Journal Article (Review Article) DZNE-2023-01022

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Stimulation of TREM2 with agonistic antibodies-an emerging therapeutic option for Alzheimer's disease.

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2023
Lancet Publ. Group London

The lancet 22(11), 1048 - 1060 () [10.1016/S1474-4422(23)00247-8]

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Abstract: Neurodegenerative disorders, including Alzheimer's disease, are associated with microgliosis. Microglia have long been considered to have detrimental roles in Alzheimer's disease. However, functional analyses of genes encoding risk factors that are linked to late-onset Alzheimer's disease, and that are enriched or exclusively expressed in microglia, have revealed unexpected protective functions. One of the major risk genes for Alzheimer's disease is TREM2. Risk variants of TREM2 are loss-of-function mutations affecting chemotaxis, phagocytosis, lipid and energy metabolism, and survival and proliferation. Agonistic anti-TREM2 antibodies have been developed to boost these protective functions in patients with intact TREM2 alleles. Several anti-TREM2 antibodies are in early clinical trials, and current efforts aim to achieve more efficient transport of these antibodies across the blood-brain barrier. PET imaging could be used to monitor target engagement. Data from animal models, and biomarker studies in patients, further support a rationale for boosting TREM2 functions during the preclinical stage of Alzheimer's disease.

Keyword(s): Animals (MeSH) ; Humans (MeSH) ; Alzheimer Disease: genetics (MeSH) ; Alzheimer Disease: metabolism (MeSH) ; Microglia: metabolism (MeSH) ; Mutation (MeSH) ; Antibodies: genetics (MeSH) ; Antibodies: metabolism (MeSH) ; Disease Models, Animal (MeSH) ; Membrane Glycoproteins: genetics (MeSH) ; Receptors, Immunologic: genetics (MeSH) ; Antibodies ; TREM2 protein, human ; Membrane Glycoproteins ; Receptors, Immunologic

Classification:

Contributing Institute(s):
  1. Molecular Neurodegeneration (AG Haass)
Research Program(s):
  1. 352 - Disease Mechanisms (POF4-352) (POF4-352)

Appears in the scientific report 2023
Database coverage:
Medline ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Ebsco Academic Search ; Essential Science Indicators ; IF >= 40 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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Document types > Articles > Journal Article
Institute Collections > M DZNE > M DZNE-AG Haass
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 Record created 2023-10-23, last modified 2024-01-12


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