Immune checkpoint TIM-3 regulates microglia and Alzheimer's disease

Kimitoshi Kimura1,2,3,4, Ayshwarya Subramanian1,2,3,5, Zhuoran Yin1,2,3,6

  • 1The Gene Lay Institute of Immunology and Inflammation, Brigham and Women's Hospital, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Nature
|April 9, 2025
PubMed

Insights

The immune-checkpoint TIM-3 (HAVCR2) maintains brain microglial homeostasis via TGFβ signaling. Deleting TIM-3 in microglia worsens Alzheimer's-like pathology but enhances phagocytosis, suggesting therapeutic potential.

Area of Science:

  • Neuroimmunology
  • Cellular Biology
  • Neurodegenerative Diseases

Background:

  • Microglia are key brain immune cells involved in neurodevelopment and neuroinflammation.
  • TIM-3 (HAVCR2) is a genetic risk factor for Alzheimer's disease, but its role in microglia is unknown.
  • Understanding microglial function is crucial for neurodegenerative disease research.

Purpose of the Study:

  • To investigate the function of the immune-checkpoint molecule TIM-3 in microglia.
  • To elucidate the mechanism by which TIM-3 influences microglial homeostasis and Alzheimer's disease pathology.
  • To explore the therapeutic potential of targeting microglial TIM-3.

Main Methods:

  • Utilized mouse models to study TIM-3 expression and function in microglia.
  • Investigated the interaction of TIM-3 with TGFβ signaling pathway components (SMAD2, TGFBR2).
  • Employed genetic deletion of Havcr2 in microglia and analyzed its effects on microglial phenotype, cognitive function, and amyloid-β pathology in 5×FAD mice.
  • Conducted single-nucleus and single-cell RNA sequencing to analyze microglial gene expression.

Main Results:

  • TGFβ signaling induces TIM-3 expression in microglia, which enhances TGFβ signaling to maintain microglial homeostasis.
  • Genetic deletion of Havcr2 in microglia increases phagocytic activity and promotes a neurodegenerative microglial phenotype (MGnD/DAM).
  • Microglia-specific deletion of Havcr2 ameliorates cognitive deficits and reduces amyloid-β pathology in a mouse model of Alzheimer's disease.
  • Single-cell transcriptomics revealed a shift towards pro-phagocytic and anti-inflammatory gene expression in microglia lacking TIM-3.

Conclusions:

  • TIM-3 plays a critical role in maintaining microglial homeostasis through interaction with the TGFβ signaling pathway.
  • Targeting microglial TIM-3 presents a potential therapeutic strategy for Alzheimer's disease.
  • Modulating TIM-3 in microglia impacts their phagocytic and inflammatory functions, influencing disease progression.