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Microglial CD31 suppresses Aβ clearance and promotes Alzheimer pathology in 5×FAD mice
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  • Published: 05 June 2026

Microglial CD31 suppresses Aβ clearance and promotes Alzheimer pathology in 5×FAD mice

  • Qiuzhi Zhou1,2,3 na1,
  • Fei Sun  ORCID: orcid.org/0000-0001-7327-10881 na1,
  • Yao Zhang4,
  • Xiaojian Cao2,3,
  • Mengzhu Li1,5,
  • Haitao Yu  ORCID: orcid.org/0000-0002-0302-998X1,
  • Tao Jiang  ORCID: orcid.org/0000-0001-6021-23451,
  • Shihong Li1,
  • Weixia Wang1,
  • Jiazhao Xie1,
  • Ting He1,
  • Yanchao Liu1,6,
  • Dan Ke1,
  • Xiao-Chuan Wang  ORCID: orcid.org/0000-0001-8207-00421,
  • Peng Xu  ORCID: orcid.org/0000-0001-8007-98797,
  • Enjie Liu  ORCID: orcid.org/0000-0002-3869-69508,
  • Hong Chen2,3 &
  • …
  • Jian-Zhi Wang  ORCID: orcid.org/0000-0002-0181-44151,9 

Nature Communications (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Alzheimer's disease

Abstract

Microglia play crucial roles in Alzheimer’s disease (AD), yet the molecular mechanisms are unclear. Here, we show that CD31, a recognized endothelial marker, is predominantly expressed in microglia but not in neurons or astrocytes, and it is significantly elevated in the brains of AD patients and mouse models. Microglia-specific CD31 knockdown in 5xFAD mice substantially attenuated the dysregulated transcription networks, suppressed microglia hyperactivation and the disease-associated microglia (DAM), mitigated Aβ deposition and inflammation, and eventually improved cognitive functions in mice. Mechanistically, CD31 knockdown damaged the simultaneous recruitment of Src homology phosphatase 2 (SHP2) and STAT3, leading to a reduced dephosphorylation and enhanced activation of STAT3, a transcription factor. STAT3 activation increased transcription of membrane metalloendopeptidase (MME) and promoted Aβ clearance. Collectively, this study identifies microglial CD31, by regulating SHP2–STAT3–MME axis, plays a role in AD pathogenesis and targeting CD31 is promising in AD drug development.

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Acknowledgements

This study was supported in parts by grants from the Natural Science Foundation of China (82571635, 82230041, 82301620, 82001134, 31730035, and 81721005).

Author information

Author notes
  1. These authors contributed equally: Qiuzhi Zhou, Fei Sun.

Authors and Affiliations

  1. Key Laboratory of Education Ministry of China/Hubei Province for Neurological Disorders, Department of Pathophysiology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Qiuzhi Zhou, Fei Sun, Mengzhu Li, Haitao Yu, Tao Jiang, Shihong Li, Weixia Wang, Jiazhao Xie, Ting He, Yanchao Liu, Dan Ke, Xiao-Chuan Wang & Jian-Zhi Wang

  2. Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Qiuzhi Zhou, Xiaojian Cao & Hong Chen

  3. Stem Cell Research Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Qiuzhi Zhou, Xiaojian Cao & Hong Chen

  4. Department of Endocrinology, Key Laboratory of Ministry of Education for Neurological Disorders, Li Yuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Yao Zhang

  5. Department of Neurosurgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Mengzhu Li

  6. Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Yanchao Liu

  7. Center of Clinical Laboratory Medicine, Zhongda Hospital, School of Medicine, Advanced Institute for Life and Health, Southeast University, Nanjing, China

    Peng Xu

  8. Department of Pathology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

    Enjie Liu

  9. Hubei Key Laboratory of Cognitive and Affective Disorders, Jianghan University, Wuhan, China

    Jian-Zhi Wang

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  1. Qiuzhi Zhou
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  2. Fei Sun
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  4. Xiaojian Cao
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  12. Yanchao Liu
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  14. Xiao-Chuan Wang
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  15. Peng Xu
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  16. Enjie Liu
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  17. Hong Chen
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  18. Jian-Zhi Wang
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Corresponding authors

Correspondence to Enjie Liu, Hong Chen or Jian-Zhi Wang.

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The authors declare no competing interests.

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Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Cite this article

Zhou, Q., Sun, F., Zhang, Y. et al. Microglial CD31 suppresses Aβ clearance and promotes Alzheimer pathology in 5×FAD mice. Nat Commun (2026). https://doi.org/10.1038/s41467-026-74037-5

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  • Received: 29 October 2025

  • Accepted: 27 May 2026

  • Published: 05 June 2026

  • DOI: https://doi.org/10.1038/s41467-026-74037-5

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