Alzheimer's disease protective allele of Clusterin modulates neuronal excitability through lipid-droplet-mediated neuron-glia communication

Mol Neurodegener. 2025 May 3;20(1):51. doi: 10.1186/s13024-025-00840-1.

Abstract

Background: Genome-wide association studies (GWAS) of Alzheimer's disease (AD) have identified a plethora of risk loci. However, the disease variants/genes and the underlying mechanisms have not been extensively studied.

Methods: Bulk ATAC-seq was performed in induced pluripotent stem cells (iPSCs) differentiated various brain cell types to identify allele-specific open chromatin (ASoC) SNPs. CRISPR-Cas9 editing generated isogenic pairs, which were then differentiated into glutamatergic neurons (iGlut). Transcriptomic analysis and functional studies of iGlut co-cultured with mouse astrocytes assessed neuronal excitability and lipid droplet formation.

Results: We identified a putative causal SNP of CLU that impacted neuronal chromatin accessibility to transcription-factor(s), with the AD protective allele upregulating neuronal CLU and promoting neuron excitability. And, neuronal CLU facilitated neuron-to-glia lipid transfer and astrocytic lipid droplet formation coupled with reactive oxygen species (ROS) accumulation. These changes caused astrocytes to uptake less glutamate thereby altering neuron excitability.

Conclusions: For a strong AD-associated locus near Clusterin (CLU), we connected an AD protective allele to a role of neuronal CLU in promoting neuron excitability through lipid-mediated neuron-glia communication. Our study provides insights into how CLU confers resilience to AD through neuron-glia interactions.

Keywords: Allele-specific open chromatin; Alzheimer’s disease; Clusterin; Genome-wide association study; IPSC; Lipid droplets; Neuron excitability; Neuron-glia lipid transfer; Protective allele.

MeSH terms

  • Alleles
  • Alzheimer Disease* / genetics
  • Alzheimer Disease* / metabolism
  • Animals
  • Astrocytes / metabolism
  • Cell Communication* / physiology
  • Clusterin* / genetics
  • Clusterin* / metabolism
  • Genome-Wide Association Study
  • Humans
  • Induced Pluripotent Stem Cells / metabolism
  • Lipid Droplets* / metabolism
  • Mice
  • Neuroglia* / metabolism
  • Neurons* / metabolism
  • Polymorphism, Single Nucleotide

Substances

  • Clusterin