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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 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]
In the citing paper
“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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Self-citationCerebrospinal fluid soluble TREM2 in aging and Alzheimer’s disease
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Aminophospholipids are signal-transducing TREM2 ligands on apoptotic cells
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A rare coding variant in TREM2 increases risk for Alzheimer's disease in Han Chinese
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Increased Expression of TREM2 in Peripheral Blood of Alzheimer's Disease Patients
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TREM2 brain transcript-specific studies in AD and TREM2 mutation carriers
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Soluble TREM2 and biomarkers of central and peripheral inflammation in neurodegenerative disease
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TREM2 is required for microglial instruction of astrocytic synaptic engulfment in neurodevelopment
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Soluble TREM2 changes during the clinical course of Alzheimer’s disease: A meta-analysis
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A data-driven approach links microglia to pathology and prognosis in amyotrophic lateral sclerosis
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TREM2 regulates innate immunity in Alzheimer’s disease
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TREM2 expression in the human brain: a marker of monocyte recruitment?
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CSF soluble TREM2 as a measure of immune response along the Alzheimer's disease continuum
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TREM2 Variants and Neurodegenerative Diseases: A Systematic Review and Meta-Analysis
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TREM2 Ameliorates Neuronal Tau Pathology Through Suppression of Microglial Inflammatory Response
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Assessment of the Genetic Architecture of Alzheimer’s Disease Risk in Rate of Memory Decline
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CSF sTREM2 in delirium—relation to Alzheimer’s disease CSF biomarkers Aβ42, t-tau and p-tau
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A Tale of Two Genes: Microglial Apoe and Trem2
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Soluble TREM2 and Inflammatory Proteins in Alzheimer’s Disease Cerebrospinal Fluid
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Frontobasal gray matter loss is associated with the TREM2 p.R47H variant
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Tolerization against atherosclerosis using heat shock protein 60
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TREM2 analysis and increased risk of Alzheimer's disease
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The role of TREM2 in Alzheimer's disease; evidence from transgenic mouse models
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Alzheimer's disease risk alleles in TREM2 illuminate innate immunity in Alzheimer's disease
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Variable expression of microglial DAP12 and TREM2 genes in Nasu-Hakola disease
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Intracellular trafficking of TREM2 is regulated by presenilin 1
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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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