Identification of a novel aβ-overlapping binding site on the TREM2 Ectodomain engaged by the small-molecule agonist

Sungwoo Cho1, Moustafa T Gabr1

  • 1Department of Radiology, Molecular Imaging Innovations Institute (MI3), Weill Cornell Medicine, New York, NY 10065, USA.

Insights

VG-3927, an Alzheimer's disease drug, may bind to the TREM2 receptor's ectodomain. This binding site overlaps with amyloid-beta, potentially altering the drug's effectiveness in the AD microenvironment.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Triggering receptor expressed on myeloid cells 2 (TREM2) is a key microglial immune receptor implicated in Alzheimer's disease (AD).
  • VG-3927 is a novel small-molecule agonist for TREM2, currently in clinical development for AD.
  • The precise mechanism of VG-3927, particularly its interaction with the TREM2 ectodomain, remains incompletely understood.

Purpose of the Study:

  • To investigate potential binding sites of VG-3927 on the TREM2 receptor, focusing on the ectodomain.
  • To determine if VG-3927 interacts with TREM2 in a manner influenced by amyloid-beta (Aβ), a hallmark of AD.
  • To elucidate the functional consequences of VG-3927's interaction with TREM2, especially in the context of Aβ binding.

Main Methods:

  • Utilized DiffDock-L, a deep learning-based blind docking algorithm, to predict VG-3927 binding sites on TREM2.
  • Employed Microscale Thermophoresis (MST) to confirm direct binding of VG-3927 and Aβ1-42 to TREM2.
  • Conducted a Jurkat TREM2-DAP12 Nuclear Factor of Activated T Cells (NFAT) reporter assay to assess functional effects and signaling modulation.

Main Results:

  • Identified a novel binding site for VG-3927 within the TREM2 ectodomain hydrophobic groove, a region known to bind ligands like Aβ.
  • Confirmed direct binding of VG-3927 to TREM2 and Aβ1-42 to TREM2 using MST.
  • Observed that Aβ binding interferes with VG-3927 binding to TREM2 and attenuates VG-3927-mediated signaling (p-SYK), shifting the dose-response curve in reporter assays.

Conclusions:

  • VG-3927 engages the TREM2 ectodomain via a previously unrecognized binding mode.
  • Amyloid-beta binding to TREM2 can modulate the activity of the TREM2 agonist VG-3927.
  • These findings have implications for understanding TREM2-targeted therapies in the context of the Alzheimer's disease microenvironment.