Microglia play a crucial role in the pathophysiology of Alzheimer's disease (AD), particularly in their interaction with amyloid plaques and synaptic changes. Recent studies have utilized various mouse models to elucidate the effects of microglial dysfunction on AD progression. For instance, Lall et al. demonstrated that microglial C9ORF72 deficiency in mice leads to significant alterations in neuroinflammatory responses, which may not fully translate to human conditions (ref: Chen-Plotkin doi.org/10.1016/j.neuron.2021.06.031/). Claes et al. further explored the role of TREM2 mutations in human microglial function, revealing that lipid droplet accumulation in plaque-associated microglia correlates with altered transcriptional profiles resembling atherosclerotic foam cells (ref: Claes doi.org/10.1186/s13024-021-00473-0/). Additionally, Benitez et al. validated the relationship between microglial activity and amyloid plaques using knock-in models, showing increased glutamate release prior to plaque formation, suggesting early microglial involvement in synaptic dysfunction (ref: Benitez doi.org/10.1186/s13024-021-00457-0/). These findings collectively highlight the multifaceted role of microglia in AD, emphasizing the need for targeted therapeutic strategies that modulate microglial function to mitigate disease progression. The interplay between microglial autophagy and lipid metabolism has also emerged as a significant area of research. Xu et al. reported that autophagy deficiency in microglia exacerbates tau pathology, indicating that microglial autophagy is essential for maintaining lipid homeostasis and preventing neuroinflammation (ref: Xu doi.org/10.1073/pnas.2023418118/). Furthermore, the therapeutic potential of compounds like Schizandrin A has been investigated, with Wang et al. demonstrating its ability to improve cognitive functions in AD mice by modulating microglial polarization (ref: Wang doi.org/10.1080/13880209.2021.1941132/). This highlights the potential for pharmacological interventions that target microglial activation states to enhance cognitive outcomes in AD. Lastly, Ousta et al. explored microglial activation following cardiac arrest, linking it to neurological injury, thus broadening the understanding of microglial roles beyond AD (ref: Ousta doi.org/10.1007/s12028-021-01253-w/).