Published October 2025 | Version Published
Journal Article Open

Genotype and microbiome shape immunity in a sex-specific manner in mouse models of Alzheimer's disease

Abstract

Preclinical studies have revealed that the microbiome broadly affects immune responses and deposition and/or clearance of amyloid-beta (Aβ) in mouse models of Alzheimer’s disease (AD), but whether, and how, the microbiome shapes central and peripheral immune profiles in AD models remains unknown. We examined adaptive immune responses in two mouse models containing AD-related genetic predispositions (3xTg and 5xFAD) in the presence or absence of the microbiome to determine if it promotes dysregulated immune responses and cognition in AD. T and B cells were altered in central nervous system (CNS)-associated lymph nodes and systemic immune tissues between genetic models and wildtype mice, with earlier signs of heightened immune activity in females. Systemic immune responses were modulated by the microbiome and differed by sex. Further, the absence of a microbiome in germ-free mice resulted in increased cognitive deficits, primarily in males. These data reveal sexual dimorphism in early signs of immune activity and microbiome effects, and highlight how sex and the microbiome shape responses in mouse models of AD.

Copyright and License

© 2025 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Acknowledgement

We thank the Mazmanian laboratory for helpful suggestions on this work and Catherine Oikonomou for assistance with manuscript editing. We thank the Caltech Flow Cytometry and Cell Sorting Facility for flow cytometry services and assistance. J.W.B. was supported by the Research and Outreach Fellowship awarded by the Caltech Biology and Biological Engineering Division. This project was enabled in part by the Alzheimer's Gut Microbiome Project (AGMP), supported by the National Institute on Aging grants: 1U19AG063744 and 3U19AG063744-04S1, awarded to R.K.-D., R.K., and S.K.M., in partnership with multiple academic institutions. As such, the investigators within the AGMP not listed in this publication's authors' list provided analysis-ready data, but did not participate in designing the study, conducting the analyses or writing of this manuscript. A listing of AGMP Investigators can be found at https://alzheimergut.org/meet-the-team/. The NIA supported the Alzheimer's Disease Metabolomics Consortium which is a part of NIA's national initiatives AMP-AD and M2OVE-AD (R01 AG046171, RF1 AG059093, RF1 AG058942, RF1 AG051550, 3U01 AG061359, 3U01 AG024904-09S4). Additional funding for this project came from the Heritage Medical Research Institute (HMRI-15-09-01) to S.K.M.

Data Availability

Data will be made available on request.

Conflict of Interest

R.K.-D. is an inventor on a series of patents on use of metabolomics for the diagnosis and treatment of CNS diseases and holds equity in Metabolon Inc., Chymia LLC and PsyProtix. R.K. is a scientific advisory board member, and consultant for BiomeSense, Inc., has equity, and receives income. He is a scientific advisory board member and has equity in GenCirq. He is a consultant for DayTwo, and receives income. He has equity in and acts as a consultant for Cybele. He is a co-founder of Biota, Inc., and has equity. He is a cofounder of Micronoma, and has equity and is a scientific advisory board member. The terms of these arrangements have been reviewed and approved by the University of California, San Diego in accordance with its conflict of interest policies. S.K.M. is a co-founder of Axial Therapeutics and Nuanced Health, and declares no competing interests with the current studies. The remaining authors have no interests to declare.

Contributions

John W. Bostick: Writing – original draft, Methodology, Investigation. T. Jaymie Connerly: Methodology, Investigation. Taren Thron: Investigation. Brittany D. Needham: Methodology. Matheus de Castro Fonseca: Investigation. Rima Kaddurah-Daouk: Writing – review & editing, Funding acquisition, Conceptualization. Rob Knight: Writing – review & editing, Funding acquisition. Sarkis K. Mazmanian: Writing – review & editing, Supervision, Funding acquisition, Conceptualization.

Supplemental Material

Supplementary Data 1 (PDF)

Supplementary Data 2 (PDF)

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Additional details

Additional titles

Alternative title
The microbiome shapes immunity in a sex-specific manner in mouse models of Alzheimer's disease

Identifiers

Related works

Is new version of
Discussion Paper: 10.1101/2024.05.07.593011 (DOI)

Funding

California Institute of Technology
Biology and Biological Engineering Division -
National Institute on Aging
1U19AG063744
National Institute on Aging
3U19AG063744-04S1
National Institute on Aging
R01 AG046171
National Institute on Aging
RF1 AG059093
National Institute on Aging
RF1 AG058942
National Institute on Aging
RF1 AG051550
National Institute on Aging
3U01 AG061359
National Institute on Aging
3U01 AG024904-09S4
Heritage Medical Research Institute
HMRI-15-09-01

Dates

Submitted
2025-02-14
Accepted
2025-07-27
Available
2025-07-28
Available online
Available
2025-08-11
Version of record