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TREM2 Maintains Microglial Metabolic Fitness in Alzheimer's Disease.

Cell | 2017

Elevated risk of developing Alzheimer's disease (AD) is associated with hypomorphic variants of TREM2, a surface receptor required for microglial responses to neurodegeneration, including proliferation, survival, clustering, and phagocytosis. How TREM2 promotes such diverse responses is unknown. Here, we find that microglia in AD patients carrying TREM2 risk variants and TREM2-deficient mice with AD-like pathology have abundant autophagic vesicles, as do TREM2-deficient macrophages under growth-factor limitation or endoplasmic reticulum (ER) stress. Combined metabolomics and RNA sequencing (RNA-seq) linked this anomalous autophagy to defective mammalian target of rapamycin (mTOR) signaling, which affects ATP levels and biosynthetic pathways. Metabolic derailment and autophagy were offset in vitro through Dectin-1, a receptor that elicits TREM2-like intracellular signals, and cyclocreatine, a creatine analog that can supply ATP. Dietary cyclocreatine tempered autophagy, restored microglial clustering around plaques, and decreased plaque-adjacent neuronal dystrophy in TREM2-deficient mice with amyloid-β pathology. Thus, TREM2 enables microglial responses during AD by sustaining cellular energetic and biosynthetic metabolism.

Pubmed ID: 28802038 RIS Download

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Associated grants

  • Agency: NIAID NIH HHS, United States
    Id: U19 AI109725
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK058177
  • Agency: NCI NIH HHS, United States
    Id: T32 CA009547
  • Agency: NIA NIH HHS, United States
    Id: R21 AG059176
  • Agency: NIAID NIH HHS, United States
    Id: T32 AI007163
  • Agency: NIA NIH HHS, United States
    Id: RF1 AG059082
  • Agency: NIA NIH HHS, United States
    Id: RF1 AG051485
  • Agency: NIA NIH HHS, United States
    Id: P01 AG003991
  • Agency: NIA NIH HHS, United States
    Id: P50 AG005681
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK056341
  • Agency: NIA NIH HHS, United States
    Id: P01 AG026276
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI114551

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