TREM2 expression level is critical for microglial state, metabolic capacity and efficacy of TREM2 agonism
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Abstract
Triggering receptor expressed on myeloid cells 2 (TREM2) is a central regulator of microglial activity and loss-of-function coding variants are major risk factors for late onset Alzheimer’s disease (LOAD). To better understand the molecular and functional changes associated with TREM2 signalling in microglia, we generated a TREM2 reporter mouse. In APP transgenic animals, bulk RNA-sequencing of isolated microglia sorted based on reporter expression highlighted TREM2 level-related changes in major immunometabolic pathways, and enrichment of genes in oxidative phosphorylation and cholesterol metabolism in microglia with increased TREM2 expression. Metabolic and lipidomic profiling of sorted microglia showed that, independent of Aβ pathology, TREM2 expression correlated with signatures consistent with increased cellular redox, energetics, and cholesterol homoeostasis. In accordance, metabolic activity correlated with phagocytic capacity. Finally, we performed chronic treatment with a TREM2 agonist antibody and identified a window of TREM2 expression where microglia are most responsive, thereby informing clinical applications of TREM2 agonists.
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TREM2 is a microglial receptor involved in lipid sensing, survival, phagocytosis, metabolism, and plaque-associated microglial responses.
“The best-developed example is TREM2, a microglial receptor involved in lipid sensing, survival, phagocytosis, metabolism, and plaque-associated microglial responses.”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [52]
The Introduction identifies TREM2 as predominantly expressed in microglia and links it to phagocytosis, metabolism, and clustering around amyloid plaques. The Discussion also links TREM2 to microglial survival under stress and lipid metabolism. Lipid sensing appears in a cited work’s title in the References, but the paper’s substantive passages do not describe that receptor function; that part of the claim is not established by our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measuredEnhancing TREM2 signaling may strengthen the ability of microglia to respond to amyloid plaques and neuronal damage.
“TREM2 has attracted therapeutic interest because enhancing TREM2 signaling may strengthen the ability of microglia to respond to amyloid plaques and neuronal damage.”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [52]
Microglial state, not merely plaque burden, is a plausible therapeutic target.
“Newer work continues to examine how TREM2 expression level and activation state influence microglial metabolism and phagocytic capacity, reinforcing the broader principle that microglial state, not merely plaque burden, is a plausible therapeutic target [52,53].”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [52]
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- Authors
- Feiten, A. F., Dahm, K., Schlepckow, K., van Lengerich, B., Suh, J. H., Reifschneider, A., Wefers, B., Bartos, L. M., Wind-Mark, K., de Weerd, L., Ulas, T., De-Domenico, E., Grundschöttel, P., Paulusch, S., Tast, B., Honda, T., Müller, S. A., Becker, M., Khalin, I., Ricci, A., Liesz, A., Brunner, B., Krenner, C., Buschmann, K., Nuscher, B., Spieth, L., Junker, N., Berghoff, S. A., Davis, S. S., Neher, J. J., Wurst, W., Plesnila, N., Lewcock, J. W., Simons, M., Lichtenthaler, S. F., Di Paolo, G., Brendel, M., Capell, A., Monroe, K. M., Schultze, J. L., & Haass, C.
- Affiliations
- German Center for Neurodegenerative Diseases (DE)
- University of Bonn (DE)
- Denali Therapeutics (United States) (US)
- Ludwig-Maximilians-Universität München (DE)
- Inserm (FR)
- Institut für Schlaganfall- und Demenzforschung (DE)
- Munich Cluster for Systems Neurology (DE)
- Corresponding author
- Monroe, Kathryn M.
- Schultze, Joachim L.
- Haass, Christian
- ORCID
- Feiten, Astrid F.
- Dahm, Kilian
- Schlepckow, Kai
- Suh, Jung H.
- Reifschneider, Anika
- Wefers, Benedikt
- Bartos, Laura M.
- Wind-Mark, Karin
- de Weerd, Lis
- De-Domenico, Elena
- Honda, Tamisa
- Müller, Stephan A.
- Becker, Matthias
- Khalin, Igor
- Ricci, Alessio
- Liesz, Arthur
- Nuscher, Brigitte
- Spieth, Lena
- Junker, Niklas
- Berghoff, Stefan A.
- Davis, Sonnet S.
- Neher, Jonas J.
- Wurst, Wolfgang
- Plesnila, Nikolaus
- Lewcock, Joseph W.
- Simons, Mikael
- Lichtenthaler, Stefan F.
- Di Paolo, Gilbert
- Brendel, Matthias
- Capell, Anja
- Monroe, Kathryn M.
- Schultze, Joachim L.
- Haass, Christian
- Venue
- Nature Communications
- Published
- 2026-01-24
- Volume
- 17
- Issue
- 1
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC12936096
- OpenAlex
- W7125608282
- Cited by
- 39
- References
- 118
- Citations by year
- 2026: 33 · 2025: 6
- FWCI
- 90.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nature Communications (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- Open access LMU (Ludwid Maxmilian's Universitat Munchen) (acceptedVersion)
- DZNE Pub (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Online Publication Service of Würzburg University (Würzburg University) (submittedVersion, cc-by)
- Funders
- Deutsche Forschungsgemeinschaft (HA1737/16-1)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Immunology and Microbiology › Immunology › Phagocytosis and Immune Regulation
- Keywords
- TREM2, microglia, late-onset Alzheimer's disease, APP transgenic mice, microglial metabolism, cholesterol metabolism, oxidative phosphorylation, lipidomics, redox state, phagocytosis
- MeSH terms
- Alzheimer Disease, Animals, Cholesterol, Humans, Male, Membrane Glycoproteins, Mice, Inbred C57BL, Mice, Transgenic, Phagocytosis, Receptors, Immunologic, Signal Transduction, Amyloid beta-Protein Precursor, Microglia, 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.
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.
What counts as a claim ›How we measure confidence ›How we check this ›
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