Immune Signaling in Neurodegeneration
Open accessAbstract
Neurodegenerative diseases of the central nervous system progressively rob patients of their memory, motor function, and ability to perform daily tasks. Advances in genetics and animal models are beginning to unearth an unexpected role of the immune system in disease onset and pathogenesis; however, the role of cytokines, growth factors, and other immune signaling pathways in disease pathogenesis is still being examined. Here we review recent genetic risk and genome-wide association studies and emerging mechanisms for three key immune pathways implicated in disease, the growth factor TGF-β, the complement cascade, and the extracellular receptor TREM2. These immune signaling pathways are important under both healthy and neurodegenerative conditions, and recent work has highlighted new functional aspects of their signaling. Finally, we assess future directions for immune-related research in neurodegeneration and potential avenues for immune-related therapies.
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AD pathology is characterized by extracellular amyloid plaques and intracellular NFTs surrounded by immune cells, especially microglia; clinical manifestation is progressive cognitive impairment.
“The pathology of AD is characterized by extracellular amyloid plaques and intracellular NFTs, which are surrounded by immune cells, especially microglia; the clinical manifestation of AD is characterized by progressive cognitive impairment.14”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [14]
The “Clinical & Pathological Characteristics of Neurodegenerative Disease” section describes extracellular amyloid-beta plaques, intracellular tau tangles, and progressive cognitive decline in AD. It places immune cells, likely microglia, close to plaques, but does not say they surround the tangles. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe shared associations in chr6 region with both immunological and neurodegenerative traits adds evidence to the known relationship between these two processes.
“The shared associations in this region with both immunological and neurodegenerative traits adds evidence to the known relationship between these two processes36.”
From Proteogenomic analysis of human cerebrospinal fluid identifies neurologically relevant regulation and implicates causal proteins for Alzheimer’s disease (2024) · cites this paper as [36]
Aβ binds to microglial TREM2, activating TREM2 signaling and leading to enhanced phagocytosis.
“Aβ binds to microglial TREM2, which activates TREM2 signaling and lead to the enhanced phagocytosis of microglia.”
From Microglia in neurodegenerative diseases: mechanism and potential therapeutic targets (2023) · cites this paper as [174]
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Genetics of global gene expression
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MethodMicroglia Modulate Wiring of the Embryonic Forebrain
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“It is becoming increasingly clear that microglia and immune signaling may not just be secondary players in disease processes but actually contribute to synaptic and neuron loss and buildup of pathogenic proteins even at the earliest stages of disease (Figure 2) (Hong et al., 2016; Shi et al., 2017; Sosna et al., 2018).”
BackgroundSelf-citationApolipoprotein E Is a Ligand for Triggering Receptor Expressed on Myeloid Cells 2 (TREM2)
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Animal models of neurodegenerative diseases
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A combination of ontogeny and CNS environment establishes microglial identity
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Current state of Alzheimer’s fluid biomarkers
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“While one report found that Trem2-KO reduced brain atrophy but had no impact on tau pathology when crossed to the PS19 transgenic tau model (Leyns et al., 2017), another report found that a different Trem2-KO mouse crossed with a different tau model exacerbated tau pathology (Bemiller et al.”
BackgroundPolarization of the Effects of Autoimmune and Neurodegenerative Risk Alleles in Leukocytes
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Human umbilical cord plasma proteins revitalize hippocampal function in aged mice
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TREM2, microglia, and neurodegenerative diseases
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BackgroundResultA common haplotype lowers PU.1 expression in myeloid cells and delays onset of Alzheimer's disease
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A Dramatic Increase of C1q Protein in the CNS during Normal Aging
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TREM2- and DAP12-dependent activation of PI3K requires DAP10 and is inhibited by SHIP1
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Rodent models for Alzheimer disease
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Siglecs, sialic acids and innate immunity
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Frontotemporal dementia and its subtypes: a genome-wide association study
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Dementia with Lewy bodies: an update and outlook
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APOE ϵ4 Increases Risk for Dementia in Pure Synucleinopathies
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Enhanced synaptic connectivity and epilepsy in C1q knockout mice
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Self-citationSoluble TREM2 induces inflammatory responses and enhances microglial survival
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Deficiency in neuronal TGF-β signaling promotes neurodegeneration and Alzheimer’s pathology
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Cerebrospinal fluid soluble TREM2 is higher in Alzheimer disease and associated with mutation status
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“In addition, homozygous TREM2 variants were also found to be potentially casual for a form of FTD (Carmona et al., 2018; Chouery et al., 2008; Guerreiro et al., 2013a), while other variants significantly elevated FTD risk (Carmona et al.”
BackgroundInfluentialTREM-2 (triggering receptor expressed on myeloid cells 2) is a phagocytic receptor for bacteria
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“However, they found that haploinsufficiency, which the authors argued better mimics a partial loss of function, increased tau pathology (Sayed et al., 2018).”
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<i>APOE</i> ε4 is associated with severity of Lewy body pathology independent of Alzheimer pathology
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Role of neuroinflammation in neurodegeneration development
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“The pathology of AD is characterized by extracellular amyloid plaques and intracellular NFTs, which are surrounded by immune cells, especially microglia; the clinical manifestation of AD is characterized by progressive cognitive impairment.(14) The main component of the amyloid plaques is amyloid beta (Aβ), which is g…”
BackgroundMicroglia in neurodegenerative diseases: mechanism and potential therapeutic targets
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- Authors
- Hammond, T. R., Marsh, S. E., & Stevens, B.
- Affiliations
- Broad Institute (US)
- Corresponding author
- Stevens, Beth
- Venue
- Immunity
- Publisher
- Elsevier BV
- Published
- 2019-04
- Volume
- 50
- Issue
- 4
- Pages
- 955-974
- ISSN
- 1074-7613 (ISSN-L)
- PMC
- PMC6822103
- OpenAlex
- W2938743978
- Cited by
- 336
- References
- 268
- Citations by year
- 2026: 32 · 2025: 42 · 2024: 46 · 2023: 58 · 2022: 52 · 2021: 46 · 2020: 47 · 2019: 12 · 2018: 1
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Immunity (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54HD090255, 2018, 2019)
- Cure Alzheimer's Fund
- National Institute on Aging (1RF1AG051496)
- National Institute of Neurological Disorders and Stroke (WO2015103594A1/US20160327572A1, US8148330B2, US9149444B2)
- National Institutes of Health
- National Cancer Institute
- National Institute on Drug Abuse
- National Heart, Lung, and Blood Institute
- National Institute of Mental Health
- National Human Genome Research Institute
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- neurodegeneration, immune signaling, TGF-beta, complement system, TREM2, cytokines, growth factors, genetic risk factors, genome-wide association study, neuroinflammation
- MeSH terms
- Aging, Animals, Complement Activation, Gliosis, Humans, Immunity, Innate, Inflammation, Membrane Glycoproteins, Mice, Transgenic, Receptors, Immunologic, Signal Transduction, Transforming Growth Factor beta, Microglia, Mice, Knockout, Models, Immunological, Disease Progression, Neurodegenerative Diseases, Genetic Predisposition to Disease, Mice, Genome-Wide Association Study, Protein Aggregation, Pathological
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