TREM2-mediated early microglial response limits diffusion and toxicity of amyloid plaques

Yaming Wang1, Tyler K Ulland2, Jason D Ulrich3

  • 1Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110 Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN 46285.

Insights

Triggering receptor expressed on myeloid cells 2 (TREM2) deficiency in Alzheimer's disease (AD) models leads to more diffuse amyloid plaques and greater neuritic damage. TREM2 enables microglia to surround plaques, protecting against neurodegeneration.

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Triggering receptor expressed on myeloid cells 2 (TREM2) is a microglial receptor implicated in Alzheimer's disease (AD) pathogenesis.
  • TREM2 variants are associated with increased AD risk, but its precise role in amyloid-beta (Aβ) pathology and microglial response remains debated.
  • The origin of myeloid cells at amyloid deposits and TREM2's impact on Aβ accumulation require clarification.

Purpose of the Study:

  • To investigate the origin of myeloid cells surrounding amyloid plaques in AD.
  • To determine the impact of TREM2 deficiency on Aβ plaque formation and associated neuropathology.
  • To elucidate the protective mechanisms of TREM2 in Alzheimer's disease.

Main Methods:

  • Parabiosis experiments were conducted to trace the origin of amyloid-associated myeloid cells.
  • 5XFAD mouse model of AD was used to examine Aβ plaque pathology in TREM2-deficient and -sufficient mice at early disease stages.
  • Histological analysis assessed Aβ plaque morphology, microglial clustering, and neuritic damage.

Main Results:

  • Amyloid-associated myeloid cells were found to originate from brain-resident microglia, not peripheral monocytes.
  • TREM2 deficiency did not alter the initial rate of Aβ accumulation.
  • In TREM2-deficient mice, Aβ plaques were more diffuse, less dense, and exhibited significantly increased neuritic damage compared to controls.

Conclusions:

  • TREM2 plays a critical role in microglial engagement with Aβ plaques.
  • Microglial TREM2 function is essential for altering Aβ plaque structure and mitigating associated neurotoxicity.
  • TREM2-mediated microglial responses protect against neuritic damage, highlighting its therapeutic potential in Alzheimer's disease.

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