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Publication : Roles of blood monocytes carrying TREM2(R47H) mutation in pathogenesis of Alzheimer's disease and its therapeutic potential in APP/PS1 mice.

First Author  Yu ZY Year  2025
Journal  Alzheimers Dement Volume  21
Issue  2 Pages  e14402
PubMed ID  39740209 Mgi Jnum  J:368510
Mgi Id  MGI:8215298 Doi  10.1002/alz.14402
Citation  Yu ZY, et al. (2025) Roles of blood monocytes carrying TREM2(R47H) mutation in pathogenesis of Alzheimer's disease and its therapeutic potential in APP/PS1 mice. Alzheimers Dement 21(2):e14402
abstractText  INTRODUCTION: The triggering receptor expressed on myeloid cells 2 (TREM2) arginine-47-histidine (R47H) mutation is a significant risk for Alzheimer's disease (AD) with unclear mechanisms. Previous studies focused on microglial amyloid-beta (Abeta) phagocytosis with less attention on the impact of TREM2(R47H) mutation on blood monocytes. METHODS: Bone marrow transplantation (BMT) models were used to assess the contribution of blood monocytes carrying TREM2(R47H) mutation to AD. RESULTS: Abeta phagocytosis was compromised in mouse monocytes carrying the TREM2(R47H) mutation. Transplantation of bone marrow cells (BMCs) carrying TREM2(R47H) mutation increased cerebral Abeta burden and aggravated AD-type pathologies. Moreover, the replacement of TREM2(R47H)-BMCs restored monocytic Abeta phagocytosis, lowered Abeta levels in the blood and brain, and improved cognitive function. DISCUSSION: Our study reveals that blood monocytes carrying the TREM2(R47H) mutation substantially contribute to the pathogenesis of AD, and correcting the TREM2(R47H) mutation in BMCs would be a potential therapeutic approach for those carrying this mutation. HIGHLIGHTS: TREM2(R47H) mutation compromises the Abeta phagocytosis of blood monocytes. Blood monocytes carrying TREM2(R47H) mutation contribute substantially to AD pathogenesis. Correction of the TREM2(R47H) mutation in bone marrow cells ameliorates AD pathologies and cognitive impairments.
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