Iron accumulation in microglia has been observed in
Alzheimer's disease and other
neurodegenerative disorders and is thought to contribute to
disease progression through various mechanisms, including
neuroinflammation. To study this interaction, we treated human induced pluripotent stem cell-derived microglia (iPSC-MG) with
iron, in combination with inflammatory stimuli such as
interferon gamma (IFN-γ) and
amyloid β. Both IFN-γ and
iron treatment increased labile
iron levels, but only
iron treatment led to a consistent increase of
ferritin levels, reflecting long-term
iron storage. Therefore, in iPSC-MG,
ferritin appeared to be regulated by
iron revels rather than
inflammation. Further investigation showed that while IFN-γ induced pro-inflammatory activation,
iron treatment dampened both classic pro- and anti-inflammatory activation on a transcriptomic level. Notably,
iron-loaded microglia showed strong upregulation of cellular stress response pathways, the NRF2 pathway, and other oxidative stress pathways. Functionally, iPSC-MG exhibited altered phagocytosis and impaired mitochondrial metabolism following
iron treatment. Collectively, these data suggest that in MG, in contrast to current hypotheses,
iron treatment does not result in pro-inflammatory activation, but rather dampens it and induces oxidative stress.