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The MS4A gene cluster is a key modulator of soluble TREM2 and Alzheimer’s disease risk
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Abstract
Common variants in the microglia-specific MS4A gene cluster modify risk for late-onset Alzheimer’s disease and modulate extracellular soluble TREM2.
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“TREM2 function is regulated via interactions and crosstalk with other receptors, including the AD risk hits CD33, and the Ms4A gene-cluster products [23, 59].”
From TREM2/PLCγ2 signalling in immune cells: function, structural insight, and potential therapeutic modulation (2021) · cites this paper as [59]
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In the citing paper
“As Ms4a genes can regulate the level of soluble TREM2 and modify AD risk39, we used immunoblot analysis to rule out the possibility that myelin dysfunction affects TREM2 protein levels or cleavage through increased Ms4a expression (Extended Data Fig. 9a).”
From Myelin dysfunction drives amyloid-β deposition in models of Alzheimer’s disease (2023) · cites this paper as [39]
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“Targeting CSF proteins has proven successful at elucidating causal genes at some disease GWAS loci, including an association for the TREM2 protein at the MS4A locus potentially an Alzheimer’s Disease (AD) risk locus7,20 and an association for GRN protein levels near LRRK2 potentially relevant for Parkinson’s Disease (PD)21.”
From Proteogenomic analysis of human cerebrospinal fluid identifies neurologically relevant regulation and implicates causal proteins for Alzheimer’s disease (2024) · cites this paper as [7]
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“supporting a strong immunological role in AD93–95 including TREM27,96, CD33, and IL34.”
From Proteogenomic analysis of human cerebrospinal fluid identifies neurologically relevant regulation and implicates causal proteins for Alzheimer’s disease (2024) · cites this paper as [7]
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In the citing paper
“MS4A6A, a gene related to AD risk22,68,69, was one of the genes that showed a region-specific effect of age68,70.”
From Genetic analysis of the human microglial transcriptome across brain regions, aging and disease pathologies (2022) · cites this paper as [69]
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“Common variants in the MS4A gene cluster were shown to significantly regulate sTREM2 levels in CSF [134], demonstrating regulation of this endophenotype is orchestrated by genetic variants that also modify risk for disease.”
From Genetic architecture of Alzheimer's disease (2020) · cites this paper as [134]
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“Additionally, the Ms4a transmembrane family genes, such as Ms4a4a and Ms4a4b, genetic variants of which have been linked to AD risk (50, 51) and have been shown to modulate soluble TREM2 in cerebrospinal fluid (52), were also substantially increased in Plcg2 microglia (Fig.”
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Identification of common core ion channel genes in epilepsy and Alzheimer’s disease
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Jiao, H., Ge, Y., Huang, L.-Y., Liu, Y., Wu, B., Lian, P., Hao, Y., Han, S., Li, Y., Wu, K., et al. (2025) · Molecular Neurodegeneration · doi:10.1186/s13024-025-00887-0 · Cited by 11
“This is consistent with prior reports of coordinated MS4A-TREM2 upregulation in protective microglial states [12], supporting the potential protective effect of MS4A6A upregulation.”
InfluentialHuang, Z. (2023) · Journal of Alzheimer s Disease · doi:10.3233/jad-221042 · Cited by 12
From odor to oncology: non-canonical odorant receptors in cancer
Park, S. J., Greer, P. L., & Lee, N. (2023) · Oncogene · doi:10.1038/s41388-023-02908-y · Cited by 12
“MS4A4A and MS4A6A are present in microglia within the brain, whereas MS4A7 is considered an ontogeny marker due to its high expression in microglia-like macrophages resembling microglia in disease states, such as neurodegenerative diseases, in the brain [72 – 74].”
Park, Y., He, L., Dávila-Velderrain, J., Hou, L., Mohammadi, S., Mathys, H., Peng, Z., Bennett, D. A., Tsai, L., & Kellis, M. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.01.21.426000 · Cited by 11
Basic Microglial Functions and How They Go Awry in Neurodegenerative Disease
McKinney, J. E., Bennett, M. L., & Bennett, F. C. (2026) · Annual Review of Pathology Mechanisms of Disease · doi:10.1146/annurev-pathmechdis-042624-114332 · Cited by 13
Wickstead, E. S., Irving, M. A., Getting, S. J., & McArthur, S. (2021) · FEBS Journal · doi:10.1111/febs.15861 · Cited by 10
RNASE6 is a novel modifier of APOE-ε4 effects on cognition
Seto, M., Weiner, R. L., Dumitrescu, L. C., Mahoney, E. R., Hansen, S., Janve, V. A., Khan, O. A., Liu, D., Wang, Y., Menon, V., et al. (2022) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2022.06.011 · Cited by 11
Liver-Specific Polygenic Risk Score Is Associated with Alzheimer’s Disease Diagnosis
Panyard, D. J., Deming, Y. K., Darst, B. F., Hulle, C. A. V., Zetterberg, H., Blennow, K., Kollmorgen, G., Suridjan, I., Carlsson, C. M., Johnson, S. C., et al. (2023) · Journal of Alzheimer s Disease · doi:10.3233/jad-220599 · Cited by 10
Self-citationA landscape of the genetic and cellular heterogeneity in Alzheimer diseasePreprint
Brase, L., You, S., Albanus, R. D., Del‐Aguila, J. L., Dai, Y., Novotny, B. C., Soriano‐Tárraga, C., Dykstra, T., Fernández, M. V., Budde, J., et al. (2021) · medRxiv · doi:10.1101/2021.11.30.21267072 · Cited by 11
Self-citationAvalos, B., Kulbe, J. R., Ford, M. K., Laird, A. E., Walter, K., Mante, M., Florio, J. B., Boustani, A., Chaillon, A., Schlachetzki, J. C. M., et al. (2024) · Viruses · doi:10.3390/v16101509 · Cited by 11
“It is plausible that genetic mutations and exposure to viral infection may initiate inflammatory cascades upstream of AD pathogenesis, much like the potential mechanisms controlling TREM2 dysfunction [82,83].”
Background15 years of longitudinal genetic, clinical, cognitive, imaging, and biochemical measures in DIAN
Daniels, A. J., McDade, E., Llibre‐Guerra, J. J., Xiong, C., Perrin, R. J., Ibáñez, L., Supnet‐Bell, C., Cruchaga, C., Goate, A., Renton, A. E., et al. (2026) · npj Dementia · doi:10.1038/s44400-025-00047-7 · Cited by 11
Self-citationTREM2splicing emerges as crucial aspect to understand TREM2 biology
Moutinho, M., & Landreth, G. E. (2021) · Journal of Leukocyte Biology · doi:10.1002/jlb.2ce0521-264r · Cited by 10
Cardona, C. L., Wei, L., Kim, J., Angeles, E., Singh, G., Chen, S., Patel, R., Ifediora, N., Canoll, P., Teich, A. F., et al. (2025) · Journal of Neuroinflammation · doi:10.1186/s12974-025-03562-9 · Cited by 8
Yuan, Y., Hu, R., Chen, S., Zhang, X. H., Liu, Z., & Zhou, G. (2024) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2024.108612 · Cited by 8
Genome-Wide Landscape of North-Eastern European Populations: A View from Lithuania
Urnikytė, A., Molytė, A., & Kučinskas, V. (2021) · Genes · doi:10.3390/genes12111730 · Cited by 8
“Such signals point to the MS4A4A gene and non-synonymous variant rs659156, which are associated with reduced CSF sTREM2 (soluble triggering receptor expressed on myeloid cells 2) [33], increased Alzheimer’s disease (AD) risk [34], and accelerated age-at-onset AD [35].”
BackgroundHu, S., Pan, N., Liu, C., Wang, Y., & Zhang, T. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.775432 · Cited by 8
Hillary, R. F., Gadd, D. A., McCartney, D. L., Shi, L., Campbell, A., Walker, R. M., Ritchie, C. W., Deary, I. J., Evans, K. L., Nevado‐Holgado, A. J., et al. (2022) · Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring · doi:10.1002/dad2.12280 · Cited by 10
“In a strategy that used human macrophages as proxies for microglia, this polymorphism was shown to alter MS4A4A expression and subsequently modulate TREM2 concentration (67).”
MethodNetwork Dynamics‐based Subtyping of Alzheimer's Disease With Microglial Genetic Risk Factors
Choi, J. H., Lee, J., Kang, U., Chang, H., & Cho, K.-H. (2024) · Alzheimer's Research & Therapy · doi:10.1186/s13195-024-01583-9 · Cited by 7
Glial Cells in Alzheimer’s Disease: Pathogenic Mechanisms and Therapeutic Frontiers
Sil, M., Mukherjee, N., Chatterjee, I., Ghosh, A., & Goswami, A. (2025) · Journal of Molecular Neuroscience · doi:10.1007/s12031-025-02379-8 · Cited by 9
Bradley, J. L., Pottier, C. P., da Fonseca, E. L., Kurup, J. T., Western, D., Wang, C., Neupane, A., Ray, N. R., Jean‐Francois, M. N., Ali, M., et al. (2025) · Alzheimer s & Dementia · doi:10.1002/alz.70377 · Cited by 9
Self-citationCoupling of Alzheimer’s Disease Genetic Risk Factors with Viral Susceptibility and Inflammation
Cao, C., Fu, G., Xu, R., & Li, N. (2023) · Aging and Disease · doi:10.14336/ad.2023.1017 · Cited by 8
Research momentum brings hope for dementia in 2019
Schneider, J. A. (2019) · The Lancet Neurology · doi:10.1016/s1474-4422(19)30453-3 · Cited by 7
Li, F., Eteleeb, A. M., Buchser, W., Wang, G., Xiong, C., Payne, P., McDade, E., Karch, C. M. M., Harari, O., & Cruchaga, C. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.08.30.458295 · Cited by 7
Self-citationTesi, N., van der Lee, S. J., Hulsman, M., van Schoor, N. M., Huisman, M. A., Pijnenburg, Y. A. L., van der Flier, W. M., Reinders, M. J. T., & Holstege, H. H. (2023) · medRxiv · doi:10.1101/2023.05.16.23290049 · Cited by 8
“[42] Specifically, ABCA7 gene is involved in beta-amyloid processing and clearance, while SORL1 gene”
BackgroundMs4a4a deficiency ameliorates plaque pathology in a mouse model of amyloid accumulation
Danhash, E., Verbeck, A. C., Western, D., Díaz‐Pacheco, A. S., Galasso, G., You, S., Huang, G., Starr, E., Miller, N., Nadarajah, C. J., et al. (2025) · Alzheimer s & Dementia · doi:10.1002/alz.70580 · Cited by 6
Self-citationBoutet, M., Mattiola, I., Silva-Gomes, R., Nerviani, A., Sironi, M., Ghirardi, G. M., Troilo, A., Gianoli, S., Rivellese, F., Çubuk, C., et al. (2025) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2504529122 · Cited by 7
“In particular, we previously demonstrated that MS4A4A associates with Dectin - 1 (24), and others have reported its association with TREM - 2 (25).”
Acquired immunity and Alzheimer's disease
Feng, W., Zhang, Y., Sun, P. G., & Xiao, M. (2022) · Journal of Biomedical Research · doi:10.7555/jbr.36.20220083 · Cited by 9
Clarkson, T. C., Iguchi, N., Xie, A. X., & Malykhina, A. P. (2022) · PLoS ONE · doi:10.1371/journal.pone.0278918 · Cited by 6
Su, C., Zhang, J., & Zhao, H. (2023) · Journal of the American Statistical Association · doi:10.1080/01621459.2023.2297467 · Cited by 6
“, 2013); MS4A gene cluster is a key modulator of TREM2 in microglia (Deming et al., 2019) and SPI1 is a central regulator of microglia expression and Alzheimer’s disease risk (Kosoy et al.”
BackgroundJi, Y., McLean, J. L., & Xu, R. (2024) · Neuroscience Bulletin · doi:10.1007/s12264-024-01189-z · Cited by 8
“These analyses have also identified several microglia-specific genes, including Triggering Receptor Expressed on Myeloid Cells 2 (TREM2) and Membrane-spanning 4-domains subfamily A (MS4A), whose expression is regulated during disease progression [78, 79].”
Screening for Core Genes Related to Pathogenesis of Alzheimer’s Disease
Yang, L.-X., Qin, Y. H., & Jian, C. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.668738 · Cited by 7
“For instance, MS4A and somatic APP are involved in the above pathways to influence AD pathogenesis (Lee et al., 2018; Deming et al., 2019).”
BackgroundFongang, B., Sargurupremraj, M., Jian, X., Mishra, A., Damotte, V., Bis, J. C., Kang-Hsien, F., Li, G., Yang, J., Hilal, S., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.10.11.509802 · Cited by 6
Warwick, A., Hingorani, A. D., Khawaja, A. P., Gordillo‐Marañón, M., Olvera‐Barrios, A., Stuart, K. V., Egan, C. A., Tufail, A., Sofat, R., Kuan, V., et al. (2024) · medRxiv · doi:10.1101/2024.07.11.24310200 · Cited by 4
Microglial MS4A4A Protects against Epileptic Seizures in Alzheimer's Disease
Jiang, M., Li, Q., Chen, J., Li, R., Yao, J., Hu, Y., Zhang, H., Cai, L., Luo, M., Sun, Y., et al. (2025) · Advanced Science · doi:10.1002/advs.202417733 · Cited by 6
Parithathvi, A., Harshitha, P., Mumbrekar, K. D., & Dsouza, H. S. (2025) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-025-01613-6 · Cited by 6
The late-onset Alzheimer’s disease risk factor RHBDF2 is a modifier of microglial TREM2 proteolysis
Jocher, G., Müller, S. A., Hsia, H., Osua, M. L., Özcelik, G., Hofmann, L. I., Aßfalg, M., Dinkel, L., Feng, X. M., Schlepckow, K., et al. (2025) · Life Science Alliance · doi:10.26508/lsa.202403080 · Cited by 6
Self-citationSek, A. C., Percopo, C. M., Boddapati, A. K., Ma, M., Geslewitz, W. E., Krumholz, J. O., Lack, J., & Rosenberg, H. F. (2021) · Journal of Leukocyte Biology · doi:10.1002/jlb.3a0920-620r · Cited by 5
Mulvey, B., Lagunas, T., & Dougherty, J. D. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.02.02.931337 · Cited by 4
Connecting dementia risk loci to the CSF proteome identifies pathophysiological leads for dementia
Reus, L. M., Jansen, I. E., Tijms, B. M., Visser, P. J., Tesi, N., van der Lee, S. J., Vermunt, L., Peeters, C. F. W., Groot, L. A. D., Hok‐A‐Hin, Y. S., et al. (2024) · Brain · doi:10.1093/brain/awae090 · Cited by 6
“26 The integration of genetic data with the CSF proteome has improved our understanding of the gene regulatory landscape underlying dementia, 27-29 as illustrated by the cis and trans effects of AD risk factors APOE - ɛ 4 29 and MS4A 30 and trans effects of FTD risk factor TMEM106B on neurofilament light.”
BackgroundHan, S., Cho, S.-A., Choi, W., Eilbeck, K. L., Coon, H. H., Nho, K. T., & Lee, Y. (2025) · BMC Genomics · doi:10.1186/s12864-025-11362-x · Cited by 6
“Other studies have highlighted SNP-regu-lated expressions in AD-risk genes including PLIN2 [24], MS4A [30], MAPT [31], and CR1 [32].”
Baumgartner, A. M., Robinson, M., Ertekin‐Taner, N., Golde, T. E., Jayadev, S., Huang, S., Hadlock, J., & Funk, C. C. (2025) · Communications Biology · doi:10.1038/s42003-025-07594-y · Cited by 4
Identification of potential key genes and immune infiltration in Multiple sclerosis
Liu, Y., Zhou, Y., Yue, H., Dou, H., Rang, X., Wang, X., Xu, C., & Fu, J. (2022) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2022.103748 · Cited by 4
Metadata
- Authors
- Deming, Y., Filipello, F., Cignarella, F., Cantoni, C., Hsu, S., Mikesell, R., Li, Z., Del-Aguila, J. L., Dube, U., Farias, F. G., Bradley, J., Budde, J., Ibanez, L., Fernandez, M. V., Blennow, K., Zetterberg, H., Heslegrave, A., Johansson, P. M., Svensson, J., Nellgård, B., Lleo, A., Alcolea, D., Clarimon, J., Rami, L., Molinuevo, J. L., Suárez-Calvet, M., Morenas-Rodríguez, E., Kleinberger, G., Ewers, M., Harari, O., Haass, C., Brett, T. J., Benitez, B. A., Karch, C. M., Piccio, L., & Cruchaga, C.
- Affiliations
- University of Wisconsin–Madison (US)
- Washington University in St. Louis (US)
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
- Lund University (SE)
- Sahlgrenska University Hospital (SE)
- Universitat Autònoma de Barcelona (ES)
- Department of Neurology, IIB Sant Pau, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
- Pasqual Maragall Foundation (ES)
- Munich Cluster for Systems Neurology (DE)
- IDIBAPS, Alzheimer’s Disease and Other Cognitive Disorders Unit, Neurology Service, ICN Hospital Clinic, Barcelona, Spain.
- Barcelonaβeta Brain Research Center, Pasqual Maragall Foundation, Barcelona, Spain.
- Biomedical Center (BMC), Biochemistry, Ludwig-Maximilians-Universität München, Munich, Germany.
- German Center for Neurodegenerative Diseases (DE)
- Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, MO 63110, USA.
- Corresponding author
- Deming, Yuetiva
- Filipello, Fabia
- Cignarella, Francesca
- Harari, Oscar
- Haass, Christian
- Karch, Celeste M.
- ORCID
- Deming, Yuetiva
- Filipello, Fabia
- Cignarella, Francesca
- Cantoni, Claudia
- Hsu, Simon
- Mikesell, Robert
- Li, Zeran
- Del-Aguila, Jorge L
- Dube, Umber
- Farias, Fabiana Geraldo
- Bradley, Joseph
- Budde, John
- Ibanez, Laura
- Fernandez, Maria Victoria
- Blennow, Kaj
- Zetterberg, Henrik
- Heslegrave, Amanda
- Johansson, Per M
- Svensson, Johan
- Nellgård, Bengt
- Alcolea, Daniel
- Clarimon, Jordi
- Rami, Lorena
- Suárez-Calvet, Marc
- Kleinberger, Gernot
- Ewers, Michael
- Harari, Oscar
- Haass, Christian
- Benitez, Bruno A.
- Karch, Celeste M.
- Piccio, Laura
- Cruchaga, Carlos
- Venue
- Science Translational Medicine
- Published
- 2019-08-14
- Volume
- 11
- Issue
- 505
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC6697053
- OpenAlex
- W2968181515
- Cited by
- 271
- References
- 90
- Citations by year
- 2026: 21 · 2025: 37 · 2024: 46 · 2023: 43 · 2022: 48 · 2021: 40 · 2020: 21 · 2019: 15
- FWCI
- 13.58
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Science Translational Medicine (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- DZNE Pub (submittedVersion)
- Funders
- National Institutes of Health (R01AG044546, P01AG003991, RF1AG053303, R01AG058501, R01AG035083)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- soluble TREM2, Alzheimer's disease risk, late-onset Alzheimer's disease, microglia, common genetic variants, genetic risk factors
- MeSH terms
- Alzheimer Disease, Female, Multigene Family, Humans, Macrophages, Male, Membrane Glycoproteins, Membrane Proteins, Receptors, Immunologic, Meta-Analysis as Topic, Genome-Wide Association Study
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