Department of Human Anatomy, Institute of Neuroscience, Chongqing Medical University, Chongqing, China.
Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Synapse. 2020 Oct;74(10):e22161. doi: 10.1002/syn.22161. Epub 2020 Jun 12.
Increasing evidence suggests that changes in the triggering receptor expressed on myeloid cells 2 (TREM2) is closely correlated with the pathological development of Alzheimer's disease (AD). However, the biological function and related role of this change remain poorly understood. Higher TREM2 expression has been reported in the brain of AD patients than in normal controls. Here, levels of TREM2 gene and protein levels were observed to be higher in both cortex and hippocampus of the Aβ -induced AD mice than in those of the wild type mice. Together with in vitro experimental data, we found that the anti-inflammatory role of TREM2 was, to some extent, limited and potentially counteracted by the hyperactive toll-like receptor 4 (TLR4) in the AD mice. In this context, Interleukin 4 (IL-4), as an agonist of TREM2, was administered to the AD mice to persistently activate TREM2. Interestingly, TREM2 activation in IL-4-treated AD mice led to an elevation in lysosomes and microtubule-associated protein 1 light chain 3 (LC3) II/I expression, demonstrating that the level of microglia autophagy was increased. Increased autophagy significantly downregulated the expression levels of caspase recruitment domain-containing protein 9 (CARD9) and TLR4, potentially weakening the CARD9-TLR4 pathway and suppressing the TLR4-mediated pro-inflammatory effect in IL-4-treated AD mice. Furthermore, data acquired from Morris water maze testing indicated that IL-4 administration could ameliorate cognitive impairment in the AD mice. In conclusion, the findings from in vitro and in vivo experiments suggest that TREM2 might represent a potential drug target to treat neuroinflammation in AD.
越来越多的证据表明,髓样细胞触发受体 2(TREM2)的变化与阿尔茨海默病(AD)的病理发展密切相关。然而,这种变化的生物学功能和相关作用仍知之甚少。研究报道,AD 患者大脑中的 TREM2 表达水平高于正常对照。在这里,我们观察到,在 Aβ诱导的 AD 小鼠的皮质和海马体中,TREM2 基因和蛋白水平均高于野生型小鼠。结合体外实验数据,我们发现,TREM2 的抗炎作用在一定程度上受到限制,并且可能被 AD 小鼠中过度活跃的 toll 样受体 4(TLR4)所抵消。在这种情况下,白细胞介素 4(IL-4)作为 TREM2 的激动剂,被给予 AD 小鼠以持续激活 TREM2。有趣的是,在 IL-4 处理的 AD 小鼠中激活 TREM2 导致溶酶体和微管相关蛋白 1 轻链 3(LC3)II/I 的表达升高,表明小胶质细胞自噬水平增加。自噬增加显著下调半胱氨酸募集域蛋白 9(CARD9)和 TLR4 的表达水平,可能减弱 CARD9-TLR4 通路,并抑制 IL-4 处理的 AD 小鼠中 TLR4 介导的促炎作用。此外,来自 Morris 水迷宫测试的数据表明,IL-4 给药可改善 AD 小鼠的认知障碍。总之,体外和体内实验的结果表明,TREM2 可能成为治疗 AD 神经炎症的潜在药物靶点。