Journal: Nature Communications
Article Title: Identification of Chlamydia pneumoniae and NLRP3 inflammasome activation in Alzheimer’s disease retina
doi: 10.1038/s41467-026-68580-4
Figure Lengend Snippet: A Schematic of Retinal isolation and cross-section preparation. Red puncta (red) indicate putative Chlamydia pneumoniae (Cpn) inclusions. Analyses workflow summarizes cohort sizes. Numbers in parentheses indicate brain subsets for Cpn histology. B Immunofluorescence using anti-Cpn polyclonal antibody (pAb, green, white arrow; 3 repetitions) in 3 AD versus 3 normal cognition (NC) retinas. C Peroxidase-based immunohistochemistry using anti-Cpn monoclonal antibody (mAb, brown, red arrows) in 6 MCI and 9 AD versus 3 NC retinas; hematoxylin (purple) and IgG negative control (3 repetitions). D Retinal Cpn mAb immunofluorescence (red; white arrows, 3-repetition); cytosolic inclusions at higher magnification. E Quantification of retinal Cpn⁺ cell count (21 NC, 14 MCI, 34 AD). F Quantification of Cpn immunoreactivity (%IR area) in same retinal cohort (21 NC, 14 MCI, 34 AD) and paired brain tissues (5 NC, 5 MCI, 6 AD). Subjects with %IR area above the NC mean (red line) were classified as Cpn-positive. G Giemsa staining visualizes retinal Cpn-like inclusions (dark-blue, red arrows; BV, blood vessel; n = 8 donors, 4 repetitions). H FISH confirms retinal Cpn-specific genomic material (green, white arrow; n = 11 donors, 3 repetitions). I qPCR curves (Ct values) for the Cpn argR gene in 2 NC, 1 MCI, and 2 AD retinas. Pearson’s correlation ( r P ) between retinal Cpn and ( J ) brain Cpn, ( K ) retinal Aβ 42 , or ( L ) PHF-tau. M Spearman’s correlation ( r s ) between retinal Cpn and brain NFT severity. Retinal Cpn stratified by ( N ) Braak stage ( n = 12 Braak 0–II, 17 Braak III–IV, 31 Braak V–VI), ( O ) APOEɛ4 genotype ( n = 12 carriers, 25 non-carriers), and ( P ) MMSE score ( n = 26 MMSE ≥ 24, 9 MMSE 17–23, 16 MMSE ≤ 16). Q Correlation ( r s ) between retinal Cpn burden and CDR score. M-male, F-female, and age (y-years) are shown). All scale bars, 10 μm. Data are shown as individual values with means ± SEMs. Fold changes are shown in red. p values were determined by one-way ANOVA with Tukey’s post-hoc test ( E , F , N , P ), two-sided unpaired t -test ( P ), or Mann–Whitney U -test ( O ). Illustration A was created in Biorender.com. Fuchs, D. (2026) https://BioRender.com/msadzfx . Source data are provided as a file.
Article Snippet: After 72 hours of culture, cells were washed with PBS, fixed with methanol, and stained with FITC-conjugated anti- Chlamydia genus-specific mAb (Pathfinder Chlamydia Culture Confirmation System; Bio-Rad, Hercules, CA), according to the manufacturer’s instructions.
Techniques: Isolation, Immunofluorescence, Immunohistochemistry, Negative Control, Cell Characterization, Staining, MANN-WHITNEY