Microglial TREM2 promotes phagocytic clearance of damaged neurons after status epilepticus

Dale B Bosco1, Vaclav Kremen1, Koichiro Haruwaka2

  • 1Department of Neurology, Mayo Clinic, Rochester, MN, USA.

PubMed

Insights

Triggering receptor expressed on myeloid cells 2 (TREM2) deficiency worsens epilepsy by impairing microglial function. Reduced TREM2 and microglial phagocytosis correlate with increased seizure severity and frequency in mice and humans.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Triggering receptor expressed on myeloid cells 2 (TREM2) is crucial for microglial functions like proliferation, migration, and phagocytosis in the central nervous system.
  • Microglial TREM2 is implicated in neurodegenerative diseases, but its role in epileptogenesis remains unclear.

Purpose of the Study:

  • To investigate the impact of TREM2 deficiency on microglial function and seizure pathology in the context of epileptogenesis.
  • To explore the correlation between microglial phagocytic activity and seizure history in epilepsy patients.

Main Methods:

  • Utilized male TREM2 knockout (KO) mice in an intra-amygdala kainic acid seizure model.
  • Performed electroencephalographic analysis, immunocytochemistry, and RNA sequencing.
  • Analyzed human temporal lobe epilepsy patient tissue for correlations between CD68 expression and seizure history.

Main Results:

  • TREM2 deficiency significantly exacerbated seizure-induced pathology, increasing acute status epilepticus severity and spontaneous recurrent seizures.
  • Impaired microglial phagocytic clearance of damaged neurons was observed in TREM2 KO mice.
  • Reduced CD68 expression (a microglial phagocytic marker) in human epilepsy patients correlated negatively with a history of focal to bilateral tonic-clonic generalized seizures.

Conclusions:

  • Microglial TREM2 plays a critical role in mitigating seizure-induced pathology.
  • Impaired microglial phagocytosis due to TREM2 deficiency contributes to epileptogenesis.
  • TREM2-mediated microglial function is a potential therapeutic target for epilepsy.