Cited by 396Neuroinflammation and Neurodegeneration MechanismsAlzheimer's disease research and treatmentsNeurological Disease Mechanisms and Treatments

Elevated TREM2 Gene Dosage Reprograms Microglia Responsivity and Ameliorates Pathological Phenotypes in Alzheimer’s Disease Models

Open access
Lee, C.Y. Daniel, Daggett, Anthony, Gu, Xiaofeng, Jiang, Lu-Lin, Langfelder, Peter, Li, Xiaoguang, Wang, Nan, Zhao, Yingjun +7 more·2018·Neuron

Abstract

SUMMARY Variants of TREM2 are associated with Alzheimer’s disease (AD). To study whether increasing TREM2 gene dosage could modify the disease pathogenesis, we developed BAC transgenic mice expressing human TREM2 (BAC-TREM2) in microglia. We found that elevated TREM2 expression reduced amyloid burden in the 5xFAD mouse model. Transcriptomic profiling demonstrated that increasing TREM2 levels conferred a rescuing effect, which includes dampening the expression of multiple disease-associated microglia genes, and augmenting downregulated neuronal genes. Interestingly, 5xFAD/BAC-TREM2 mice showed further upregulation of several reactive microglial genes linked to phagocytosis and negative regulation of immune cell activation. Moreover, these mice showed enhanced process ramification and phagocytic marker expression in plaque-associated microglia, and reduced neuritic dystrophy. Finally, elevated TREM2 gene dosage led to improved memory performance in AD models. In summary, our study shows that a genomic-transgene driven increase in TREM2 expression reprograms microglia responsivity and ameliorates neuropathological and behavioral deficits in AD mouse models.

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Crossref · 10.1016/j.neuron.2018.02.002

Cites

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Claims the paper makes

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  • Findingown data

    Amyloid plaque load is significantly reduced in 5xFAD/TREM2 mice compared to 5xFAD at 7 months.

    “Staining of amyloid plaques with Thioflavin S (ThioS) on cortical sections from 7-month-old 5xFAD and 5xFAD/BAC-TREM2 (termed 5xFAD/TREM2 or 5xFAD/T2) mice revealed a significant reduction of amyloid plaque load in 5xFAD/TREM2 mice (Figure 2A–2C; Figure S3).”
    Quote in the paperSubstantial claim
  • Findingown data

    Only a subset of Iba1+ cells in BAC-TREM2-GFP mice were GFP+ (about 5.8% in cortex, 8.7% in hippocampus).

    “We noted that only a subset of Iba1+ cells were GFP+ (about 5.8% in the cortex and 8.7% in the hippocampus) (Figure 1E–1G; Figure S2A–S2C).”
    Quote in the paperNot a substantial claim
  • Findingown data

    BAC-TREM2 mice exhibit normal hippocampal LTP compared to wild-type at 10 months.

    “we found that BAC-TREM2 mice exhibited normal hippocampal long-term potentiation (LTP) compared to wild-type controls at 10 months of age (Figure S2D).”
    Quote in the paperSubstantial claim
  • Findingown data

    More DE genes are observed comparing 5xFAD/TREM2 to 5xFAD in female than male transgenic mice at 4 and 7 months.

    “Similarly, we detect more DE genes comparing 5xFAD/TREM2 to 5xFAD in female than male transgenic mice at these ages.”
    Quote in the paperNot a substantial claim
  • Findingown data

    Aβ40 levels do not differ significantly between 5xFAD/TREM2 and 5xFAD at 4 or 7 months.

    “We did not detect any significant differences of Aβ40 levels, the minor Aβ species in this AD mouse model, at both ages (Figure 2F and 2G).”
    Quote in the paperNot a substantial claim
  • May combine two claims. 56
  • The quote only partly states this claim. 1
  • Classified as probably not a substantial claim. 34
  • May combine two claims.

    Findingown data

    The TREM2-GFP transgene is expressed exclusively in Iba1+ microglia, not in astrocytes or neurons.

    “Double immunostaining of brain sections from BAC-TREM2-GFP mice demonstrated that the TREM2-GFP transgene was exclusively expressed in the Iba1+ microglia, but not in astrocytes or neurons (Figure 1E–1N).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Murine Trem2 reads are low at baseline and significantly increased in 5xFAD and 5xFAD/TREM2 cortices at 7 months but not at 4 months.

    “We observed a low baseline level of murine Trem2 reads that are significantly increased in 5xFAD and 5xFAD/TREM2 cortices at an advanced (7m) but not at early disease stage (4m).”
    Quote in the paperNot a substantial claim
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    Findingown data

    5xFAD/TREM2 mice have 44 and 54 DE genes compared to 5xFAD at 4 and 7 months, respectively.

    “5xFAD/TREM2 mice had 44 and 54 DE genes when compared to 5xFAD mice at 4 and 7 months of age respectively.”
    Quote in the paperNot a substantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    M11 is enriched for microglia and immune system processes/damage-associated microglia; M12 is enriched for astrocyte genes.

    “two of the three modules that were upregulated in 5xFAD and partially rescued in 5xFAD/TREM2 were annotated for microglia-enriched (M11) and astrocyte-enriched genes (M12).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The BAC-TREM2 transgene does not overexpress human TREML1, TREML2, or TREML4.

    “we did not observe reads mapping to human TREML1, TREML2 and TREML4 among the BAC-TREM2 transcripts (Figure 1B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    BAC-TREM2 mice express human TREM2 RNA and protein in brain, while murine Trem2 levels remain comparable to wild-type.

    “The human TREM2 transcripts are only found in BAC-TREM2 mouse brains but not in wildtype brains at all ages tested.”
    • Also stated in: § Generation of BAC-TREM2 mice to increase TREM2 gene dosage under endogenous human regulatory elements · plain
      “BAC-TREM2 mice expressed murine Trem2 transcripts at levels comparable to WT mice (Figure S1).”
    • Also stated in: § Generation of BAC-TREM2 mice to increase TREM2 gene dosage under endogenous human regulatory elements · plain
      “we confirmed the expression of human TREM2 protein in BAC-TREM2 mice by Western blot, and showed the expression of murine Trem2 protein is also similar between BAC-TREM2 and wildtype mice (Figure 1C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In 5xFAD vs WT, downregulated genes are enriched for neurons and synapses, and upregulated genes for top microglia genes and immune system process.

    “the top enrichment terms for down-regulated genes in 5xFAD vs WT were “neurons” (p = 7.07E-55) and “synapses” (p = 6.95E-19) at both 4 and 7 months, and the top enrichment for upregulated genes in 5xFAD mice were “top microglia genes” (p = 3.19E-194) and “immune system process” (p = 9.51E-83).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Human TREM2 reads in 5xFAD/TREM2 mice are significantly increased compared to BAC-TREM2 mice at 4 and 7 months, but not at 2 months.

    “the human TREM2 reads in 5xFAD/TREM2 mice significantly increased compared to those in BAC-TREM2 mice at 4m and 7m, but not at 2m.”
    Quote in the paperSubstantial claim
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    Findingown data

    The correlation between DE statistics in male vs female animals is positive and highly significant in all comparisons.

    “This correlation between fold changes is positive and highly significant in all cases”
    Quote in the paperNot a substantial claim
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    Findingown data

    The difference in Aβ levels between 5xFAD/TREM2 and 5xFAD is less pronounced and not statistically significant at 7 months.

    “However, the difference in Aβ levels was less pronounced and no longer statistically significant at 7 months of age.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Consensus WGCNA identified 28 co-expression modules.

    “Our consensus WGCNA analysis identified 28 co-expression modules (Table S4; Figure S6).”
    Quote in the paperNot a substantial claim
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    Findingown data

    Principal component analysis shows separation by 5xFAD genotype at 4 and 7 months but no clear separation by BAC-TREM2 genotype.

    “We observed a more defined separation based on 5xFAD genotypes at 4m and 7m only, but did not detect a clear separation based on BAC-TREM2 genotype.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Five modules are significantly upregulated in 5xFAD vs WT at 4 or 7 months, and nine modules are downregulated.

    “we identified five modules (M11, M12, M13, M28 and M30) significantly (p < 0.05) upregulated in 5xFAD vs. WT mice at 4 or 7m, and 9 modules (M4, M15, M24, M31, M33, M37, M44, M46 and M48) down-regulated in 5xFAD mice.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Three of the five upregulated 5xFAD modules and five of the nine downregulated modules are partially rescued in 5xFAD/BAC-TREM2 mice.

    “three of the five upregulated 5xFAD modules (M11, M12 and M13) and five of the nine downregulated AD modules (M4, M31, M44, M46 and M48) are partially rescued in 5xFAD/BAC-TREM2 mice (Figure 3D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In contextual fear conditioning, 5xFAD/TREM2 mice performed comparably to WT controls, unlike 5xFAD mice which showed a robust deficit.

    “Impressively, unlike the 5xFAD mice that exhibited a robust deficit in this task, the performance of 5xFAD/TREM2 mice is comparable to that of WT controls (Figure 7F).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Plaque-associated microglia in 5xFAD mice exhibit shortened, thickened processes with hypertrophic amoeboid shape, and these phenotypes are attenuated in 5xFAD/TREM2 mice.

    “In 5xFAD mice, plaque-associated microglia exhibited shortened and thickened processes with hypertrophic amoeboid shape, representing canonical reactive microglia (Figure 5A–5D). However, these phenotypes were significantly attenuated in 5xFAD/TREM2 mice (Figure 5E–5H).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    M11 eigengene is progressively upregulated in 5xFAD vs WT, and this elevation is significantly reduced at 4 months in 5xFAD/TREM2 mice.

    “The M11 eigengene was progressively upregulated in 5xFAD compared to WT mice. This elevation was significantly reduced at 4m in the 5xFAD/TREM2 mice (Figure 3D–3E).”
    Quote in the paperSubstantial claim
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    Findingown data

    TD3 group is modestly enriched for postsynaptic density genes, consistent with partial normalization of neuronal and synaptic genes.

    “Finally, the TD3 group is only modestly enriched for postsynaptic density genes (Table S6), consistent with the results of network analyses showing that a subset of neuronal and synaptic genes downregulated in 5xFAD mice were partially normalized with TREM2 overexpression.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In vitro, increased TREM2 gene dosage augmented microglial phagocytic activity, opposite to Trem2 deficiency.

    “Functional studies in vitro showed TREM2 gene dosage increase augmented microglia phagocytic activity, a phenotype opposite to that of Trem2 deficiency.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    TD1 genes are enriched for upregulated in damage-associated microglia, top human microglia-specific genes, autophagy lysosome, genes upregulated with age in hippocampus, and immune system process.

    “The top enrichment terms for TD1 genes are “Upregulated in damage associated microglia” (p = 2.29E-23; Keren-Shaul et al., 2017), “top human microglia-specific genes” (p = 2.15E-16; Galatro et al., 2017), “Autophagy lysosome” (p = 4.90E-09), “genes upregulated with age in hippocampus” (p = 2.89E-08), and “immune system process” (p = 0.000142).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Keren-Shaul et al., 2017 source

      Not checked in the free run.

    • cites Galatro et al., 2017 source

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  • May combine two claims.

    Findingown data

    Increased TREM2 gene dosage significantly improves these modules at 4 months, and for M46 the effect extends to 7 months.

    “Increased TREM2 gene dosage in 5xFAD/TREM2 mice significantly improved these modules at 4m, and for M46 such effect appeared to be extend to 7m (Figure 3E).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    AD models with elevated TREM2 gene dosage showed reduced neuritic pathology and improved memory task.

    “We also showed evidence for reduced neuritic pathology and improved memory task in the AD models with elevated TREM2 gene dosage.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    M4 is enriched for dendrite and synaptic genes; M46 is enriched for neuronal genes and genes downregulated in AD patient hippocampi.

    “M4 is significantly enriched in terms including “dendrite” and “synaptic genes” (e.g. Atp2b2, Grik2, Grin1, Mapt), and M46 (347 genes) is enriched in “neuronal genes” and “genes downregulated in the hippocampi of AD patients” (Figure 3D and 3E; Table S4).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The TREM2 BAC selectively drives reporter transgene expression in microglia in mouse brain and elevates human TREM2 RNA and protein expression.

    “We showed that TREM2 BAC can selectively drive reporter transgene expression in microglia in the mouse brain, and elevated human TREM2 RNA and protein expression.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    TD2 genes are enriched for negative regulation of T cell activation and innate immune response.

    “the other top enrichment terms for TD2 genes were GO terms such as “Negative regulation of T cell activation” (p = 4.96E-09) and “Innate immune response” (p = 8.87E-07).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    BAC-TREM2 and Trem2-deficient microglia show dichotomous cellular and molecular phenotypes in AD mouse models, including plaque compaction, microglial process ramification, activated marker expression, and phagocytosis.

    “For example, we showed several dichotomous cellular and molecular phenotypes between BAC-TREM2 and Trem2-deficient microglia in mouse models of AD (Jay et al., 2017; Ulrich et al., 2017; Yuan et al., 2016). These include the compaction of amyloid plaques, the ramification of plaque-associated microglial processes, the expression of certain activated microglial markers, and phagocytosis.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Jay et al., 2017 source

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    • cites Ulrich et al., 2017 source

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    • cites Yuan et al., 2016 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    The outlier removal procedure resulted in the removal of one sample, a 7-month-old female 5xFAD mouse.

    “This procedure resulted in the removal of a single sample (7 month old, female 5xFAD).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Findingnone given

    The TREM2 genotype is overall not different from wild type.

    “We left the TREM2 genotype out of the network analysis since it is overall not different from WT and we wanted to focus the network analysis on the effects of BAC-TREM2 in the 5xFAD background (5xFAD vs. 5xFAD/TREM2).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In 5xFAD/TREM2 mice, microglial and astrocyte module genes are reduced and neuronal and synaptic genes are upregulated.

    “Our transcriptome-wide rescue/exacerbation analyses and network analyses show unbiased evidence for partial normalization of the disease-associated gene expression in the 5xFAD/TREM2 mice, with reduction of expression of microglial and astrocyte module genes and upregulation of neuronal and synaptic genes.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    The consensus network analysis identified 28 co-expression modules, with module sizes ranging from 52 to 1767 genes.

    “This analysis identified 28 co-expression modules ranging from 52 to 1767 genes per module (Table S4; Figure S4).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    The fraction of slices exhibiting no LTP did not differ among groups (Chi-square with Yates' correction = 0.6994; p = 0.4030).

    “The fraction of slices exhibiting no LTP was not different among groups (Chi-square with Yates’ correction = 0.6994; p = 0.4030).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Transcriptomic changes occur earlier and more robustly in female than male 5xFAD mice, and the effect of increased TREM2 gene dosage is more apparent in females.

    “Thus, we conclude that transcriptomic changes occur earlier and more robustly in female than male 5xFAD mice, and that the effect of TREM2 increased gene dosage is also more apparent in female than male 5xFAD mice.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Trem2 in plaque-associated microglia promotes plaque compaction and insulation, reducing neuritic toxicity of fibrillary Aβ.

    “Trem2 in plaque-associated microglia plays an important role in plaque compaction and insulation to reduce the neuritic toxicity of fibrillary Aβ (Wang et al., 2016; Yuan et al., 2016).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Wang et al., 2016 source

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    • cites Yuan et al., 2016 source

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    Premisecitation

    Trem2 deficiency has stage-dependent effects on amyloid plaque load: reduced at early disease stage, increased at advanced stages.

    “At an early disease stage, the plaque load is reduced in an AD model crossed to Trem2 knockout mouse (Jay et al., 2015), while in more advanced disease stages, the plaque load increased in multiple AD models (Jay et al., 2017; Wang et al., 2015).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Jay et al., 2015 source

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    • cites Jay et al., 2017 source

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    • cites Wang et al., 2015 source

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  • May combine two claims.

    Interpretationown data

    The BAC-TREM2 transgene drives early low-level human TREM2 overexpression in 5xFAD brains, with a surge as disease progresses, recapitulating disease-associated murine Trem2 upregulation.

    “Together, our results suggest the BAC-TREM2 transgene drives early low level overexpression of human TREM2 in 5xFAD mouse brains, and there is a surge in the TREM2 transgene expression as disease progresses, recapitulating the disease-associated upregulation of murine Trem2 in this model.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    In APP mouse models, Trem2 clusters microglia around Aβ plaques.

    “In APP mouse models, Trem2 plays a role in clustering microglia around Aβ plaques (Jay et al., 2015; Wang et al., 2015).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Jay et al., 2015 source

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    • cites Wang et al., 2015 source

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    Premisecitation

    TREM2 signals through DAP12 to promote phagocytosis, suppress proinflammatory response, and support cell survival.

    “TREM2 signals through its binding partner DAP12 (TYROBP) to elicit responses including phagocytosis, suppression of proinflammatory response, and promoting cell survival (Poliani et al., 2015; Takahashi et al., 2005).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Poliani et al., 2015 source

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    • cites Takahashi et al., 2005 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Complete loss of TREM2 or DAP12 causes Nasu-Hakola disease, a recessive disorder with bone cysts and early dementia.

    “Complete loss of TREM2 or DAP12 leads to Nasu-Hakola disease, a recessive disorder characterized by bone cysts and early dementia (Paloneva et al., 2002)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Paloneva et al., 2002 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    TREM2 binds anionic and zwitterionic lipids on damaged neurons and AD-associated proteins APOE and Clusterin.

    “TREM2 has been shown to bind anionic and zwitterionic lipids found on damaged neurons (Wang et al., 2015) and AD-associated proteins APOE and Clusterin (Atagi et al., 2015; Bailey et al., 2015; Yeh et al., 2016).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Wang et al., 2015 source

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    • cites Atagi et al., 2015 source

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    • cites Bailey et al., 2015 source

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  • Classified as probably not a substantial claim.

    Premisecitation

    Rare TREM2 variants increase risk for late-onset Alzheimer's disease.

    “Rare variants in the microglia-enriched gene TREM2 confer high risk for LOAD (Guerreiro et al., 2013a; Jonsson et al., 2013; Sims et al., 2017).”
    • Also stated in: § Abstract · plain
      “Variants of TREM2 are associated with Alzheimer’s disease (AD).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Guerreiro et al., 2013a

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    • cites Jonsson et al., 2013 source

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    • cites Sims et al., 2017 source

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  • May combine two claims.

    Interpretationown data

    Elevated TREM2 gene dosage can mediate microglial reprogramming, reduced neuropathology, and improved cognitive performance in AD mouse models.

    “Together, our study reveals that elevated TREM2 gene dosage can mediate microglia reprogramming, reduced neuropathology, and improved cognitive performance in AD mouse models.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Microglial expression of BAC-TREM2 reprograms microglial responsivity and ameliorates disease-associated behavioral impairment in a second AD mouse model.

    “The results suggest that microglial expression of the BAC-TREM2 transgene reprograms microglial responsivity and ameliorates the disease-associated behavioral impairment in a second AD mouse model.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The APP/PS1 mouse model has a slower onset of amyloid pathology that affects both hippocampus and cortex.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The study used a limited sample size (N=3 per sex/genotype/age group; except N=2 for 5xFAD females at 7m).

    “notwithstanding the limited sample size (N=3 per sex/genotype/age group; except N=2 for 5xFAD females at 7m)”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    A genomic-transgene driven increase in TREM2 expression reprograms microglia responsivity and ameliorates neuropathological and behavioral deficits in AD mouse models.

    “In summary, our study shows that a genomic-transgene driven increase in TREM2 expression reprograms microglia responsivity and ameliorates neuropathological and behavioral deficits in AD mouse models.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Increasing TREM2 gene dosage selectively upregulates a subset of disease-associated microglial genes to promote phagocytosis and suppress over-activation of innate immune response in AD mouse brain.

    “These analyses suggest increasing TREM2 gene dosage selectively upregulates an interesting subset of “disease-associated microglial genes” to promote certain aspects of their function, such as phagocytosis and suppression of over-activation of the innate immune response in the AD mouse brain.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    The findings indicate a reprogrammed microglial response in 5xFAD/BAC-TREM2 mice, such that fewer and less activated microglia per plaque still effectively limit amyloid plaque size and diffusion.

    “We interpret these findings as evidence for reprogrammed microglial response in 5xFAD/BAC-TREM2 mice, so that fewer and less activated microglia per plaque are still able to function effectively in limiting the size and diffusion of the amyloid plaque in 5xFAD cortices.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductcitation

    The BAC transgene design deletes essential exons in three other TREM-like genes, which have important innate immunity functions and may play distinct roles in AD.

    “An important aspect of our BAC transgene design is the deletion of essential exons in three other TREM-like genes on the BAC, which are known to have important innate immunity function (Colonna, 2003; Ford and McVicar, 2009), and may play distinct roles in AD (Carrasquillo et al., 2017).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Colonna, 2003 source

      Not checked in the free run.

    • cites Ford and McVicar, 2009 source

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    • cites Carrasquillo et al., 2017 source

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  • May combine two claims.

    Study design and conductown data

    The BAC transgene is properly expressed in microglia, as shown with the BAC-TREM2-GFP reporter line, and TREM2 is functional in complementing Trem2 deficiency in the in vitro phagocytosis assay.

    “We obtained strong evidence that our BAC transgene is properly expressed in microglia cells using our novel BAC-TREM2-GFP reporter line, and showed the TREM2 is functional in complementing the Trem2 deficiency in the in vitro phagocytosis assay (Figure 6G).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    TD1 genes are key microglial genes involved in microglia activation in diseased brain and are significantly reversed with increased TREM2 gene dosage.

    “These annotations suggest TD1 genes are key microglial genes normally involved in microglia activation in diseased brain, and are significantly reversed with increased TREM2 gene dosage.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Seven TD2 genes are down-regulated in 5xFAD in the absence of Trem2 but upregulated in 5xFAD with increased TREM2 gene dosage, and may be transcriptional targets of Trem2 dosage-dependent signaling.

    “Of these genes, the seven TD2 genes are potentially interesting, as they were down-regulated in 5xFAD mice in the absence of Trem2 but upregulated in 5xFAD mice with increased TREM2 gene dosage. They may constitute transcriptional targets of Trem2 gene dosage-dependent signaling in the context of disease-associated microglia.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Trem2 function in regulating microglial phagocytosis is preserved and elevated in the BAC-TREM2 transgene.

    “Furthermore, the rescue assay showed that Trem2 function in regulating microglia phagocytosis is preserved and elevated in the BAC-TREM2 transgene.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    TD2 genes are known to regulate phagocytosis, microglial activation, survival, M2 activation, and lysosomal proton pump.

    “TD2 genes were well characterized for regulation of phagocytosis and microglial activation (e.g. Lgasl3; Rotshenker, 2009), microglial survival (e.g. Spp1; Rabenstein et al., 2016), alternative M2 activation of microglia (Zhou et al., 2015), and lysosomal proton pump (Atp6v0d2).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Rotshenker, 2009 source

      Not checked in the free run.

    • cites Rabenstein et al., 2016 source

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    • cites Zhou et al., 2015 source

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  • May combine two claims.

    Interpretationown data

    The BAC-TREM2 transgene improves both neuritic pathology and cognitive performance in an AD mouse model.

    “Thus, we conclude that the BAC-TREM2 transgene is improving both the neuritic pathology and cognitive performance in an AD mouse model.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    BAC transgenes drive more accurate, endogenous-like transgene expression and are suitable for studying effects of gene dosage increase in intact animals.

    “BAC transgenes are known to drive more accurate, endogenous-like transgene expression (Gong et al., 2002b; Yang et al., 1997), and are suitable for studying the effects of gene dosage increase in intact animals (Yang et al., 1999).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Gong et al., 2002b

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    • cites Yang et al., 1997 source

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    • cites Yang et al., 1999 source

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  • May combine two claims.

    Interpretationown data

    The higher CD68 protein in plaque-associated microglia of 5xFAD/TREM2 mice may result from post-transcriptional regulation, because CD68 transcript levels are comparable between 5xFAD and 5xFAD/TREM2 at this age.

    “This result suggests that a post-transcriptional mechanism may be involved in the upregulation of CD68 in 5xFAD/TREM2 microglia surrounding the plaque, as transcript amounts are comparable between 5xFAD and 5xFAD/TREM2 at this age (Table S1).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    For outlier removal and network analysis, mRNA profiles with observed counts of at least 5 in at least one-quarter of samples were retained, and raw counts were variance-stabilized.

    “For outlier removal and for network analysis using WGCNA, we retained mRNA profiles whose observed counts are 5 or more in at least one-quarter of the samples and transformed the raw counts using variance stabilization.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    DESeq2 models observed counts using negative binomial generalized linear models with dispersion estimated from the data.

    “DESeq2 models observed counts using Negative Binomial General Linear Models with dispersion estimated from data.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Love et al., 2014 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Lgals3 is a critical regulator of microglia activation and facilitates phagocytosis.

    “Lgals3 is a critical regulator of microglia activation (Rotshenker, 2009), and it facilitates phagocytosis (Sano et al., 2003).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Rotshenker, 2009 source

      Not checked in the free run.

    • cites Sano et al., 2003 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Sex was used as a covariate in differential expression testing between genotypes.

    “For differential expression testing between genotypes, sex was used as a covariate.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing).

    Interpretationown data

    A subset of TD2 genes could be transcriptional targets positively regulated by TREM2 levels or signaling.

    “A subset of TD2 genes show transcriptional changes that are bidirectional in Trem2 knockout and our BAC-TREM2 mice crossed to 5xFAD (Figure 4F), which could be transcriptional targets that are positively regulated by TREM2 levels (or signaling), a hypothesis that can be tested.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Microglial molecular reprogramming led to reduced plaque load, enhanced plaque compaction, reduced dystrophic neurites, and improved behavioral outcomes.

    “Such microglia molecular reprogramming led to reduced plaque load and enhanced plaque compaction, reduced dystrophic neurites, and improved behavioral outcomes.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation

    All genotypes were generated and analyzed in the F1 hybrid background (C56BL6J;FvB/NJ F1), which is suitable for phenotypic study of genetically engineered mutant mice.

    “Thus, all genotypes of mice used in the current study were generated and analyzed in the F1 hybrid background (C56BL6J;FvB/NJ F1), which is suitable for phenotypic study of genetically engineered mutant mice (Silva et al., 1997).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Silva et al., 1997 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Image acquisition and quantification were performed in a blinded manner.

    “The image acquisition and quantification described above were performed in a blinded manner.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Eigengenes were tested for differential expression between genotypes using standard linear models with sex as a covariate.

    “Eigengenes were tested for DE between genotypes using standard linear models with sex as a covariate.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Spp1 regulates cytokine expression and promotes microglia survival, similar to Trem2.

    “Spp1 regulates cytokine expression and promotes microglia survival (Rabenstein et al., 2016), a function similar to that of Trem2 (Yeh et al., 2017).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Rabenstein et al., 2016 source

      Not checked in the free run.

    • cites Yeh et al., 2017 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Morphological and behavioral studies were subjected to power analysis to determine the number of biological replicates needed to reach greater than 80% confidence.

    “Morphological and behavioral studies were subjected to Power analysis to determine the biological replicates (n) needed to reach >80% confidence level.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The module eigengene explains most of the variance of the genes in its module.

    “Since genes in each module are co-expressed, it is advantageous to represent each module by a single representative expression profile (i.e. the module eigengene, which explains most of the variance of the module genes) (Horvath and Dong, 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Horvath and Dong, 2008

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Matched numbers of mice in both genders were used in the study.

    “Matched number of mice in both genders were used in the study.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    All BAC modification products were confirmed using established methods such as PCR and restriction mapping.

    “All the BAC modification products were confirmed using established methods (e.g. PCR, restriction mapping, etc; Gong and Yang, 2005).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gong and Yang, 2005

      Not checked in the free run.

  • May combine two claims.

    Interpretationnone given

    The mouse models used are only partial models of AD but are useful for showing in vivo neuronal and microglial responses to amyloid pathology.

    “We are cognizant of the fact that the mouse models used in the study are only partial models of AD, but they are useful to show the in vivo neuronal and microglial responses to the amyloid pathology.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    The TREM2 gene in the BAC was confirmed by Sanger sequencing of PCR products covering the entire gene.

    “The fidelity of the TREM2 gene was confirmed with Sanger sequencing of PCR products covering the entirety of the gene.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    An increase in secreted extracellular fragment of TREM2 appears to be a CSF biomarker of disease progression in AD.

    “Moreover, an increase in secreted extracellular fragment of TREM2 appears to be a CSF biomarker of disease progression in AD (Suárez-Calvet et al., 2016).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Suárez-Calvet et al., 2016 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    A consensus analysis identifies modules that group together genes correlated in both data sets, with respect to both time point and genotype.

    “The rationale is that a consensus analysis identifies modules that group together genes correlated in both data sets, i.e., both with respect to time point as well as genotype.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Langfelder and Horvath, 2007 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationreasoning

    Both TD1 and TD2 genes could play a role in TREM2 gene dosage effects in AD mice, but TD2 genes are favored as prime candidates to investigate first.

    “Although we cannot currently rule out that both down-regulated microglial genes (TD1) and upregulated microglial genes (TD2) could both play a role in the TREM2 gene dosage effect in the AD mice, we favor the latter group of genes as prime candidates to investigate first.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    Recordings in which LTP was not induced were excluded from the overall LTP averages.

    “Presence or absence of an LTP at 40 minutes was determined as previously described (Fernado et al., 2016) and recordings in which LTP was not induced were not included in the overall LTP averages.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Fernado et al., 2016

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    Outlier samples were removed using a Euclidean distance-based sample connectivity Z.k threshold of −6, as described by Oldham et al., 2012.

    “Outlier samples were removed as described (Oldham et al., 2012), using the Euclidean distance-based sample connectivity Z.k threshold of −6.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Oldham et al., 2012 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Periostin (Postn) is required for alternative, less inflammatory activation of microglia in brain tumors.

    “Periostin (Postn) is shown to be required for alternative (less inflammatory) activation of microglia in brain tumors (Zhou et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Zhou et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    All animal studies were carried out in accordance with National Institutes of Health guidelines and approved by the UCLA Institutional Animal Care and Use Committees.

    “All animal studies were carried out in strict accordance with National Institutes of Health guidelines and approved by the UCLA Institutional Animal Care and Use Committees.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Lgals3 is an "eat-me" signal linking phagocytic receptor Mertk to its cargo.

    “Interestingly, Lgals3 is shown to be an “eat-me” signal linking phagocytic receptor Mertk to its cargo (Caberoy et al., 2012).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Caberoy et al., 2012 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given

    A positive linear correlation between gene-wise DE Z statistics of two genotype contrasts indicates broadly similar effects, while a negative correlation indicates broadly opposing effects.

    “A positive linear trend (correlation) indicates that the effects of the two genotype contrasts are broadly similar, whereas a negative correlation indicates broadly opposing effects.”
    Quote in the paperNot a substantial claim
80 of 80
  • The paper relies on this without support.

    Bulk cortical transcriptomic changes reflect changes in microglial gene expression.

    “we performed transcriptional profiling of the cortical samples from WT, BAC-TREM2, 5xFAD and 5xFAD/TREM2 mice at 2, 4, and 7 months of age.”
    “These annotations suggest TD1 genes are key microglial genes normally involved in microglia activation in diseased brain”
  • The paper relies on this without support.

    Human TREM2 protein has evolutionarily conserved function with murine Trem2.

    “human TREM2 and murine Trem2 are highly homologous (77% protein homology) and hence should have evolutionarily conserved function.”
  • The paper relies on this without support.

    The APP/PS1 mouse model has a slower onset of amyloid pathology that affects both hippocampus and cortex.

    “This model has slower onset of amyloid pathology that affects hippocampus as well as the cortex.”
  • The paper relies on this without support.

    The experimental design contains two variables of interest, age and genotype, that have strong effects on expression.

    “Since the experimental design contains two variables of interest (age and genotype) with strong effects on expression, we carried out a consensus network analysis (Langfelder and Horvath, 2007) of two data sets: data from WT, 5xFAD and 5xFAD/TREM2 genotypes at 2, 4, and 7 months, and data from the same genotypes at 4 and 7 months adjusted for age.”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Aβ aggregates in 5xFAD SykΔMG mice are less compact (decreased Thioflavin S staining) than Aβ deposits in 5xFAD littermate controls.

    “we observed that Aβ aggregates in 5xFAD SykΔMG mice were more filamentous (increased 6E10 antibody labeling that detects filamentous Aβ; Lee et al., 2018) and less compact (decreased staining of Thioflavin S [ThioS] that detects inert plaques; Lee et al., 2018) than the Aβ deposits found in 5xFAD littermate controls (Figures 1E and 1F).”
  • Aβ aggregates in 5xFAD SykΔMG mice are more filamentous (increased 6E10 antibody labeling) than Aβ deposits in 5xFAD littermate controls.

    “we observed that Aβ aggregates in 5xFAD SykΔMG mice were more filamentous (increased 6E10 antibody labeling that detects filamentous Aβ; Lee et al., 2018) and less compact (decreased staining of Thioflavin S [ThioS] that detects inert plaques; Lee et al., 2018) than the Aβ deposits found in 5xFAD littermate controls (Figures 1E and 1F).”
  • Overexpression of TREM2 reduced amyloid pathology in transgenic mouse models of amyloidosis.

    “Functional studies demonstrated that deletion of Trem2 altered amyloid pathology in opposite directions depending on the stage of the disease (20–23), but overexpression of TREM2 reduced the pathology in transgenic mouse models of amyloidosis (24).”
  • Human TREM2 upregulation ameliorates neuropathology and memory deficits in 5XFAD and APPswe/PS1dE9 AD mouse models, via microglial molecular reprogramming.

    “human TREM2 upregulation has been shown to ameliorate neuropathology and memory deficits in 5XFAD and APPswe/PS1dE9 AD mouse models, via microglial molecular reprogramming [108]”
  • Trem2 has been shown to regulate at least part of this immune module.

    “In line with this idea, Trem2 has been shown to regulate at least part of this immune module (Wang et al., 2015; Keren-Shaul et al., 2017; Lee et al., 2018).”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • APP antibody terminus differs between the assay description and reagent list

    Minor

    The neurite-dystrophy assay says it used an antibody against the N-terminus of APP, but the only APP antibody in the resource table is directed against its C-terminus. The text does not identify a separate N-terminal APP antibody.

1 of 1

Cites

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Authors
Lee, C. Y. D., Daggett, A., Gu, X., Jiang, L.-L., Langfelder, P., Li, X., Wang, N., Zhao, Y., Park, C. S., Cooper, Y., Ferando, I., Mody, I., Coppola, G., Xu, H., & Yang, X. W.
Affiliations
  • University of California, Los Angeles (US)
  • Sanford Burnham Prebys Medical Discovery Institute (US)
Corresponding author
Yang, X. William
Venue
Neuron
Publisher
Elsevier BV
Published
2018-03
Volume
97
Issue
5
Pages
1032-1048.e5
ISSN
0896-6273 (ISSN-L)
OpenAlex
W2790983771
Cited by
396
References
92
Citations by year
2026: 36 · 2025: 40 · 2024: 69 · 2023: 45 · 2022: 50 · 2021: 57 · 2020: 43 · 2019: 30 · 2018: 25 · 2013: 1
FWCI
17.43
Type
journal article
Language
en
Open access
Locations
  • Neuron (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • NIA/NIH (AG056114)
  • NIH (NS074312, NS084298, MH106008, AG048519, AG021173, AG038710, AG044420, NS046673, AG056130)
  • David Weill fund from the Semel Institute at UCLA
  • UCLA Neurology Department
  • CHDI Foundation, Inc.
  • Leslie Gehry Brenner Award from Hereditary Disease Foundation (20174483)
  • Tanz Family Fund
  • Cure Alzheimer's Fund
  • NIH predoctoral training grant (T32 MH073526)
  • UCLA Neuroscience Genomics Core
  • NINDS Informatics Center grant (P30 NS062691)
  • UCLA Behavioral Testing Core
Topics
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
Keywords
TREM2, Alzheimer's disease, microglia, gene dosage, BAC transgenic mice, 5xFAD mice, amyloid plaques, microglial reprogramming, phagocytosis, neuritic dystrophy, memory impairment, microglial transcriptome, plaque-associated microglia
MeSH terms
Cellular Reprogramming Techniques, Alzheimer Disease, Animals, Animals, Newborn, Cells, Cultured, Disease Models, Animal, Female, Humans, Male, Membrane Glycoproteins, Memory, Mice, Inbred C57BL, Mice, Transgenic, Organ Culture Techniques, Phenotype, Receptors, Immunologic, Microglia, Gene Dosage, Mice

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-07.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-07.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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