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Roles of TREM2 in Alzheimer's disease
Xiaoshan Qi1, Kedong Zhu1, Wei Ke1
1Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Translational Neurodegeneration
|October 31, 2025
Summary
Variants in the triggering receptor expressed on myeloid cells 2 (TREM2) gene are linked to Alzheimer's disease risk. TREM2 plays a key role in microglial function and AD progression, with soluble TREM2 showing biomarker potential.
Area of Science:
- Neuroscience
- Genetics
- Immunology
Background:
- Triggering receptor expressed on myeloid cells 2 (TREM2) gene variants increase risk for Alzheimer's disease (AD) and Nasu-Hakola disease.
- TREM2 is a type I transmembrane receptor primarily expressed on microglia in the central nervous system.
- TREM2 is critical in AD pathogenesis, regulating microglial inflammation, amyloid-β deposition, and tau pathology.
Purpose of the Study:
- To review the progress in understanding TREM2's role in Alzheimer's disease.
- To highlight the potential of TREM2 as a therapeutic target for neuroprotection.
- To identify areas for future research in TREM2-directed therapeutics.
Main Methods:
- Review of existing literature on TREM2 in Alzheimer's disease.
- Analysis of studies on TREM2 variants and their association with disease risk.
- Examination of research on soluble TREM2 (sTREM2) as a biomarker.
- Evaluation of novel mouse models and technological innovations for TREM2-based therapies.
Main Results:
- TREM2 variants are established risk factors for late-onset Alzheimer's disease.
- Soluble TREM2 (sTREM2) is a promising biomarker for AD clinical progression.
- Despite advances, the exact roles of membrane-bound TREM2 and sTREM2 in AD pathogenesis require further elucidation.
- Novel therapeutic strategies targeting TREM2 for neuroprotection are emerging.
Conclusions:
- TREM2 is a crucial factor in Alzheimer's disease pathogenesis and progression.
- TREM2 presents a significant therapeutic target for neurodegenerative diseases like AD.
- Further research is needed to fully understand TREM2's functions and develop effective TREM2-directed therapies.
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