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TREM2 Downregulation Disrupts Microglial Function and Synaptic Pruning Through RA/RARα Signaling: Mechanisms
Min Lu1,2,3, Kexin Bai1,2,3, Yali Bai1,2,3
1Growth, Development and Mental Health Center of Children and Adolescents Children's Hospital of Chongqing Medical University Chongqing China.
Pediatric Discovery
|January 1, 2026
Summary
Triggering receptor expressed on myeloid cells 2 (TREM2) deficiency causes autism spectrum disorder (ASD)-like behaviors by disrupting retinoic acid signaling. Supplementation with retinoic acid (RA) reversed these effects, suggesting TREM2
Area of Science:
- Neuroimmunology
- Neurodevelopmental Disorders
- Molecular Psychiatry
Background:
- Autism spectrum disorder (ASD) is characterized by neuroimmune dysregulation and synaptic pruning abnormalities.
- The role of triggering receptor expressed on myeloid cells 2 (TREM2) in ASD pathogenesis remains unclear.
- Retinoic acid (RA) and its receptor alpha (RARα) signaling pathway are implicated in neurodevelopment.
Purpose of the Study:
- To investigate the role of TREM2 in ASD pathogenesis.
- To explore the link between TREM2 and RA/RARα signaling in ASD.
- To identify potential diagnostic biomarkers for ASD.
Main Methods:
- Prefrontal cortex-specific TREM2 knockdown in rats to induce ASD-like phenotypes.
- Assessment of behavioral deficits, microglial activation, synaptic pruning, and serum soluble TREM2 (sTREM2) levels.
- In vitro studies to examine the effects of TREM2 knockdown and RA supplementation on RARα levels.
Main Results:
- TREM2 knockdown induced ASD-like behaviors, microglial hyperactivation, aberrant synaptic pruning, and disrupted RA/RARα signaling.
- Reduced serum sTREM2 levels were observed in rats with TREM2 knockdown.
- Oral RA supplementation reversed the observed neuroimmune abnormalities and behavioral impairments.
Conclusions:
- TREM2 deficiency is a key factor in ASD pathophysiology, mediated by the RA/RARα signaling pathway.
- Serum sTREM2 may serve as a potential diagnostic biomarker for ASD.
- Targeting TREM2 and RA/RARα signaling offers novel therapeutic strategies for ASD.
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