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TREM2 ectodomain and its soluble form in Alzheimer’s disease
Open accessAbstract
Triggering receptor expressed on myeloid cells 2 (TREM2) is a receptor mainly expressed on the surface of microglia. It mediates multiple pathophysiological processes in various diseases. Recently, TREM2 has been found to play a role in the development of Alzheimer's disease (AD). TREM2 is a transmembrane protein that is specifically expressed on microglia in the brain. It contains a long ectodomain that directly interacts with the extracellular environment to regulate microglial function. The ectodomain of TREM2 is processed by a disintegrin and metalloprotease, resulting in the release of a soluble form of TREM2 (sTREM2). Recent studies have demonstrated that sTREM2 is a bioactive molecule capable of binding ligands, activating microglia, and regulating immune responses during the AD continuum. Clinical studies revealed that sTREM2 level is elevated in cerebrospinal fluid (CSF) of AD patients, and the sTREM2 level is positively correlated with the levels of classical CSF biomarkers, namely t-tau and p-tau, indicating that it is a reliable predictor of the early stages of AD. Herein, we summarize the key results on the generation, structure, and function of sTREM2 to provide new insights into TREM2-related mechanisms underlying AD pathogenesis and to promote the development of TREM2-based therapeutic strategy.
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In the citing paper
“In the healthy aging human brain, amyloid-β plaques have the ability to cause persistent inflammation in microglia, which are the brain’s resident immune cells.”
From Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease (2024) · cites this paper as [202]
Experimental — accuracy not yet measuredIn the citing paper
“TREM2 receptor interaction plays a key role in identifying microglia for the build-up of debris and damage during the regulation of microglial activation.”
From Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease (2024) · cites this paper as [202]
In the citing paper
“TREM2 agonists are being investigated as potential therapeutic agents since they reduce inflammation and encourage amyloid-beta microglial phagocytosis [202,203,204,205].”
From Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease (2024) · cites this paper as [202]
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“Inflammation, or neuroinflammation, is a crucial factor in the mechanisms behind AD.”
From Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease (2024) · cites this paper as [202]
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Huber, C. C., Callegari, E. A., Paez, M., Li, X., Dwamena, A., & Wang, H. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.02.09.579699 · Cited by 3
Nada, H., Yuan, S., Gaamouch, F. E., Cho, S., & Gabr, M. T. (2026) · European Journal of Medicinal Chemistry Reports · doi:10.1016/j.ejmcr.2026.100354 · Cited by 3
Loss of Y is associated with multi-omic changes in immune cells from Alzheimer’s disease patientsPreprint
Jąkalski, M., Rychlicka-Buniowska, E., Davies, H., Sarkisyan, D., Siedlar, M., Baran, J., Węglarczyk, K., Jaszczyński, J., Ryś, J., Gedraitis, V., et al. (2023) · medRxiv · doi:10.1101/2023.02.07.23285520 · Cited by 2
Buthut, M., Reber, P., Siebert, E., Eisenhut, K., Thaler, F., Finck, J., Soekadar, S. R., & Prüß, H. (2023) · Neurological Sciences · doi:10.1007/s10072-023-06726-8 · Cited by 2
Wang, S., Yuan, Y., Guo, X., Qin, M., Chen, J., Jiang, D., Feng, Y., & Mao, L. (2025) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2025.106101 · Cited by 1
Pottorf, T. S., Lane, E. L., & Álvarez, F. J. (2025) · Cells · doi:10.3390/cells14191520 · Cited by 1
CellSP enables module discovery and visualization for subcellular spatial transcriptomics data
Aggarwal, B., & Sinha, S. (2025) · Communications Biology · doi:10.1038/s42003-025-08891-2 · Cited by 1
Pashaei, S., Mirzaei, S. Z., Mohammadi, S., Shabani, S., & Khodarahmi, R. (2026) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2026.150648 · Cited by 1
TREM2 as a possible link between Alzheimer's disease and diabetes mellitus
Chen, W., Huang, N., Huang, W., Wang, M., Luo, Y., & Huang, J. (2026) · Experimental Neurology · doi:10.1016/j.expneurol.2026.115739 · Cited by 3
Wang, H.-Y., Pei, Z., Lee, K.-C., Rojas, Y. G., Doehner, T., Puente, J., Sciara, P., Beck, B., Lopez‐Brignoni, E., Nikolov, B., et al. (2021) · Research Square · doi:10.21203/rs.3.rs-249858/v1 · Cited by 1
Placental DNA methylation changes in the development of gestational diabetes mellitusPreprint
Chen, F., Li, M., Fei, X., Zhu, W., Zhang, Z., Shen, Y., Mao, Y., Zhu, Q., Xu, J., Zhou, W., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-1375478/v1 · Cited by 1
TREM2 Recognition of Candidalysin Orchestrates Mucosal Immunity in Oropharyngeal CandidiasisPreprint
Deng, W., Chen, Y., Liu, S., Lin, K., Zhang, K., Wang, D., Yu, Z., Zhao, W., Xu, Y., Wang, X., et al. (2024) · Research Square · doi:10.21203/rs.3.rs-4137807/v1 · Cited by 1
Jadhav, V. (2021) · IUScholarWorks (Indiana University) · doi:10.7912/c2/2086
Microglia, TREM2, and Therapeutic Methods of Alzheimer’s Disease
Xu, S., Ji, Y., Sha, T., & Li, H. (2021) · IntechOpen eBooks · doi:10.5772/intechopen.100203
Placental DNA methylation changes in the development of gestational diabetes mellitusPreprint
Chen, F., Li, M., Fei, X., Zhu, W., Zhang, Z., Shen, Y., Mao, Y., Zhu, Q., Xu, J., Zhou, W., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-1375478/v2
Emerging Roles of TREM2 in Neurodegenerative Diseases
Kabir, M. T. (2022) · Springer eBooks · doi:10.1007/978-981-16-7606-2_7
Huang, T., Zhu, Y., Lu, Y., Zhang, Q., Fang, C., Ju, Z., He, J., Zhang, Y., Xu, T., & Zhong, C. (2023) · medRxiv · doi:10.1101/2023.04.25.23289122
Alzheimer’s Disease Mechanism in Neuroimmunology Perspective
Hao, J. (2023) · Theoretical and Natural Science · doi:10.54254/2753-8818/4/20220540
Andrejić, N., Pešić, M., Marjanović, A., Branković, M., Janković, M. Z., Mandić, G., Novaković, I. V., Stojković, T., & Stefanova, E. D. (2023) · Medicinska istrazivanja · doi:10.5937/medi56-46143
Hsp60 and nervous system development and diseases
Scalia, F., Cappello, F., de Macario, E. C., & Macario, A. J. L. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-23996-0.00012-2
Metadata
- Authors
- Yang, J., Fu, Z., Zhang, X., Xiong, M., Meng, L., & Zhang, Z.
- Affiliations
- Renmin Hospital of Wuhan University (CN)
- Corresponding author
- Zhang, Zhentao
- Venue
- Journal of Neuroinflammation
- Published
- 2020-07-07
- Volume
- 17
- Issue
- 1
- Pages
- 204-204
- ISSN
- 1742-2094 (ISSN-L)
- PMC
- PMC7341574
- OpenAlex
- W3039674883
- Cited by
- 113
- References
- 129
- Citations by year
- 2026: 12 · 2025: 11 · 2024: 32 · 2023: 23 · 2022: 19 · 2021: 16
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Neuroinflammation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (No.81822016,81771382, and 81571249)
- 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
- TREM2, soluble TREM2, Alzheimer's disease, microglia, extracellular domain, cerebrospinal fluid biomarkers, tau protein, early diagnosis, neuroinflammation
- MeSH terms
- Alzheimer Disease, Animals, Humans, Membrane Glycoproteins, Receptors, Immunologic, Solubility, Biomarkers, tau Proteins, Microglia, Protein Isoforms
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