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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Veröffentlicht in:Acta neuropathologica 2020-10, Vol.140 (4), p.513-534
Hauptverfasser: Cignarella, Francesca, Filipello, Fabia, Bollman, Bryan, Cantoni, Claudia, Locca, Alberto, Mikesell, Robert, Manis, Melissa, Ibrahim, Adiljan, Deng, Li, Benitez, Bruno A., Cruchaga, Carlos, Licastro, Danilo, Mihindukulasuriya, Kathie, Harari, Oscar, Buckland, Michael, Holtzman, David M., Rosenthal, Arnon, Schwabe, Tina, Tassi, Ilaria, Piccio, Laura
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container_issue 4
container_start_page 513
container_title Acta neuropathologica
container_volume 140
creator Cignarella, Francesca
Filipello, Fabia
Bollman, Bryan
Cantoni, Claudia
Locca, Alberto
Mikesell, Robert
Manis, Melissa
Ibrahim, Adiljan
Deng, Li
Benitez, Bruno A.
Cruchaga, Carlos
Licastro, Danilo
Mihindukulasuriya, Kathie
Harari, Oscar
Buckland, Michael
Holtzman, David M.
Rosenthal, Arnon
Schwabe, Tina
Tassi, Ilaria
Piccio, Laura
description 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.
doi_str_mv 10.1007/s00401-020-02193-z
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Aged
Analysis
Animals
Antibodies
Central nervous system
Cuprizone
Demyelination
Disease Models, Animal
Ethylenediaminetetraacetic acid
Female
Gene expression
Glial stem cells
Humans
Macrophages
Male
Medicine
Medicine & Public Health
Membrane Glycoproteins - metabolism
Mice
Mice, Inbred C57BL
Mice, Knockout
Microglia
Microglia - metabolism
Middle Aged
Multiple sclerosis
Multiple Sclerosis - metabolism
Multiple Sclerosis - pathology
Myelin
Myelin Sheath - metabolism
Myelin Sheath - pathology
Myelination
Neurodegenerative diseases
Neurosciences
Oligodendrocytes
Original Paper
Pathology
Phagocytes
Phagocytosis - physiology
Receptors, Immunologic - metabolism
Remyelination - physiology
Viral antibodies
title TREM2 activation on microglia promotes myelin debris clearance and remyelination in a model of multiple sclerosis
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