cGAMP 通过提高 TREM2 抑制阿尔茨海默病的功效和机制。

Efficacy and mechanism of cGAMP to suppress Alzheimer's disease by elevating TREM2.

机构信息

Department of Chemistry & Institutes of Biomedical Sciences, Fudan University, Shanghai 200433, China.

Department of Chemistry & Institutes of Biomedical Sciences, Fudan University, Shanghai 200433, China.

出版信息

Brain Behav Immun. 2019 Oct;81:495-508. doi: 10.1016/j.bbi.2019.07.004. Epub 2019 Jul 5.

Abstract

Innate immune responses are considered to play crucial roles in the progression of Alzheimer's disease (AD). Recently, immunotherapy is emerging as an innovative and highly conceivable strategy for AD treatment. The cGAMP-STING-IRF3 signaling pathway plays a pivotal role in mediating innate immune responses. In this study, we provide pioneering investigation to find that the STING stimulator, cGAMP, significantly ameliorates cognitive deficits, improves pathological changes, decreases Aβ plaque load and reduces neuron apoptosis in APP/PS1 transgenetic mice. The stimulation of cGAMP-STING-IRF3 pathway induces expression of triggering receptor expressed on myeloid cells 2 (TREM2), and the overexpression of TREM2 further decreases Aβ deposition and neuron loss while improves AD pathomorphology and cognitive impairment. Additionally, TREM2 regulates microglia polarization from M1 towards M2 phenotype thereby achieves reduction of neuroinflammation in AD. These findings support that the enhancement of TREM2 exerts beneficial effects in ameliorating AD development. Taken together, our results demonstrate that cGAMP is a potential candidate for applications in Alzheimer's disease immunotherapy.

摘要

先天免疫反应被认为在阿尔茨海默病(AD)的进展中发挥着关键作用。最近,免疫疗法作为一种治疗 AD 的创新且极具想象力的策略正在出现。cGAMP-STING-IRF3 信号通路在介导先天免疫反应中起着关键作用。在这项研究中,我们进行了开创性的研究,发现 STING 激动剂 cGAMP 可显著改善 APP/PS1 转基因小鼠的认知缺陷,改善病理变化,减少 Aβ斑块负荷并减少神经元凋亡。cGAMP-STING-IRF3 通路的刺激诱导髓样细胞表达的触发受体 2(TREM2)的表达,TREM2 的过表达进一步减少 Aβ沉积和神经元丢失,同时改善 AD 病理形态和认知障碍。此外,TREM2 调节小胶质细胞从 M1 向 M2 表型极化,从而减少 AD 中的神经炎症。这些发现支持增强 TREM2 在改善 AD 发展方面具有有益作用。总之,我们的结果表明 cGAMP 是应用于阿尔茨海默病免疫疗法的潜在候选药物。

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