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.
Abstract:
Microglial activation plays central roles in neuroinflammatory and neurodegenerative diseases. Positron emission tomography (PET) targeting 18 kDa Translocator Protein (TSPO) is widely used for localising inflammation in vivo, but its quantitative interpretation remains uncertain. We show that TSPO expression increases in activated microglia in mouse brain disease models but does not change in a non-human primate disease model or in common neurodegenerative and neuroinflammatory human diseases. We describe genetic divergence in the TSPO gene promoter, consistent with the hypothesis that the increase in TSPO expression in activated myeloid cells depends on the transcription factor AP1 and is unique to a subset of rodent species within the Muroidea superfamily. Finally, we identify LCP2 and TFEC as potential markers of microglial activation in humans. These data emphasise that TSPO expression in human myeloid cells is related to different phenomena than in mice, and that TSPO-PET signals in humans reflect the density of inflammatory cells rather than activation state.
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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