“…One potentially simple explanation for glial cell innate immune activation in brain aging/AD could be a direct, cytokine-like effect of Aβ, which is thought to be produced largely by neurons ( Vassar et al, 1999 ; LeBlanc et al, 1997 ). This idea has been suggested before ( Bales et al, 2000 ), and there have been some reports of immune activation in response to Aβ ( Barrientos et al, 2015 ; Speciale et al, 2003 ; Gitter et al, 1995 ; Lotz et al, 2005 ). The general concept is also consistent with: 1) the fact that Aβ shares structural similarities (e.g., small amphipathic structure, expression in multiple tissues) with anti-microbial peptides like cathelicidin, which has been reported to stimulate pro-inflammatory cytokine secretion in glial cells ( Lee et al, 2015 ); 2) numerous studies showing that Aβ can induce pores in cell membranes ( Stewart and Radford, 2017 ), which is a common characteristic of immune-activating anti-microbial peptides; 3) reports that LPS (a classic innate immune stimulus) increases Aβ in the brain ( Zhu et al, 2014 ); and 4) growing evidence that, similar to pro-inflammatory cytokines, Aβ levels increase with aging in the human brain ( Denver and McClean, 2018 ; Rodrigue et al, 2009 ).…”