Department of Neuroinflammation, And Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London, 1 Wakefield Street, London, WC1N1PJ, UK.
Department of Neuroinflammation, And Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London, 1 Wakefield Street, London, WC1N1PJ, UK.
Neuropharmacology. 2024 Oct 1;257:110020. doi: 10.1016/j.neuropharm.2024.110020. Epub 2024 May 29.
TREM2 is a membrane receptor solely expressed on microglia in normal brain. In this review we outline recent advances in TREM2 biology and its implications for microglial function, with particular emphasis on findings from iPSC-derived microglia (iMG) expressing TREM2 loss-of-function mutations. Alterations in receptor proximal and distal signalling underlie TREM2 risk variants linked to neurodegenerative disease, principally NH-linked FTD, and late-onset AD, but emerging data suggest roles for TREM2 in PD, MS and ALS. TREM2 downstream functions include phagocytosis of myelin debris, amyloid beta peptides, and phosphatidylserine-expressing cells (resulting from damage or stress). Microglial survival, migration, DAMP signalling, inflammasome activation, and intercellular signalling including tau spreading via exosomes, as well as roles for sTREM2 in protection and as a biomarker are discussed. The role of TREM2 in metabolic homeostasis, and immunometabolic switching are discussed regarding microglial responses to damage and protection. The use of iPSC models to investigate the role of TREM2 in AD, PD, MS, ALS, and other neurodegenerative diseases could prove invaluable due to their ability to recapitulate human pathology, allowing a full understanding of TREM2 and microglial involvement in the underlying disease mechanisms and progression. This article is part of the Special Issue on "Microglia".
TREM2 是一种仅在正常大脑中的小胶质细胞上表达的膜受体。在这篇综述中,我们概述了 TREM2 生物学的最新进展及其对小胶质细胞功能的影响,特别强调了源自表达 TREM2 功能丧失突变的 iPSC 的小胶质细胞 (iMG) 的发现。受体近端和远端信号的改变是与神经退行性疾病相关的 TREM2 风险变异的基础,主要是 NH 连接的额颞叶痴呆和迟发性 AD,但新兴数据表明 TREM2 在 PD、MS 和 ALS 中的作用。TREM2 的下游功能包括吞噬髓鞘碎片、淀粉样β肽和表达磷脂酰丝氨酸的细胞(由损伤或应激引起)。小胶质细胞的存活、迁移、DAMP 信号、炎性小体激活以及包括通过外泌体传播 tau 在内的细胞间信号传递,以及 sTREM2 的保护和作为生物标志物的作用都将进行讨论。TREM2 在代谢稳态和免疫代谢转换中的作用将根据小胶质细胞对损伤和保护的反应进行讨论。由于能够重现人类病理学,iPSC 模型在研究 TREM2 在 AD、PD、MS、ALS 和其他神经退行性疾病中的作用方面可能非常有价值,从而可以充分了解 TREM2 以及小胶质细胞在潜在疾病机制和进展中的参与。本文是“小胶质细胞”特刊的一部分。