Two hours of sleep restored: Researchers make Alzheimer's breakthrough

That's akin to what happens in the brains of people with Alzheimer's: Amyloid plaques, sticky protein clumps that build up in the brain, are the fire in the kitchen. Microglia, the brain's resident immune cells, are the sprinklers. A mechanism designed to protect the body ends up hurting it.

Researchers at the University of Kentucky have discovered this harmful process for the first time—and figured out how to turn it off.

In a study published in the journal Alzheimer's & Dementia, a team led by Shannon L. Macauley, Ph.D., an associate professor of physiology in the UK College of Medicine, and first author Nicholas J. Constantino, Ph.D., a recent UK doctoral graduate, revealed that microglia are the primary drivers of sleep loss. By using a drug to temporarily remove these cells in animal models, the researchers successfully restored more than two hours of sleep a day, providing a new target for treating the disease that Macauley described as "paradigm shifting."

Previously, scientists believed that sleep loss in Alzheimer's was caused by dying neurons or the physical clutter of amyloid plaques. However, the UK team's findings suggest the problem is a "whole-house response" scenario.

"Basically, we showed that it is not the plaques themselves, or solely dysfunctional neurons, that cause sleep loss but actually microglia," said Macauley. "Microglia are immune cells that, when they respond to plaques, kick off this elaborate cascade of inflammation, as if the microglia are partying all night and keeping the brain awake."

Seeing inside

Whole-brain imaging of an Alzheimer's disease mouse model shows microglial expansion and amyloid-beta plaque deposition. There is increased microglia in all regions despite little or no amyloid buildup. Credit: Nicholas Constantinos.

Macauley's team uses brain imaging to see disease progression and intervention efficacy. Credit: Jeremy Blackburn, UK Research Communications.

Macauley with her team. Credit: Jeremy Blackburn, UK Research Communications.