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Published on: August 16, 2018
As48, a first-in-class dual-function TREM2 modulator: Receptor activation and shedding inhibition
Sungwoo Cho1, Farida El Gaamouch1, Saurabh Upadhyay1
1Department of Radiology, Molecular Imaging Innovations Institute (MI3), Weill Cornell Medicine, New York, NY 10065, USA.
Abstract:
Triggering receptor expressed on myeloid cells 2 (TREM2) dysfunction contributes to Alzheimer's disease pathogenesis, yet current therapeutics cannot prevent ADAM-mediated receptor shedding that diminishes signaling efficacy. Using Affinity Selection-Mass Spectrometry (AS-MS) screening, we identified As48, a novel small molecule that binds TREM2 with high affinity. Biophysical validation confirmed 7-fold selectivity over TREM1. Cellular assays demonstrated that As48 functions as a TREM2 agonist, activating SYK phosphorylation and enhancing microglial phagocytosis. Molecular docking and molecular dynamics simulations revealed that As48 binds near the cleavage region, establishing hydrogen bonds with Gly68 and reducing conformational flexibility in regions 58-102. Based on this structural insight, we investigated the effect of As48 on TREM2 ectodomain shedding and discovered inhibition of receptor shedding without affecting ADAM10/17 protease activities, representing the first small molecule with anti-shedding properties through conformational restriction of protease accessibility. Importantly, As48 displayed favorable pharmacokinetics with potential for brain permeability, supporting its translational relevance. Through its dual and simultaneous promotion of receptor activation and prevention of shedding, As48 represents a paradigm shift in TREM2 modulation and neuroinflammatory drug discovery.
Insights
A novel small molecule, As48, activates TREM2 signaling and enhances microglial phagocytosis. It also prevents TREM2 receptor shedding, offering a new therapeutic strategy for Alzheimer's disease neuroinflammation.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Triggering receptor expressed on myeloid cells 2 (TREM2) dysfunction is implicated in Alzheimer's disease (AD) pathogenesis.
- Current AD therapeutics do not address ADAM-mediated TREM2 receptor shedding, which reduces signaling efficacy.
Purpose of the Study:
- To identify novel small molecules that modulate TREM2 activity.
- To investigate the potential of As48 as a therapeutic agent for AD by examining its effects on TREM2 activation and shedding.
Main Methods:
- Affinity Selection-Mass Spectrometry (AS-MS) screening to identify TREM2 binders.
- Biophysical validation, cellular assays (SYK phosphorylation, microglial phagocytosis), molecular docking, and molecular dynamics simulations.
- Assessment of As48's impact on TREM2 ectodomain shedding and ADAM10/17 protease activity.
Main Results:
- As48 identified as a high-affinity TREM2 binder with high selectivity over TREM1.
- As48 demonstrated TREM2 agonism, enhancing microglial phagocytosis and SYK phosphorylation.
- As48 inhibited TREM2 shedding by conformationally restricting protease accessibility, without affecting ADAM10/17 activity.
- As48 exhibited favorable pharmacokinetics with potential for brain permeability.
Conclusions:
- As48 is the first small molecule shown to inhibit TREM2 shedding via conformational restriction.
- As48's dual action of promoting TREM2 activation and preventing shedding presents a novel therapeutic approach for neuroinflammation in AD.
- As48 shows translational relevance for Alzheimer's disease drug discovery.
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