# The Role of Aspergillus versicolor and the Th2 Lung-Brain Axis in Alzheimer's Disease-like Neuropathology

> **NIH NIH R01** · INDIANA UNIVERSITY INDIANAPOLIS · 2024 · $660,563

## Abstract

PROJECT SUMMARY
Alzheimer’s disease (AD) is the most prevalent neurodegenerative disease and the leading cause of dementia
in the elderly. Available AD treatment is unable to halt disease progression, highlighting the urgent need to
identify the potential etiology and pathobiology driving AD. The role of environmental risk factors in AD is
largely unexplored, although inhaled exposures, such as air pollution, have been implicated in AD.
Additionally, peripheral immune perturbation is associated with AD pathogenesis, including recent evidence
associating asthma, which has a pulmonary Th2 response, with increased AD risk. However, the underlying
mechanisms and environmental exposures culpable are unknown. Exposure to fungal bioaerosols in damp,
indoor environments is linked with respiratory diseases, such as asthma. Studies with small human cohorts
suggest fungal pollutants may impact cognition, while experimental studies in mice show neuroimmune and
memory changes. Our data demonstrate that exposure to live Aspergillus versicolor, a common filamentous
fungus associated with damp indoor environments and asthma, causes pulmonary inflammation and immune
cell infiltration indicative of a Th2 pulmonary response in mice, which we propose is culpable in how A.
versicolor affects the brain. Consistent with this premise, data also document neuroimmune changes with A.
versicolor inhalation, including elevated transcriptional markers of neuroinflammation in the frontal lobe and
changes in cortical microglia morphology. Importantly, data show that A. versicolor exposure increases beta
amyloid (Aβ) plaque number and augments dystrophic neurites in 5xFAD mice, demonstrating that A.
versicolor inhalation augments Aβ pathology, a hallmark of AD. Mechanistically, we found that A. versicolor
exposure changes the environment surrounding plaques in 5xFAD mice, causing lower levels of plaque
associated TREM2 and fewer plaque associated microglia, which are necessary for containing and clearing
plaques in AD. How A. versicolor inhalation affects the neuroimmune response during normal physiology and
during ongoing AD processes is unknown, but the Lung-Brain Axis hypothesis holds that the pulmonary
consequences of environmental exposures dysregulates the neuroimmune response through peripheral
immune cell changes and circulating factors to augment CNS disease. We observed that when A. versicolor
exposure augmented Aβ pathology, several circulating factors increased, including IL-5 and HMGB1. As such,
our AIMS are to explore the role of AIM1) IL-5, AIM2) HMGB1 and AIM3) TREM2 on A. versicolor-induced
pulmonary immune responses, neuroinflammation, and Aβ neuropathology. These findings will reveal key
mechanisms in the Th2 Lung- Brain Axis responsible for how the Th2 pulmonary response and A. versicolor
affect the brain and augment AD processes, creating critical opportunities to intervene and mitigate
neuropathology.

## Key facts

- **NIH application ID:** 10768591
- **Project number:** 5R01AG076142-03
- **Recipient organization:** INDIANA UNIVERSITY INDIANAPOLIS
- **Principal Investigator:** Adrian Lynn Oblak
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $660,563
- **Award type:** 5
- **Project period:** 2022-02-01 → 2027-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10768591

## Citation

> US National Institutes of Health, RePORTER application 10768591, The Role of Aspergillus versicolor and the Th2 Lung-Brain Axis in Alzheimer's Disease-like Neuropathology (5R01AG076142-03). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10768591. Licensed CC0.

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