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The triggering receptor expressed on myeloid cells 2: "TREM-ming" the inflammatory component associated with
1Department of Biological Sciences, Boise State University, Boise, ID 83725, USA. trohn@boisestate.edu
Abstract:
Alzheimer's disease (AD) is an age-related neurodegenerative disorder characterized by a progressive loss of memory and cognitive skills. Although much attention has been devoted concerning the contribution of the microscopic lesions, senile plaques, and neurofibrillary tangles to the disease process, inflammation has long been suspected to play a major role in the etiology of AD. Recently, a novel variant in the gene encoding the triggering receptor expressed on myeloid cells 2 (TREM2) has been identified that has refocused the spotlight back onto inflammation as a major contributing factor in AD. Variants in TREM2 triple one's risk of developing late-onset AD. TREM2 is expressed on microglial cells, the resident macrophages in the CNS, and functions to stimulate phagocytosis on one hand and to suppress cytokine production and inflammation on the other hand. The purpose of this paper is to discuss these recent developments including the potential role that TREM2 normally plays and how loss of function may contribute to AD pathogenesis by enhancing oxidative stress and inflammation within the CNS. In this context, an overview of the pathways linking beta-amyloid, neurofibrillary tangles (NFTs), oxidative stress, and inflammation will be discussed.
Insights
New Alzheimer's disease (AD) research highlights the triggering receptor expressed on myeloid cells 2 (TREM2) gene. Variants in TREM2 significantly increase the risk of late-onset AD, emphasizing inflammation's role.
Area of Science:
- Neurodegenerative Disorders
- Neuroinflammation
- Genetics of Alzheimer's Disease
Background:
- Alzheimer's disease (AD) involves progressive memory and cognitive decline.
- While senile plaques and neurofibrillary tangles are studied, inflammation's role in AD etiology is increasingly recognized.
- A novel TREM2 gene variant significantly elevates the risk for late-onset AD.
Purpose of the Study:
- To discuss recent developments concerning TREM2 and its role in AD.
- To explore how TREM2 loss-of-function may contribute to AD pathogenesis.
- To provide an overview of pathways linking beta-amyloid, NFTs, oxidative stress, and inflammation in AD.
Main Methods:
- Review of recent genetic and molecular findings related to TREM2.
- Discussion of TREM2 function on microglial cells.
- Analysis of pathways involving beta-amyloid, NFTs, oxidative stress, and inflammation.
Main Results:
- TREM2 variants triple the risk of developing late-onset AD.
- TREM2 is expressed on microglial cells, modulating phagocytosis and inflammation.
- Loss of TREM2 function may enhance CNS oxidative stress and inflammation.
Conclusions:
- TREM2 plays a critical role in regulating neuroinflammation.
- Dysfunctional TREM2 is a significant risk factor for Alzheimer's disease.
- Understanding TREM2 pathways is crucial for developing novel AD therapeutics.
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