Microglia play a central role in neuroinflammation during Alzheimer's disease (AD). However, their dysregulation underpins disease pathology. Dehydrogenase/reductase 9 (DHRS9), previously implicated in a regulatory marker of stable macrophages, remain...
Microglia play a central role in neuroinflammation during Alzheimer's disease (AD). However, their dysregulation underpins disease pathology. Dehydrogenase/reductase 9 (DHRS9), previously implicated in a regulatory marker of stable macrophages, remained unexplored in microglial function. This study investigates the impact of DHRS9 overexpression in human microglial HMO6 cells. DHRS9 promoted an anti-inflammatory microglial phenotype, characterized by the downregulation of M1 markers (CD86, iNOS), upregulation of M2 markers (CD206, ARG1), and enhanced expression of anti-inflammatory cytokines (IL-10, TGF-β), along with reduced levels of pro-inflammatory cytokines (TNF-α, IL-1β). DHRS9 overexpression also enhanced Aβ phagocytosis and clearance, with correlation to the induction of the TREM2 phagocytic receptor. DHRS9-overexpressing microglia also ameliorated Aβ-induced neurotoxicity in SH-SY5Y cells. Mechanistically, DHRS9 activated the retinoic acid pathway in microglia cells. Collectively, our findings identify DHRS9 as a key regulator of microglial polarization and function, bridging metabolic signaling with immunomodulation and Aβ clearance. This positions DHRS9 as a promising therapeutic target for modulating microglial function in AD.