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Publication : TREM2 receptor protects against complement-mediated synaptic loss by binding to complement C1q during neurodegeneration.

First Author  Zhong L Year  2023
Journal  Immunity Volume  56
Issue  8 Pages  1794-1808.e8
PubMed ID  37442133 Mgi Jnum  J:339349
Mgi Id  MGI:7519974 Doi  10.1016/j.immuni.2023.06.016
Citation  Zhong L, et al. (2023) TREM2 receptor protects against complement-mediated synaptic loss by binding to complement C1q during neurodegeneration. Immunity 56(8):1794-1808.e8
abstractText  Triggering receptor expressed on myeloid cells 2 (TREM2) is strongly linked to Alzheimer's disease (AD) risk, but its functions are not fully understood. Here, we found that TREM2 specifically attenuated the activation of classical complement cascade via high-affinity binding to its initiator C1q. In the human AD brains, the formation of TREM2-C1q complexes was detected, and the increased density of the complexes was associated with lower deposition of C3 but higher amounts of synaptic proteins. In mice expressing mutant human tau, Trem2 haploinsufficiency increased complement-mediated microglial engulfment of synapses and accelerated synaptic loss. Administration of a 41-amino-acid TREM2 peptide, which we identified to be responsible for TREM2 binding to C1q, rescued synaptic impairments in AD mouse models. We thus demonstrate a critical role for microglial TREM2 in restricting complement-mediated synaptic elimination during neurodegeneration, providing mechanistic insights into the protective roles of TREM2 against AD pathogenesis.
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