Translocator protein is a marker of activated microglia in rodent models but not human neurodegenerative diseases

Erik Nutma1,2, Nurun Fancy3,4, Maria Weinert3

  • 1Department of Pathology, Amsterdam UMC - Location VUmc, Amsterdam, The Netherlands.

Nature Communications
|August 28, 2023
PubMed

Insights

Positron emission tomography (PET) targeting 18 kDa Translocator Protein (TSPO) shows inflammation in brain disease models. However, TSPO PET signals in humans reflect inflammatory cell density, not their activation state, due to species-specific gene regulation.

Area of Science:

  • Neuroscience
  • Immunology
  • Medical Imaging

Background:

  • Microglial activation is key in neuroinflammation and neurodegeneration.
  • 18 kDa Translocator Protein (TSPO) positron emission tomography (PET) is used to detect in vivo inflammation.
  • Quantitative interpretation of TSPO-PET imaging is challenging.

Purpose of the Study:

  • To investigate species-specific differences in TSPO expression during microglial activation.
  • To clarify the utility of TSPO-PET for assessing neuroinflammation in humans.
  • To identify novel biomarkers for human microglial activation.

Main Methods:

  • Comparative analysis of TSPO expression in mouse, non-human primate, and human disease models.
  • Genetic analysis of the TSPO gene promoter region.
  • Identification of potential microglial activation markers using transcriptomic data.

Main Results:

  • TSPO expression increases in activated microglia in mouse models but not in non-human primates or humans with neurodegenerative/neuroinflammatory diseases.
  • Genetic divergence in the TSPO promoter explains species-specific regulation of TSPO expression, linked to AP1 transcription factor activity in rodents.
  • LCP2 and TFEC are proposed as potential human microglial activation markers.

Conclusions:

  • TSPO expression in human myeloid cells differs from that in rodents.
  • TSPO-PET imaging in humans indicates inflammatory cell density rather than their activation state.
  • Novel biomarkers like LCP2 and TFEC may offer better insights into human microglial activation.

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