Department of Environmental & Occupational Health, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Int J Mol Sci. 2018 Dec 26;20(1):81. doi: 10.3390/ijms20010081.
Alzheimer's disease (AD) is the leading cause of dementia worldwide. The extracellular deposits of Amyloid beta (Aβ) in the brain-called amyloid plaques, and neurofibrillary tangles-intracellular tau aggregates, are morphological hallmarks of the disease. The risk for AD is a complicated interplay between aging, genetic risk factors, and environmental influences. One of the Apolipoprotein E () alleles-, is the major genetic risk factor for late-onset AD (LOAD). APOE is the primary cholesterol carrier in the brain, and plays an essential role in lipid trafficking, cholesterol homeostasis, and synaptic stability. Recent genome-wide association studies (GWAS) have identified other candidate LOAD risk loci, as well. One of those is the triggering receptor expressed on myeloid cells 2 (), which, in the brain, is expressed primarily by microglia. While the function of TREM2 is not fully understood, it promotes microglia survival, proliferation, and phagocytosis, making it important for cell viability and normal immune functions in the brain. Emerging evidence from protein binding assays suggests that APOE binds to TREM2 and APOE-containing lipoproteins in the brain as well as periphery, and are putative ligands for TREM2, thus raising the possibility of an APOE-TREM2 interaction modulating different aspects of AD pathology, potentially in an isoform-specific manner. This review is focusing on the interplay between APOE isoforms and TREM2 in association with AD pathology.
阿尔茨海默病(AD)是全球范围内导致痴呆的主要原因。大脑中淀粉样β(Aβ)的细胞外沉积-称为淀粉样斑块,以及细胞内tau 聚集的神经原纤维缠结,是该疾病的形态学标志。AD 的风险是衰老、遗传风险因素和环境影响之间复杂相互作用的结果。载脂蛋白 E(APOE)基因的一个等位基因-,是晚发性 AD(LOAD)的主要遗传风险因素。APOE 是大脑中主要的胆固醇载体,在脂质转运、胆固醇稳态和突触稳定性方面发挥着重要作用。最近的全基因组关联研究(GWAS)也确定了其他候选 LOAD 风险位点。其中之一是髓样细胞触发受体 2(TREM2),它在大脑中主要由小胶质细胞表达。虽然 TREM2 的功能尚未完全了解,但它促进小胶质细胞的存活、增殖和吞噬作用,因此对大脑中的细胞活力和正常免疫功能很重要。来自蛋白结合测定的新证据表明,APOE 在大脑内外与 TREM2 和载有 APOE 的脂蛋白结合,并且是 TREM2 的假定配体,因此有可能通过 APOE-TREM2 相互作用调节 AD 病理学的不同方面,可能以同种型特异性的方式。这篇综述重点关注 APOE 异构体与 TREM2 与 AD 病理学之间的相互作用。
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