Cited by 214Neuroinflammation and Neurodegeneration MechanismsPhagocytosis and Immune RegulationAlzheimer's disease research and treatments

The DOI matches its Crossref record; 120 of the 124 references it cites were found in a registry or an index; none of the 159 sources its claims cite is checked for support yet.

Trem2 promotes anti-inflammatory responses in microglia and is suppressed under pro-inflammatory conditions

Open access

Published version of a preprint

Abstract

Genome-wide association studies have reported that, amongst other microglial genes, variants in TREM2 can profoundly increase the incidence of developing Alzheimer’s disease (AD). We have investigated the role of TREM2 in primary microglial cultures from wild type mice by using siRNA to decrease Trem2 expression, and in parallel from knock-in mice heterozygous or homozygous for the Trem2 R47H AD risk variant. The prevailing phenotype of Trem2 R47H knock-in mice was decreased expression levels of Trem2 in microglia, which resulted in decreased density of microglia in the hippocampus. Overall, primary microglia with reduced Trem2 expression, either by siRNA or from the R47H knock-in mice, displayed a similar phenotype. Comparison of the effects of decreased Trem2 expression under conditions of lipopolysaccharide (LPS) pro-inflammatory or IL-4 anti-inflammatory stimulation revealed the importance of Trem2 in driving a number of the genes up-regulated in the anti-inflammatory phenotype. RNA-seq analysis showed that IL-4 induced the expression of a program of genes including Arg1 and Ap1b1 in microglia, which showed an attenuated response to IL-4 when Trem2 expression was decreased. Genes showing a similar expression profile to Arg1 were enriched for STAT6 transcription factor recognition elements in their promoter, and Trem2 knockdown decreased levels of STAT6. LPS-induced pro-inflammatory stimulation suppressed Trem2 expression, thus preventing TREM2’s anti-inflammatory drive. Given that anti-inflammatory signaling is associated with tissue repair, understanding the signaling mechanisms downstream of Trem2 in coordinating the pro- and anti-inflammatory balance of microglia, particularly mediating effects of the IL-4-regulated anti-inflammatory pathway, has important implications for fighting neurodegenerative disease.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Trem2 loss, via siRNA knockdown or the Trem2 R47H knock-in mouse, reduces microglial density/CD68 and impairs IL-4-driven anti-inflammatory gene expression, partly by lowering STAT6. Pro-inflammatory LPS strongly suppresses Trem2 expression, which may limit TREM2’s anti-inflammatory support.

Key findings

  • In 4-month-old homozygous Trem2 R47H KI mice, hippocampal CA1 microglial density was decreased (two-way ANOVA main effect of genotype P < 0.01), CD68-positive microglia were decreased (P < 0.0001), and the proportion of CD68-positive microglia was lower (P < 0.001).
  • Acute Trem2 siRNA (sequence 2, ~80% knockdown; sequence 3, 50–60%) reduced phagocytosis of E. coli by 48.1 ± 9.1%, and Trem2 R47H KI microglia showed more apoptosis (14.6% Annexin V-positive/PI-negative) than WT (7.3%).
  • LPS suppressed Trem2 expression by more than 85% by 24 h; Trem2 knockdown had little additional effect on LPS-induced Tnf or Il1b.
  • IL-4 induced anti-inflammatory genes including Arg1; this response was attenuated with reduced Trem2 (Arg1 one-way ANOVA P = 0.002; WT vs homozygous P = 0.01). Trem2 knockdown decreased total STAT6 protein (two-way ANOVA main effect P < 0.0001) and AKT phosphorylation at Thr308 (P < 0.01) and Ser473 (P < 0.05). RNA-seq found 311 genes decreased and 408 increased in Trem2 R47H KI microglia (DESeq2 FDR < 0.05), and 184 increased/83 decreased with IL-4 (FDR < 0.05).

Methods

  • Primary microglial cultures from WT and Trem2 R47H KI mice were used with siRNA-mediated Trem2 knockdown, LPS (1 μg/ml) or IL-4 (20 ng/ml) treatment, plus hippocampal histology from 4-month-old mice.
  • Main assays included RT-qPCR, RNA-seq, ELISA, western blot, phagocytosis, Annexin V/PI flow cytometry, and immunohistochemistry.
  • RNA-seq analysis used DESeq2 (FDR < 0.05), WGCNA co-expression networks, and i-cisTarget promoter motif enrichment; statistics used ANOVA with Sidak’s post hoc tests, t-tests, and Fisher’s exact test where appropriate.

Limitations

  • The paper states that the Trem2 R47H KI mouse’s reduced Trem2 expression is due to a mouse-specific splicing effect not seen in humans, so the study can conclude little about the R47H mutation itself and mainly models Trem2 loss of function.
  • The paper states that in vitro LPS/IL-4 polarization may not reflect in vivo microglial activation, which involves mixed cues and single-cell heterogeneity; young Trem2 R47H mice also showed no differences in the studied genes in hippocampal homogenates.
  • Evident from the text: findings rely heavily on primary mouse microglial cultures, hippocampal tissue gene expression is diluted by non-microglial cells, and some cell death occurred in culture.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1093/hmg/ddaa209

Cites

120 of 120 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 159 cited sources checked · 0 supported · 0 flagged

Show all 100 claims

  • It may state two separate claims as one. 62
  • Probably not a substantial claim. 29
82 of 82
  • The paper relies on this without support.

    The Trem2 R47H knock-in mouse phenotype is effectively a model of down-regulation of TREM2 activity, with changes in microglial number and activation due to a combination of partial Trem2 knockdown and any effect of the R47H mutation.

    “The changes in microglial number and activation in this mouse will thus be a combination of the partial knockdown of Trem2 and any effect of the R47H mutation. Hence this is effectively an in vivo model of down regulation of TREM2 activity, through the combination of these two factors.”
  • The paper relies on this without support.

    Anti-inflammatory signaling is associated with tissue repair.

    “Given that anti-inflammatory signaling is associated with tissue repair, understanding the signaling mechanisms downstream of Trem2 in coordinating the pro- and anti-inflammatory balance of microglia, particularly mediating effects of the IL-4-regulated anti-inflammatory pathway, has important implications for fighting neurodegenerative disease.”
  • The paper relies on this without support.

    The Trem2 decrease in R47H KI mice does not occur in human tissue with this mutation but is a mouse-specific effect related to altered splicing.

    “This does not occur in human tissue with this mutation but appears to be a mouse specific effect related to altered splicing.”
  • The paper relies on this without support.

    ARG1 is an important anti-inflammatory marker induced upon IL-4 stimulation.

    “ARG1 is an important anti-inflammatory marker induced upon IL-4 stimulation.”
  • The paper relies on this without support.

    DUSP4 is a phosphatase for a number of MAPK family members, also known as MKP-2.

    “DUSP4 is a phosphatase for a number of mitogen-activated protein kinase (MAPK) family members, also known as MAPK phosphatase 2 (MKP-2).”
  • The paper relies on this without support.

    Hub genes drive the response of the entire network.

    “Hub genes are those with the highest connectivity within a co-expression network, and are postulated to drive the response of the entire network.”
  • The paper relies on this without support.

    TREM2 variants have high odds ratios for AD risk and R47H is the most common.

    “Of the many genes that have been revealed in GWAS to increase the risk of AD, variants of TREM2 have high odds ratios. The most common of these is the R47H mutation.”
  • The paper relies on this without support.

    The down-regulation of Trem2 in Trem2 R47H KI mice is present throughout life.

    “the down-regulation of Trem2 in these mice is present throughout life”
  • The paper relies on this without support.

    The IGF1 receptor is found largely on neurons.

    “the IGF1 receptor is found largely on neurons”
  • The paper relies on this without support.

    Anti-inflammatory signaling was not studied.

    “However anti-inflammatory signaling was not studied.”
  • The paper relies on this without support.

    The down-regulation of Trem2 expression in Trem2 R47H KI mice is not reflected in humans with the R47H mutation.

    “the down-regulation of Trem2 expression in the Trem2 R47H KI mice which is not reflected in humans with this mutation”
11 of 11

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Citations

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4 of the 124 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Benitez, 2013, TREM2 and neurodegenerative disease, N. Engl. J. Med., 369, 1567

Cited by

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Metadata

Authors
Liu, W., Taso, O., Wang, R., Bayram, S., Graham, A. C., Garcia-Reitboeck, P., Mallach, A., Andrews, W. D., Piers, T. M., Botia, J. A., Pocock, J. M., Cummings, D. M., Hardy, J., Edwards, F. A., & Salih, D. A.
Affiliations
  • University College London (GB)
  • UK Dementia Research Institute (GB)
  • Hitachi Rail Europe Ltd, London EC1N 2PB, UK
  • UCL Queen Square Institute of Neurology (GB)
  • Department of Information and Communications Engineering, Universidad de Murcia, Murcia E-30100, Spain
Corresponding author
Salih, Dervis A
Venue
Human Molecular Genetics
Published
2020-09-22
Volume
29
Issue
19
Pages
3224-3248
ISSN
  • 0964-6906 (ISSN-L)
  • 1460-2083
OpenAlex
W3087562324
Cited by
214
References
124
Citations by year
2026: 35 · 2025: 61 · 2024: 31 · 2023: 33 · 2022: 32 · 2021: 19 · 2020: 2
FWCI
8.41
Type
journal article
Language
en
Open access
Locations
  • Human Molecular Genetics (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • Alzheimer's Research Foundation (ARUK-SRF2013-7, ARUK-PG2019B-018)
  • Biotechnology and Biological Sciences Research Council (BB/M009513/1)
Topics
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Life Sciences › Immunology and Microbiology › Immunology › Phagocytosis and Immune Regulation
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
Keywords
TREM2, microglia, anti-inflammatory response, pro-inflammatory response, IL-4 signaling, lipopolysaccharide, STAT6, Arg1, microglial density, hippocampus, neuroinflammation, neurodegeneration
MeSH terms
RNA-Seq, Animals, Animals, Newborn, Gene Expression Regulation, Inflammation, Membrane Glycoproteins, Mice, Inbred C57BL, Mutation, Receptors, Immunologic, Microglia, Mice, Knockout, Inflammation Mediators, STAT6 Transcription Factor, Mice, Transcriptome

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