TREM2 in Alzheimer's disease: Structure, function, therapeutic prospects, and activation challenges

IF 2.6 3区 医学 Q3 NEUROSCIENCES Molecular and Cellular Neuroscience Pub Date : 2024-01-19 DOI:10.1016/j.mcn.2024.103917
Emilia Zgorzynska
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Abstract

Triggering receptor expressed on myeloid cells 2 (TREM2) is a membrane glycoprotein that plays a crucial role in the regulation of microglial survival, activation, phagocytosis, as well as in the maintenance of brain homeostasis and the inflammatory response to injury or neurodegeneration. This review provides a comprehensive overview of TREM2 structure and functions, highlighting the role of its variants in the development and progression of Alzheimer's disease (AD), a devastating neurodegenerative disease that affects millions of people worldwide. Additionally, the article discusses the potential of TREM2 as a therapeutic target in AD, analyzing the current state of research and future prospects. Given the significant challenges associated with the activation of TREM2, particularly due to its diverse isoforms and the delicate balance required to modulate the immune response without triggering hyperactivation, this review aims to enhance our understanding of TREM2 in AD and inspire further research into this promising yet challenging therapeutic target.

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阿尔茨海默病中的 TREM2:结构、功能、治疗前景和激活挑战
髓系细胞上表达的触发受体 2(TREM2)是一种膜糖蛋白,在调节小胶质细胞的存活、活化、吞噬以及维持大脑稳态和对损伤或神经变性的炎症反应中发挥着至关重要的作用。这篇综述全面概述了 TREM2 的结构和功能,重点介绍了其变体在阿尔茨海默病(AD)的发生和发展中的作用,阿尔茨海默病是一种破坏性神经退行性疾病,影响着全球数百万人。此外,文章还讨论了 TREM2 作为阿尔茨海默病治疗靶点的潜力,分析了研究现状和未来前景。鉴于激活 TREM2 所面临的巨大挑战,特别是由于其异构体的多样性,以及在不引发过度激活的情况下调节免疫反应所需的微妙平衡,本综述旨在加深我们对 TREM2 在 AD 中的作用的了解,并激励我们进一步研究这一前景广阔但又充满挑战的治疗靶点。
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来源期刊
CiteScore
5.60
自引率
0.00%
发文量
65
审稿时长
37 days
期刊介绍: Molecular and Cellular Neuroscience publishes original research of high significance covering all aspects of neurosciences indicated by the broadest interpretation of the journal''s title. In particular, the journal focuses on synaptic maintenance, de- and re-organization, neuron-glia communication, and de-/regenerative neurobiology. In addition, studies using animal models of disease with translational prospects and experimental approaches with backward validation of disease signatures from human patients are welcome.
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