TREM2 activation on microglia promotes myelin debris clearance and remyelination in a model of multiple sclerosis
Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system (CNS) triggered by autoimmune mechanisms. Microglia are critical for the clearance of myelin debris in areas of demyelination, a key step to allow remyelination. TREM2 is expressed...
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Published in | Acta neuropathologica Vol. 140; no. 4; pp. 513 - 534 |
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Main Authors | , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.10.2020
Springer Springer Nature B.V |
Subjects | |
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Abstract | Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system (CNS) triggered by autoimmune mechanisms. Microglia are critical for the clearance of myelin debris in areas of demyelination, a key step to allow remyelination. TREM2 is expressed by microglia and promotes microglial survival, proliferation, and phagocytic activity. Herein we demonstrate that TREM2 was highly expressed on myelin-laden phagocytes in active demyelinating lesions in the CNS of subjects with MS. In gene expression studies, macrophages from subjects with TREM2 genetic deficiency displayed a defect in phagocytic pathways. Treatment with a new TREM2 agonistic antibody promoted the clearance of myelin debris in the cuprizone model of CNS demyelination. Effects included enhancement of myelin uptake and degradation, resulting in accelerated myelin debris removal by microglia. Most importantly, antibody-dependent TREM2 activation on microglia increased density of oligodendrocyte precursors in areas of demyelination, as well as the formation of mature oligodendrocytes thus enhancing remyelination and axonal integrity. These results are relevant as they propose TREM2 on microglia as a potential new target to promote remyelination. |
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AbstractList | Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system (CNS) triggered by autoimmune mechanisms. Microglia are critical for the clearance of myelin debris in areas of demyelination, a key step to allow remyelination. TREM2 is expressed by microglia and promotes microglial survival, proliferation, and phagocytic activity. Herein we demonstrate that TREM2 was highly expressed on myelin-laden phagocytes in active demyelinating lesions in the CNS of subjects with MS. In gene expression studies, macrophages from subjects with TREM2 genetic deficiency displayed a defect in phagocytic pathways. Treatment with a new TREM2 agonistic antibody promoted the clearance of myelin debris in the cuprizone model of CNS demyelination. Effects included enhancement of myelin uptake and degradation, resulting in accelerated myelin debris removal by microglia. Most importantly, antibody-dependent TREM2 activation on microglia increased density of oligodendrocyte precursors in areas of demyelination, as well as the formation of mature oligodendrocytes thus enhancing remyelination and axonal integrity. These results are relevant as they propose TREM2 on microglia as a potential new target to promote remyelination. Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system (CNS) triggered by autoimmune mechanisms. Microglia are critical for the clearance of myelin debris in areas of demyelination, a key step to allow remyelination. TREM2 is expressed by microglia and promotes microglial survival, proliferation, and phagocytic activity. Herein we demonstrate that TREM2 was highly expressed on myelin-laden phagocytes in active demyelinating lesions in the CNS of subjects with MS. In gene expression studies, macrophages from subjects with TREM2 genetic deficiency displayed a defect in phagocytic pathways. Treatment with a new TREM2 agonistic antibody promoted the clearance of myelin debris in the cuprizone model of CNS demyelination. Effects included enhancement of myelin uptake and degradation, resulting in accelerated myelin debris removal by microglia. Most importantly, antibody-dependent TREM2 activation on microglia increased density of oligodendrocyte precursors in areas of demyelination, as well as the formation of mature oligodendrocytes thus enhancing remyelination and axonal integrity. These results are relevant as they propose TREM2 on microglia as a potential new target to promote remyelination. Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system (CNS) triggered by autoimmune mechanisms. Microglia are critical for the clearance of myelin debris in areas of demyelination, a key step to allow remyelination. TREM2 is expressed by microglia and promotes microglial survival, proliferation, and phagocytic activity. Herein we demonstrate that TREM2 was highly expressed on myelin-laden phagocytes in active demyelinating lesions in the CNS of subjects with MS. In gene expression studies, macrophages from subjects with TREM2 genetic deficiency displayed a defect in phagocytic pathways. Treatment with a new TREM2 agonistic antibody promoted the clearance of myelin debris in the cuprizone model of CNS demyelination. Effects included enhancement of myelin uptake and degradation, resulting in accelerated myelin debris removal by microglia. Most importantly, antibody-dependent TREM2 activation on microglia increased density of oligodendrocyte precursors in areas of demyelination, as well as the formation of mature oligodendrocytes thus enhancing remyelination and axonal integrity. These results are relevant as they propose TREM2 on microglia as a potential new target to promote remyelination.Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system (CNS) triggered by autoimmune mechanisms. Microglia are critical for the clearance of myelin debris in areas of demyelination, a key step to allow remyelination. TREM2 is expressed by microglia and promotes microglial survival, proliferation, and phagocytic activity. Herein we demonstrate that TREM2 was highly expressed on myelin-laden phagocytes in active demyelinating lesions in the CNS of subjects with MS. In gene expression studies, macrophages from subjects with TREM2 genetic deficiency displayed a defect in phagocytic pathways. Treatment with a new TREM2 agonistic antibody promoted the clearance of myelin debris in the cuprizone model of CNS demyelination. Effects included enhancement of myelin uptake and degradation, resulting in accelerated myelin debris removal by microglia. Most importantly, antibody-dependent TREM2 activation on microglia increased density of oligodendrocyte precursors in areas of demyelination, as well as the formation of mature oligodendrocytes thus enhancing remyelination and axonal integrity. These results are relevant as they propose TREM2 on microglia as a potential new target to promote remyelination. |
Audience | Academic |
Author | Ibrahim, Adiljan Filipello, Fabia Mihindukulasuriya, Kathie Mikesell, Robert Buckland, Michael Cantoni, Claudia Locca, Alberto Holtzman, David M. Bollman, Bryan Deng, Li Schwabe, Tina Manis, Melissa Benitez, Bruno A. Cruchaga, Carlos Rosenthal, Arnon Cignarella, Francesca Piccio, Laura Tassi, Ilaria Harari, Oscar Licastro, Danilo |
Author_xml | – sequence: 1 givenname: Francesca surname: Cignarella fullname: Cignarella, Francesca organization: Department of Neurology, Washington University School of Medicine, Alector – sequence: 2 givenname: Fabia surname: Filipello fullname: Filipello, Fabia organization: Department of Neurology, Washington University School of Medicine, Department of Biomedical Sciences, Humanitas University – sequence: 3 givenname: Bryan surname: Bollman fullname: Bollman, Bryan organization: Department of Neurology, Washington University School of Medicine – sequence: 4 givenname: Claudia surname: Cantoni fullname: Cantoni, Claudia organization: Department of Neurology, Washington University School of Medicine – sequence: 5 givenname: Alberto surname: Locca fullname: Locca, Alberto organization: Department of Neurology, Washington University School of Medicine – sequence: 6 givenname: Robert surname: Mikesell fullname: Mikesell, Robert organization: Department of Neurology, Washington University School of Medicine – sequence: 7 givenname: Melissa surname: Manis fullname: Manis, Melissa organization: Department of Neurology, Washington University School of Medicine – sequence: 8 givenname: Adiljan surname: Ibrahim fullname: Ibrahim, Adiljan organization: Alector – sequence: 9 givenname: Li surname: Deng fullname: Deng, Li organization: Department of Neurology, Washington University School of Medicine, Department of Anesthesiology, First Affiliated Hospital of Soochow University – sequence: 10 givenname: Bruno A. surname: Benitez fullname: Benitez, Bruno A. organization: Department of Psychiatry, Washington University School of Medicine, Hope Center for Neurological Disorders, Washington University School of Medicine, NeuroGenomics and Informatics, Washington University School of Medicine – sequence: 11 givenname: Carlos surname: Cruchaga fullname: Cruchaga, Carlos organization: Department of Psychiatry, Washington University School of Medicine, Hope Center for Neurological Disorders, Washington University School of Medicine, NeuroGenomics and Informatics, Washington University School of Medicine – sequence: 12 givenname: Danilo surname: Licastro fullname: Licastro, Danilo organization: ARGO Open Lab Platform for Genome sequencing – sequence: 13 givenname: Kathie surname: Mihindukulasuriya fullname: Mihindukulasuriya, Kathie organization: Department of Psychiatry, Washington University School of Medicine, NeuroGenomics and Informatics, Washington University School of Medicine – sequence: 14 givenname: Oscar surname: Harari fullname: Harari, Oscar organization: Department of Psychiatry, Washington University School of Medicine, Hope Center for Neurological Disorders, Washington University School of Medicine, NeuroGenomics and Informatics, Washington University School of Medicine – sequence: 15 givenname: Michael surname: Buckland fullname: Buckland, Michael organization: Brain and Mind Centre, University of Sydney – sequence: 16 givenname: David M. surname: Holtzman fullname: Holtzman, David M. organization: Department of Neurology, Washington University School of Medicine, Hope Center for Neurological Disorders, Washington University School of Medicine – sequence: 17 givenname: Arnon surname: Rosenthal fullname: Rosenthal, Arnon organization: Alector – sequence: 18 givenname: Tina surname: Schwabe fullname: Schwabe, Tina organization: Alector – sequence: 19 givenname: Ilaria surname: Tassi fullname: Tassi, Ilaria email: Ilaria.tassi@alector.com organization: Alector – sequence: 20 givenname: Laura orcidid: 0000-0002-8760-109X surname: Piccio fullname: Piccio, Laura email: picciol@wustl.edu, laura.piccio@sydney.edu.au organization: Department of Neurology, Washington University School of Medicine, NeuroGenomics and Informatics, Washington University School of Medicine, Brain and Mind Centre, University of Sydney |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32772264$$D View this record in MEDLINE/PubMed |
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