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TREM2 Alzheimer’s variant R47H causes similar transcriptional dysregulation to knockout, yet only subtle functional phenotypes in human iPSC-derived macrophages
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Abstract
Background: TREM2 is a microglial cell surface receptor, with risk mutations linked to Alzheimer’s disease (AD), including R47H. TREM2 signalling via SYK aids phagocytosis, chemotaxis, survival, and changes to microglial activation state. In AD mouse models, knockout (KO) of TREM2 impairs microglial clustering around amyloid and prevents microglial activation. The R47H mutation is proposed to reduce TREM2 ligand binding. We investigated cell phenotypes of the R47H mutant and TREM2 KO in a model of human microglia, and compared their transcriptional signatures, to determine the mechanism by which R47H TREM2 disrupts function. Methods: We generated human microglia-like iPSC-macrophages (pMac) from isogenic induced pluripotent stem cell (iPSC) lines, with homozygous R47H mutation or TREM2 knockout (KO). We firstly validated the effect of the R47H mutant on TREM2 surface and subcellular localization in pMac. To assess microglial phenotypic function, we measured phagocytosis of dead neurons, cell morphology, directed migration, survival, and LPS-induced inflammation. We performed bulk RNA-seq, comparing significant differentially expressed genes (DEGs; p < 0.05) between the R47H and KO versus WT, and bioinformatically predicted potential upstream regulators of TREM2-mediated gene expression. Results: R47H modified surface expression and shedding of TREM2, but did not impair TREM2-mediated signalling, or gross phenotypes that were dysregulated in the TREM2 KO (phagocytosis, motility, survival). However, altered gene expression in the R47H TREM2 pMac overlapped by 90% with the TREM2 KO and was characterised by dysregulation of genes involved with immunity, proliferation, activation, chemotaxis, and adhesion. Downregulated mediators of ECM adhesion included the vitronectin receptor αVβ3, and consequently, R47H TREM2 pMac adhered weakly to vitronectin compared with WT pMac. To counteract these transcriptional defects, we investigated TGFβ1, as a candidate upstream regulator. TGFβ1 failed to rescue vitronectin adhesion of pMac, although it improved αVβ3 expression. Conclusions: The R47H mutation is not sufficient to cause gross phenotypic defects of human pMac under standard culture conditions. However, overlapping transcriptional defects with TREM2 KO supports the hypothesised partial loss-of-function effects of the R47H mutation. Furthermore, transcriptomics can guide us to more subtle phenotypic defects in the R47H cells, such as reduced cell adhesion, and can be used to predict targets for therapeutic intervention.
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A TREM2-dependent survival defect has been shown in TREM2 Ko iPSC-derived microglia-like cells, a deficit also present in cells lacking PLCγ2.
“Previously, a TREM2-dependent survival defect has been shown in TREM2 Ko iPSC-derived microglia-like cells23,26, a deficit that is also present in cells lacking PLCγ226.”
From PLCγ2 regulates TREM2 signalling and integrin-mediated adhesion and migration of human iPSC-derived macrophages (2021) · cites this paper as [23]
The Results section (page not available) reports a small but significant increase in cell death in TREM2-knockout iPSC-derived macrophages after M-CSF withdrawal, supporting a survival defect in this microglia-like model under that condition. The paper does not report a survival defect in PLCγ2-deficient cells; its Discussion mentions PLCG2 knockout in connection with shared dysregulated genes, not survival. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe TREM2 activating antibody AF1828 induces downstream signalling including SYK activation and release of calcium from intracellular stores.
“In order to stimulate TREM2 we used a TREM2 activating antibody (R&D systems, AF1828) that induces downstream signalling including SYK activation and release of calcium from intracellular stores23,31.”
From PLCγ2 regulates TREM2 signalling and integrin-mediated adhesion and migration of human iPSC-derived macrophages (2021) · cites this paper as [23]
TREM2 is a cell-surface receptor implicated in microglial functions such as phagocytosis, chemotaxis and survival.
“TREM2 is a cell-surface receptor of the immunoglobulin superfamily implicated in a variety of microglial functions, such as phagocytosis, chemotaxis and survival21–23.”
From PLCγ2 regulates TREM2 signalling and integrin-mediated adhesion and migration of human iPSC-derived macrophages (2021) · cites this paper as [23]
Both synaptosomes and dead SHSY5Y expose surface phosphatidylserine and are taken up by iPSC-derived macrophages at least partially via TREM2-dependent mechanisms.
“Both substrates expose surface phosphatidylserine and were recently shown to be taken up by iPSC-derived macrophages at least partially via TREM2-dependent mechanisms23.”
From PLCγ2 regulates TREM2 signalling and integrin-mediated adhesion and migration of human iPSC-derived macrophages (2021) · cites this paper as [23]
Genetic deficiency of PLCγ2 significantly reduced phagocytosis of cortical synaptosomes and dead cells.
“Similarly to TREM2 Ko macrophages23, genetic deficiency of PLCγ2 significantly reduced phagocytosis of both cargos”
From PLCγ2 regulates TREM2 signalling and integrin-mediated adhesion and migration of human iPSC-derived macrophages (2021) · cites this paper as [23]
TREM2 p.R47H is associated with reduced cell adhesion and altered surface levels observed in iPSC-derived macrophages.
“reduced cell adhesion and altered surface levels observed in iPSC-derived macrophages [39]”
From TREM2/PLCγ2 signalling in immune cells: function, structural insight, and potential therapeutic modulation (2021) · cites this paper as [39]
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Magno, L., Bunney, T. D., Mead, E., Svensson, F., & Bictash, M. N. (2021) · Molecular Neurodegeneration · doi:10.1186/s13024-021-00436-5 · Cited by 64
Self-citationPocock, J., Vasilopoulou, F., Svensson, E., & Cosker, K. (2024) · Neuropharmacology · doi:10.1016/j.neuropharm.2024.110020 · Cited by 54
INPP5D modulates TREM2 loss-of-function phenotypes in a β-amyloidosis mouse model
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Self-citation
Metadata
- Authors
- Hall-Roberts, H., Agarwal, D., Obst, J., Smith, T. B., Monzón-Sandoval, J., Di Daniel, E., Webber, C., James, W. S., Mead, E., Davis, J. B., & Cowley, S. A.
- Affiliations
- University of Oxford (GB)
- UK Dementia Research Institute (GB)
- Corresponding author
- Cowley, Sally A.
- ORCID
- Venue
- Alzheimer's Research & Therapy
- Published
- 2020-11-16
- Volume
- 12
- Issue
- 1
- Pages
- 151-151
- ISSN
- 1758-9193 (ISSN-L)
- PMC
- PMC7667762
- OpenAlex
- W3100678887
- Cited by
- 62
- References
- 34
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 13 · 2023: 8 · 2022: 13 · 2021: 8 · 2020: 2
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Alzheimer s Research & Therapy (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Alzheimer’s Research UK Oxford Drug Discovery Institute (ARUK-2020DDI-OX)
- Oxford Martin School, University of Oxford (LC0910-004)
- Parkinson’s UK (J-1403)
- Medical Research Council (MC_EX_MR/N50192X/1, MR/N013255/1, MC_PC_16034, G0900747 91070)
- Wellcome Trust (090532/Z/09/Z, 203141/Z/16/Z)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
- Keywords
- TREM2, Alzheimer's disease, microglia, iPSC-derived macrophages, transcriptional dysregulation, TGF-β1, microglial activation, phagocytosis, lipopolysaccharide-induced inflammation, gene regulatory networks
- MeSH terms
- Alzheimer Disease, Brain, Humans, Macrophages, Membrane Glycoproteins, Phenotype, Receptors, Immunologic, Microglia, Induced Pluripotent Stem Cells
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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