Functional BRI2-TREM2 interactions in microglia: implications for Alzheimer's and related dementias

Tao Yin1, Metin Yesiltepe2, Luciano D'Adamio3

  • 1Department of Pharmacology, Physiology & Neuroscience New Jersey Medical School, Brain Health Institute, Jacqueline Krieger Klein Center in Alzheimer's Disease and Neurodegeneration Research, Rutgers, The State University of New Jersey, 205 South Orange Ave, Newark, NJ, 07103, USA. ty183@rutgers.edu.

EMBO Reports
|February 12, 2024
PubMed

Insights

Mutations in BRI2 (ITM2B) contribute to Alzheimer's Disease (AD). This study reveals BRI2 regulates TREM2 processing and function in microglia, suggesting BRI2 as a potential therapeutic target for AD.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Genetics

Background:

  • Mutations in ITM2B/BRI2 are linked to Alzheimer's Disease (AD)-related dementias.
  • Microglia play a key role in AD pathogenesis, with TREM2 variants increasing risk.
  • Heightened ITM2B/BRI2 expression is observed in microglia.

Purpose of the Study:

  • To investigate the functional interaction between BRI2 and TREM2 in the context of AD.
  • To determine if BRI2 influences TREM2 processing, similar to its effect on Aβ-Precursor-Protein.
  • To explore BRI2 as a potential therapeutic target for AD and related dementias.

Main Methods:

  • Single-cell RNA-sequencing to identify Trem2/Bri2-dependent microglia clusters.
  • Investigating BRI2-TREM2 interaction in heterologous cells and using recombinant proteins.
  • Utilizing constitutive and microglial-specific Itm2b-knock-out mouse models and primary microglia.
  • Analyzing Trem2 processing, mRNA expression, and protein levels.
  • Assessing phagocytosis in the context of Bri2 deletion and pathogenic TREM2 variants.

Main Results:

  • A functional interaction between BRI2 and TREM2 was identified, inhibiting TREM2 processing.
  • BRI2 directly interacts with the TREM2 ectodomain in a cell-free system.
  • Bri2 deficiency in mice leads to reduced TREM2 processing, altered TREM2 mRNA and protein levels, and impaired microglial phagocytosis.
  • A mutant Itm2b mouse model showed elevated Trem2-CTF and sTrem2, consistent with AD patient findings.
  • Bri2 deletion phenocopies the phagocytic deficits observed with a pathogenic TREM2 variant.

Conclusions:

  • BRI2 plays a multifaceted role in regulating TREM2 processing and function, independent of α-secretase pathways.
  • The interaction between BRI2 and TREM2 impacts microglial function relevant to Alzheimer's Disease.
  • BRI2 represents a promising therapeutic target for AD and related dementias due to its regulation of both Aβ-Precursor-Protein and TREM2.

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