The Alzheimer's disease risk genes MS4A4A and MS4A6A cooperate to negatively regulate TREM2 and microglia states

Dalya Rosner1, Jiahong Sun1, Rita Cacace2

  • 1Alector, Inc., South San Francisco, CA 94080, USA.

Neuron
|December 23, 2025
PubMed

Insights

MS4A4A and MS4A6A proteins negatively regulate Triggering Receptor Expressed on Myeloid cells 2 (TREM2) and microglial function, impacting Alzheimer's disease (AD) pathology and offering potential therapeutic targets.

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Genetic variations in MS4A4A and MS4A6A are associated with Alzheimer's disease (AD) risk.
  • Triggering Receptor Expressed on Myeloid cells 2 (TREM2) plays a crucial role in microglial function and AD pathogenesis.
  • Soluble TREM2 levels in cerebrospinal fluid are linked to AD progression.

Purpose of the Study:

  • To investigate the regulatory roles of MS4A4A and MS4A6A in TREM2 expression and microglial function.
  • To elucidate the molecular mechanisms by which MS4A4A and MS4A6A influence TREM2 levels and microglial activity.
  • To assess the therapeutic potential of targeting MS4A4A and MS4A6A for Alzheimer's disease.

Main Methods:

  • Modulation of MS4A4A expression (knockout, overexpression, antibody-mediated degradation) in cell cultures (macrophages, microglia) and in vivo models (non-human primates, amyloid mouse model).
  • Assessment of TREM2 protein levels (transmembrane and soluble forms).
  • Evaluation of microglial functions including viability, phagocytosis, and lysosomal activity.
  • Mechanistic studies involving protein-protein interactions and complex formation (MS4A4A, MS4A6A, DAP12).

Main Results:

  • MS4A4A and MS4A6A act as negative regulators of both transmembrane and soluble TREM2.
  • MS4A4A negatively impacts microglial viability, phagocytosis, and lysosomal function.
  • MS4A4A stabilizes MS4A6A by preventing its degradation, and MS4A6A complexes with and inhibits the co-receptor DAP12.
  • These interactions indirectly modulate TREM2 levels and downstream signaling.

Conclusions:

  • MS4A4A and MS4A6A are cooperative post-transcriptional negative regulators of TREM2 and microglial function.
  • Dysregulation of MS4A4A and MS4A6A contributes to Alzheimer's disease pathology.
  • MS4A4A and MS4A6A represent potential therapeutic targets for Alzheimer's disease treatment.