Huang Wei, Lv Qiankun, Xiao Yunfei, Zhong Zhen, Hu Binbin, Yan Si, Yan Yufang, Zhang Junjun, Shi Ting, Jiang Lijuan, Li Wen, Lu Guohui
Department of Neurosurgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Department of Neurology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Front Neurosci. 2021 Nov 18;15:745815. doi: 10.3389/fnins.2021.745815. eCollection 2021.
Parkinson's disease is a neurodegenerative disorder with an inflammatory response as the core pathogenic mechanism. Previous human genetics findings support the view that the loss of TREM2 function will aggravate neurodegeneration, and TREM2 is one of the most highly expressed receptors in microglia. However, the role of TREM2 in the inflammatory mechanism of PD is not clear. In our study, it was found both and that the activation of microglia not only promoted the secretion of inflammatory factors but also decreased the level of TREM2 and inhibited the occurrence of autophagy. In contrast, an increase in the level of TREM2 decreased the expression of inflammatory factors and enhanced the level of autophagy through the p38 MAPK/mTOR pathway. Moreover, increased TREM2 expression significantly decreased the apoptosis of dopaminergic (DA) neurons and improved the motor ability of PD mice. In summary, TREM2 is an important link between the pathogenesis of PD and inflammation. Our study provides a new view for the mechanism of TREM2 in PD and reveals TREM2 as a potential therapeutic target for PD.
帕金森病是一种以炎症反应为核心致病机制的神经退行性疾病。以往的人类遗传学研究结果支持这样一种观点,即TREM2功能丧失会加重神经退行性变,且TREM2是小胶质细胞中表达量最高的受体之一。然而,TREM2在帕金森病炎症机制中的作用尚不清楚。在我们的研究中,发现小胶质细胞的激活不仅促进了炎症因子的分泌,还降低了TREM2的水平并抑制了自噬的发生。相反,TREM2水平的升高通过p38丝裂原活化蛋白激酶/哺乳动物雷帕霉素靶蛋白(p38 MAPK/mTOR)途径降低了炎症因子的表达并提高了自噬水平。此外,TREM2表达的增加显著降低了多巴胺能(DA)神经元的凋亡,并改善了帕金森病小鼠的运动能力。综上所述,TREM2是帕金森病发病机制与炎症之间的重要环节。我们的研究为TREM2在帕金森病中的作用机制提供了新的视角,并揭示了TREM2作为帕金森病潜在治疗靶点的可能性。