Microglial activation plays a crucial role in the neuroinflammatory processes associated with Alzheimer's disease (AD). Recent studies have highlighted the impact of various factors on microglial behavior and their subsequent effects on neuroinflammation. For instance, research demonstrated that a diabetic phenotype in both mice and humans significantly reduces the number of microglia surrounding β-amyloid plaques, suggesting a potential impairment in the microglial response to amyloid pathology (ref: Natunen doi.org/10.1186/s13024-020-00415-2/). Additionally, the administration of K284-6111, an inhibitor of Chitinase-3-like 1, was shown to alleviate memory impairment and reduce neuroinflammatory responses in Tg2576 mice, indicating that targeting specific pathways can modulate microglial activity and improve cognitive outcomes (ref: Ham doi.org/10.1186/s12974-020-02022-w/). Furthermore, the loss of TREM2, a receptor critical for microglial immune homeostasis, was found to confer resilience to cognitive impairment in aged mice, underscoring the complex role of microglial signaling in AD pathology (ref: Qu doi.org/10.1523/JNEUROSCI.2193-20.2020/). The characterization of microglial phenotypes has also been a focal point in understanding their role in AD. Studies have shown that inflammatory factors and amyloid β can induce microglial polarization, leading to a pro-inflammatory state that exacerbates neuroinflammation (ref: Xie doi.org/10.18632/aging.103663/). Moreover, the use of positron emission tomography (PET) to assess microglial activation in tauopathies has revealed elevated translocator protein labeling in affected brain regions, providing insights into the neuroinflammatory landscape in conditions like corticobasal degeneration (ref: Palleis doi.org/10.1002/mds.28395/). Collectively, these findings highlight the intricate interplay between microglial activation, neuroinflammation, and cognitive decline in Alzheimer's disease.