medicine, Saga University, Saga, Japan. FAU - Abe, Koji AU - Abe K AD - National Center of Neurology and Psychiatry, Tokyo, Japan. FAU - Sasagasako, Naokazu AU - Sasagasako N AD - Department of Neurology, Neuro Muscular Center, National Hospital Organization Omuta National Hospital, Fukuoka, Japan. FAU - Honda, Hiroyuki AU - Honda H AUID- ORCID: 0000-0002-4225-7248 AD - Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. LA - eng PT - Journal Article PL - England TA - J Neuropathol Exp Neurol JT - Journal of neuropathology and experimental neurology JID - 2985192R RN - 0 (Prion Proteins) RN - 0 (Tmem119 protein, human) RN - 0 (P2RY12 protein, human) RN - 0 (Receptors, Purinergic P2Y12) RN - 0 (Membrane Proteins) RN - Creutzfeldt-Jakob Disease, Sporadic SB - IM MH - Humans MH - *Creutzfeldt-Jakob Syndrome/metabolism MH - *Gerstmann-Straussler-Scheinker Disease/genetics MH - *Microglia/metabolism MH - Prion Proteins/genetics/metabolism MH - *Receptors, Purinergic P2Y12/genetics/metabolism MH - *Membrane Proteins/genetics/metabolism OTO - NOTNLM OT - GPI anchorless OT - Homeostatic microglia OT - Prion OT - Prion protein plaque OT - Resident microglia EDAT- 2022/11/05 06:00 MHDA- 2022/12/22 06:00 CRDT- 2022/11/04 11:34 PHST- 2022/11/05 06:00 [pubmed] PHST- 2022/12/22 06:00 [medline] PHST- 2022/11/04 11:34 [entrez] AID - 6798824 [pii] AID - 10.1093/jnen/nlac098 [doi] PST - ppublish SO - J Neuropathol Exp Neurol. 2022 Dec 19;82(1):38-48. doi: 10.1093/jnen/nlac098.