Proteo-genomics of soluble TREM2 in cerebrospinal fluid provides novel insights and identifies novel modulators for Alzheimer’s disease
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Abstract
Triggering receptor expressed on myeloid cells 2 (TREM2) plays a critical role in microglial activation, survival, and apoptosis, as well as in Alzheimer’s disease (AD) pathogenesis. We previously reported the MS4A locus as a key modulator for soluble TREM2 (sTREM2) in cerebrospinal fluid (CSF). To identify additional novel genetic modifiers of sTREM2, we performed the largest genome-wide association study (GWAS) and identified four loci for CSF sTREM2 in 3,350 individuals of European ancestry. Through multi-ethnic fine mapping, we identified two independent missense variants (p.M178V in MS4A4A and p.A112T in MS4A6A ) that drive the association in MS4A locus and showed an epistatic effect for sTREM2 levels and AD risk. The novel TREM2 locus on chr 6 contains two rare missense variants (rs75932628 p.R47H, P =7.16×10 -19 ; rs142232675 p.D87N, P =2.71×10 -10 ) associated with sTREM2 and AD risk. The third novel locus in the TGFBR2 and RBMS3 gene region (rs73823326, P =3.86×10 -9 ) included a regulatory variant with a microglia-specific chromatin loop for the promoter of TGFBR2 . Using cell-based assays we demonstrate that overexpression and knock-down of TGFBR2, but not RBMS3, leads to significant changes of sTREM2. The last novel locus is located on the APOE region (rs11666329, P =2.52×10 -8 ), but we demonstrated that this signal was independent of APOE genotype. This signal colocalized with cis-eQTL of NECTIN2 in the brain cortex and cis-pQTL of NECTIN2 in CSF. Overexpression of NECTIN2 led to an increase of sTREM2 supporting the genetic findings. To our knowledge, this is the largest study to date aimed at identifying genetic modifiers of CSF sTREM2. This study provided novel insights into the MS4A and TREM2 loci, two well-known AD risk genes, and identified TGFBR2 and NECTIN2 as additional modulators involved in TREM2 biology.
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Targeting CSF proteins has proven successful at elucidating causal genes at some disease GWAS loci.
“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 [20]
Trans-pQTLs are subject to pleiotropy and limited mechanistic understanding.
“Analyses involving trans-pQTLs require careful interpretation because of pleiotropy and limited mechanistic understanding, despite their potential to clarify regulatory pathways beyond cis-pQTLs (69, 70).”
From Low overlap of plasma and CSF protein quantitative trait loci affects protein discovery for neurological disease (2026) · cites this paper as [69]
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Cited by
Sorted by citations
Western, D., Timsina, J., Wang, L., Wang, C., Yang, C., Phillips, B., Wang, Y., Liu, M., Ali, M., Beric, A., et al. (2024) · Nature Genetics · doi:10.1038/s41588-024-01972-8 · Cited by 111 · see citing works
Self-citationTGF-β Signaling in Microglia: A Key Regulator of Development, Homeostasis and Reactivity
Li, L., Sun, B., Harris, O. A., & Luo, J. (2024) · Biomedicines · doi:10.3390/biomedicines12112468 · Cited by 38 · see citing works
A genetic and proteomic comparison of key AD biomarkers across tissues
Marsh, T. W., Western, D., Timsina, J., Gorijala, P., Yang, C., Pastor, P., Liu, M., Morris, J. C., Bateman, R. J., Schindler, S. E., et al. (2024) · Alzheimer's & Dementia · doi:10.1002/alz.14139 · Cited by 6 · see citing works
Self-citationWestern, D., Yang, C., Timsina, J., Liu, M., Wang, C., Campbell, M. C., Kotzbauer, P., Perlmutter, J. S., Schindler, S. E., Morris, J. C., et al. (2026) · Science Translational Medicine · doi:10.1126/scitranslmed.adz2016 · Cited by 1 · see citing works
Self-citation
- Authors
- Wang, L., Nykänen, N.-P., Western, D., Gorijala, P., Timsina, J., Li, F., Wang, Z., Ali, M., Yang, C., Liu, M., Brock, W., Marquié, M., Boada, M., Alvarez, I., Aguilar, M., Pastor, P., Ruiz, A., Puerta, R., Orellana, A., Rutledge, J., Oh, H., Greicius, M. D., Le Guen, Y., Perrin, R. J., Wyss-Coray, T., Jefferson, A., Hohman, T. J., Graff-Radford, N., Mori, H., Goate, A., Levin, J., Sung, Y. J., & Cruchaga, C.
- Affiliations
- Washington University in St. Louis (US)
- Instituto de Salud Carlos III (ES)
- University Hospital Mútua de Terrassa (ES)
- Stanford University (US)
- Vanderbilt University Medical Center (US)
- Nagaoka Sutoku University (JP)
- Icahn School of Medicine at Mount Sinai (US)
- LMU Klinikum (DE)
- Corresponding author
- Cruchaga, Carlos
- ORCID
- Wang, Lihua
- Nykänen, Niko-Petteri
- Western, Daniel
- Gorijala, Priyanka
- Timsina, Jigyasha
- Li, Fuhai
- Ali, Muhammad
- Yang, Chengran
- Liu, Menghan
- Marquié, Marta
- Puerta, Raquel
- Orellana, Adelina
- Rutledge, Jarod
- Oh, Hamilton
- Greicius, Michael D
- Perrin, Richard J.
- Jefferson, Angela
- Hohman, Timothy J.
- Mori, Hiroshi
- Goate, Alison
- Levin, Johannes
- Sung, Yun Ju
- Cruchaga, Carlos
- Venue
- Molecular Neurodegeneration
- Published
- 2024-01-03
- Volume
- 19
- Issue
- 1
- Pages
- 1-1
- ISSN
- 1750-1326 (ISSN-L)
- PMC
- PMC10763080
- OpenAlex
- W4390571517
- Cited by
- 58
- References
- 24
- Citations by year
- 2026: 21 · 2025: 21 · 2024: 14 · 2023: 1 · 2021: 1
- FWCI
- 8.15
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Molecular Neurodegeneration (publishedVersion, cc-by)
- medRxiv (acceptedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by)
- PUBLISSO (German National Library of Medicine) (submittedVersion, cc-by)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- NIA (R01AG044546)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Keywords
- soluble TREM2, cerebrospinal fluid biomarkers, Alzheimer's disease, genetic modifiers, MS4A4A, MS4A6A, TGFBR2, RBMS3, nectin-2, apolipoprotein E, microglia, epistasis, genetic variants, proteogenomics, neuroinflammation
- MeSH terms
- Receptor, Transforming Growth Factor-beta Type II, Alzheimer Disease, Apolipoproteins E, Humans, Membrane Glycoproteins, Receptors, Immunologic, Biomarkers, Microglia, Genome-Wide Association Study
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