Article

Lung memory B cells ameliorate Alzheimer’s disease-like pathology in 5×FAD mice through the CXCL12-CXCR4 axis

Yan-li Zhang1, Shi-xin Ding1,2, Min Cao1, Shu-ying Zhang1,2, Yue Li1,2, Ze Wang1,2, Yu-xi Jin1,2, Si-jia Chen1,2, Yi-miao Wang1,2, Charles Marshall3, Jing-ping Shi2, Jun-ying Gao1,2, Wei-xi Feng1, Yin Cao4, Ming Xiao1,2, Gang Hu1
1 Jiangsu Key Laboratory of Neurodegeneration, Nanjing Medical University, Nanjing 211166, China
2 Brain Institute, Nanjing Brain Hospital, Nanjing Medical University, Nanjing 210029, China
3 Alice Lloyd College, Pippa Passes, KY 41844, USA
4 The Affiliated Changzhou Second People’s Hospital of Nanjing Medical University, Changzhou Second People’s Hospital, Changzhou 213000, China
Correspondence to: Wei-xi Feng: weixif@hotmail.com, Yin Cao: czcaoyin@163.com, Ming Xiao: mingx@njmu.edu.cn,
DOI: 10.1038/s41401-025-01667-8
Received: 8 May 2025
Accepted: 31 August 2025
Advance online: 17 October 2025

Abstract

Although most AD-related pathological studies are limited to the brain, increasing evidence has demonstrated the contribution of peripheral immune cells to the pathogenesis of AD. We recently demonstrated that meningeal B cells inhibit β-amyloid (Aβ) production in the frontal cortex of young 5×FAD mice. In this study, we explored the precise origin of meningeal B cells. We observed that the AD-like pathology in 5×FAD mice was exacerbated when the germinal center in the lung lymph nodes was specifically destroyed via the intratracheal instillation of anti-CD40 antibodies, whereas it was alleviated via the intratracheal instillation of AAV-mBAFF to overexpress B-cell activating factor in the lungs. We demonstrated that Aβ was drained from the brain via meningeal lymphatics and eventually traveled to the lungs, where it activated B cells via the TLR4/NF-ĸB signaling pathway, whereas the CXCL12-CXCR4 axis regulated lung B-cell infiltration into the frontal cortex. We revealed that the increased number of B cells in the lungs of 5×FAD mice mainly included memory B (Bmem) cells. The supplementation of lung Bmem cells mitigated AD-like pathology in B-cell-deficient μMT-/-/5×FAD mice, which was abolished by using a CXCR4 antagonist. The suppression of CXCL12 expression in frontal microglia via AAV-siCXCL12 inhibited the infiltration of CXCR4+ Bmem cells and increased the Aβ burden in the frontal cortex of 5×FAD mice. Collectively, our results demonstrate an unexpected protective effect of lung Bmem cells on AD-like pathology.

Keywords: Alzheimer’s disease; memory B cells; lung-brain axis; CXCL12-CXCR4; TLR4/NF-ĸB pathway

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