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Published on: June 13, 2025
[Neurodegenerative disease and TREM2]
1Department of Neurology, National Hospital Organization Iou Hospital.
Abstract:
The functional loss of triggering receptor expressed on myeloid cells-2 (TREM2) leads to a chronic neurodegenerative disease, named Nasu-Hakola disease. A murine in vitro study revealed that the absence of TREM2 expression on microglia impaired phagocytosis for tissue debris clearance and increased pro-inflammatory cytokine production; these are necessary to maintain the microenvironmental homeostasis of the central nervous system. On the other hand, the function of TREM2 is still unclear, especially in the fields of human pathology and morphology. In 2013, it was reported that non-synonymous variants of TREM2 were associated with Alzheimer's disease in Caucasians; however, supplementary studies in Asian populations, such as the Japanese, could not confirm this result. In this review, I discuss how TREM2 can contribute to neurodegenerative disease.
Insights
Triggering receptor expressed on myeloid cells-2 (TREM2) loss causes neurodegeneration. TREM2 deficiency impairs microglial functions, impacting central nervous system homeostasis and potentially Alzheimer's disease.
Area of Science:
- Neuroimmunology
- Molecular Biology
- Neurodegenerative Diseases
Context:
- The triggering receptor expressed on myeloid cells-2 (TREM2) is crucial for microglial function in the central nervous system.
- TREM2 deficiency is linked to Nasu-Hakola disease, a chronic neurodegenerative condition.
- The precise role of TREM2 in human pathology and morphology remains incompletely understood.
Purpose:
- To review the multifaceted roles of TREM2 in neurodegeneration.
- To explore the implications of TREM2 variants in Alzheimer's disease across different ethnicities.
- To discuss TREM2's contribution to maintaining central nervous system microenvironmental homeostasis.
Summary:
- Absence of TREM2 in murine models impairs microglial phagocytosis and increases pro-inflammatory cytokine production.
- TREM2 variants have been associated with Alzheimer's disease in Caucasian populations, but findings are inconsistent in Asian populations.
- This review synthesizes current knowledge on TREM2's function in neurodegenerative disease pathogenesis.
Impact:
- Understanding TREM2's function is critical for developing therapeutic strategies for neurodegenerative diseases like Alzheimer's and Nasu-Hakola disease.
- Highlights the need for population-specific genetic studies to elucidate disease associations.
- Emphasizes the importance of TREM2 in microglial immune responses and tissue homeostasis within the brain.
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