TY - JOUR AU - Heneka, Michael AU - van der Flier, Wiesje M AU - Jessen, Frank AU - Hoozemanns, Jeroen AU - Thal, Dietmar Rudolf AU - Boche, Delphine AU - Brosseron, Frederic AU - Teunissen, Charlotte AU - Zetterberg, Henrik AU - Jacobs, Andreas H AU - Edison, Paul AU - Ramirez, Alfredo AU - Cruchaga, Carlos AU - Lambert, Jean-Charles AU - Laza, Agustin Ruiz AU - Sanchez-Mut, Jose Vicente AU - Fischer, Andre AU - Castro-Gomez, Mario Sergio AU - Stein, Thor D AU - Kleineidam, Luca AU - Wagner, Michael AU - Neher, Jonas J AU - Cunningham, Colm AU - Singhrao, Sim K AU - Prinz, Marco AU - Glass, Christopher K AU - Schlachetzki, Johannes C M AU - Butovsky, Oleg AU - Kleemann, Kilian AU - De Jaeger, Philip L AU - Scheiblich, Hannah AU - Brown, Guy C AU - Landreth, Gary AU - Moutinho, Miguel AU - Grutzendler, Jaime AU - Gomez-Nicola, Diego AU - McManus, Róisín M AU - Andreasson, Katrin AU - Ising, Christina AU - Karabag, Deniz AU - Baker, Darren J AU - Liddelow, Shane A AU - Verkhratsky, Alexei AU - Tansey, Malu AU - Monsonego, Alon AU - Aigner, Ludwig AU - Dorothée, Guillaume AU - Nave, Klaus-Armin AU - Simons, Mikael AU - Constantin, Gabriela AU - Rosenzweig, Neta AU - Pascual, Alberto AU - Petzold, Gabor C AU - Kipnis, Jonathan AU - Venegas, Carmen AU - Colonna, Marco AU - Walter, Jochen AU - Tenner, Andrea J AU - O'Banion, M Kerry AU - Steinert, Joern R AU - Feinstein, Douglas L AU - Sastre, Magdalena AU - Bhaskar, Kiran AU - Hong, Soyon AU - Schafer, Dorothy P AU - Golde, Todd AU - Ransohoff, Richard M AU - Morgan, David AU - Breitner, John AU - Mancuso, Renzo AU - Riechers, Sean-Patrick TI - Neuroinflammation in Alzheimer disease. JO - Nature reviews / Immunology VL - 25 IS - 5 SN - 1474-1733 CY - London PB - Nature Publ. Group M1 - DZNE-2025-00587 SP - 321 - 352 PY - 2025 AB - Increasing evidence points to a pivotal role of immune processes in the pathogenesis of Alzheimer disease, which is the most prevalent neurodegenerative and dementia-causing disease of our time. Multiple lines of information provided by experimental, epidemiological, neuropathological and genetic studies suggest a pathological role for innate and adaptive immune activation in this disease. Here, we review the cell types and pathological mechanisms involved in disease development as well as the influence of genetics and lifestyle factors. Given the decade-long preclinical stage of Alzheimer disease, these mechanisms and their interactions are driving forces behind the spread and progression of the disease. The identification of treatment opportunities will require a precise understanding of the cells and mechanisms involved as well as a clear definition of their temporal and topographical nature. We will also discuss new therapeutic strategies for targeting neuroinflammation, which are now entering the clinic and showing promise for patients. KW - Humans KW - Alzheimer Disease: immunology KW - Alzheimer Disease: pathology KW - Alzheimer Disease: therapy KW - Animals KW - Neuroinflammatory Diseases: immunology KW - Neuroinflammatory Diseases: pathology KW - Inflammation: immunology KW - Immunity, Innate LB - PUB:(DE-HGF)16 C6 - pmid:39653749 DO - DOI:10.1038/s41577-024-01104-7 UR - https://pub.dzne.de/record/278101 ER -