Department of Bio-Technology, Koneru Lakshmaiah Education Foundation, Vaddeswaram, AP, India.
National Science System (SENACYT), INDICASAT - AIP, Panama.
J Alzheimers Dis. 2023;94(s1):S319-S333. doi: 10.3233/JAD-221070.
Alzheimer's disease (AD) is a complex neurodegenerative disorder involving heterogenous pathophysiological characteristics, which has become a challenge to therapeutics. The major pathophysiology of AD comprises amyloid-β (Aβ), tau, oxidative stress, and apoptosis. Recent studies indicate the significance of Triggering receptor expressed on myeloid cells 2 (TREM2) and its mutant variants in AD. TREM2 are the transmembrane receptors of microglial cells that performs a broad range of physiological cell processes. Phagocytosis of Aβ is one of the physiological roles of TREM2, which plays a pivotal role in AD progression. R47H, a mutant variant of TREM2, increases the risk of AD by impairing TREM2-Aβ binding. Inconclusive evidence regarding the TREM2 signaling cascade mechanism of Aβ phagocytosis motivates the current review to propose a new hypothesis. The review systematically assesses the cross talk between TREM2 and other AD pathological domains and the influence of TREM2 on amyloid and tau seeding. Disease associated microglia (DAM), a novel state of microglia with unique transcriptional and functional signatures reported in neurodegenerative conditions, also depend on the TREM2 pathway for its differentiation. DAM is suggested to have a neuroprotective role. We hypothesize that TREM2, along with its signaling adaptors and endogenous proteins, play a key role in ameliorating Aβ clearance. We indicate that TREM2 has the potential to ameliorate the Aβ burden, though with differential clearance ability and may act as a potential therapeutic target.
阿尔茨海默病(AD)是一种复杂的神经退行性疾病,涉及异质的病理生理特征,这对治疗方法构成了挑战。AD 的主要病理生理学包括淀粉样蛋白-β(Aβ)、tau、氧化应激和细胞凋亡。最近的研究表明,髓样细胞触发受体 2(TREM2)及其突变变体在 AD 中的重要性。TREM2 是小胶质细胞的跨膜受体,具有广泛的生理细胞过程。Aβ的吞噬作用是 TREM2 的一种生理作用,在 AD 的进展中起着关键作用。TREM2 的 R47H 突变体通过损害 TREM2-Aβ结合增加了 AD 的风险。关于 TREM2 信号级联机制吞噬 Aβ的证据尚不一致,这促使我们提出了一个新的假设。本综述系统地评估了 TREM2 与 AD 其他病理领域之间的串扰以及 TREM2 对淀粉样蛋白和 tau 成核的影响。疾病相关小胶质细胞(DAM)是一种新型小胶质细胞,在神经退行性疾病中具有独特的转录和功能特征,也依赖于 TREM2 途径进行分化。DAM 被认为具有神经保护作用。我们假设 TREM2 及其信号衔接蛋白和内源性蛋白在改善 Aβ清除中发挥关键作用。我们指出,TREM2 有可能减轻 Aβ负担,尽管清除能力存在差异,并且可能成为潜在的治疗靶点。
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