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Approximately 90% of ALS patients exhibit pathology of the master RNA regulator, Transactive Response DNA Binding protein (TDP-43). Despite the prevalence TDP-43 pathology in ALS motor neurons, recent findings suggest immune dysfunction is a determinant of disease progression in patients. Whether TDP-43 aggregates elicit immune responses remains underexplored. In this study, we demonstrate that TDP-43 aggregates are internalized by antigen presenting cell populations, cause vesicle rupture, and drive innate and adaptive immune cell activation by way of antigen presentation. Using a multiplex imaging platform, we observed enrichment of activated microglia/macrophages in ALS white matter that correlated with phosphorylated TDP-43 accumulation, CD8 T-cell infiltration, and major histocompatibility complex expression. Taken together, this study sheds light on a novel cellular response to TDP43 aggregates through an immunological lens. Overall design: Primary monocyte derived macrophages were stimulated with TDP-43 aggregates, amyloid beta oligomers, lipopolysaccharide, or vehicle control (PBS) for either 12 hours or 6 days</long_description><tag>xref:PubMed:40520109</tag><repository>ENA</repository></additional><is_claimable>false</is_claimable><name>ALS associated TDP-43 aggregates drive innate and adaptive immune cell activation</name><description>ALS associated TDP-43 aggregates drive innate and adaptive immune cell activation</description><dates><last_updated>2025-09-24</last_updated><first_public>2025-04-12</first_public></dates><accession>PRJNA1245461</accession><cross_references><GEO>GSE293662</GEO><taxon>9606</taxon><PubMed>40520109</PubMed></cross_references></HashMap>