Basic Science and Pathogenesis

Xiao-Fen Chen1,2, Hengjun Rao1

  • 1Fujian Provincial Key Laboratory of Neurodegenerative Disease and Aging Research, Institute of Neuroscience, School of Medicine, Xiamen University, Xiamen, Fujian, China.

Abstract

Insights

MS4A4A enhances Alzheimer's disease (AD) pathology by increasing soluble TREM2 (sTREM2) levels, promoting microglial function, and improving cognition. The MS4A4A-M159V variant lacks these beneficial effects, highlighting MS4A4A as a potential therapeutic target for AD.

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Triggering receptor expressed on myeloid cells 2 (TREM2) genetic variants increase Alzheimer's disease (AD) risk.
  • Soluble TREM2 (sTREM2) is linked to improved cognitive outcomes in AD.
  • MS4A4A is identified as a regulator of sTREM2, but its role in AD is unclear.

Purpose of the Study:

  • Investigate the role of MS4A4A in modulating AD pathology via TREM2.
  • Determine the impact of wild-type and variant MS4A4A on microglial function and AD hallmarks.

Main Methods:

  • Utilized 5xFAD mouse model with microglial overexpression of wild-type or variant MS4A4A.
  • Measured TREM2 and sTREM2 levels, microglial survival, and clustering around amyloid plaques.
  • Assessed amyloid-beta clearance, amyloid burden, and cognitive function.

Main Results:

  • Wild-type MS4A4A increased TREM2/sTREM2, promoted microglial survival and clustering, and enhanced amyloid-beta clearance.
  • These effects led to reduced amyloid burden and improved cognitive function.
  • MS4A4A-M159V variant and TREM2 deficiency abrogated these benefits.

Conclusions:

  • MS4A4A plays a critical role in modulating AD pathology through TREM2.
  • MS4A4A represents a promising therapeutic target for Alzheimer's disease.

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