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Aberrant excitatory neuronal ERBB4 promotes Alzheimer's disease pathology

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Researchers identify an early, neuron-driven mechanism that reshapes glial pruning and drives Alzheimer’s-like pathology in mouse models. Using ExPre/InhiPre reporters, APP/PS1 and 5×FAD mice showed progressive increases in astrocyte- and microglia-mediated elimination of excitatory synapses but reduced removal of inhibitory synapses; astrocytic changes emerged earliest. Chemogenetic modulation demonstrated that glial engulfment is activity-dependent: heightened neuronal firing increases phagocytosis while suppression reduces it. Knocking down the astrocytic phagocytic receptor MEGF10 selectively preserved excitatory synapses, linking activity imbalance (excitatory hyperactivity, inhibitory hypoactivity) to selective synapse loss.

Single-nucleus RNA-sequencing uncovered a novel early-responsive excitatory neuron state (EREN) defined by ectopic Erbb4 expression. CRISPR-mediated Erbb4 deletion restricted to excitatory neurons in 5×FAD mice normalized network activity, prevented abnormal synapse elimination, reduced reactive gliosis and amyloid plaque burden, and rescued cognition. Conversely, Erbb4 overexpression in wild-type excitatory neurons reproduced core AD-like phenotypes without plaques; these effects depended on mTOR signaling. Human transcriptomic mediation analyses place excitatory neuronal ERBB4 upstream of amyloid-tau propagation and cognitive decline. The results position aberrant excitatory neuronal ERBB4 as an early driver of synaptic imbalance and neurodegeneration and nominate ERBB4-mTOR signaling as a potential therapeutic target.

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