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Enhancing protective microglial activities with a dual function TREM2 antibody to the stalk region.

Authors:
Kai Schlepckow Kathryn M Monroe Gernot Kleinberger Ludovico Cantuti-Castelvetri Samira Parhizkar Dan Xia Michael Willem Georg Werner Nadine Pettkus Bettina Brunner Alice Sülzen Brigitte Nuscher Heike Hampel Xianyuan Xiang Regina Feederle Sabina Tahirovic Joshua I Park Rachel Prorok Cathal Mahon Chun-Chi Liang Ju Shi Do Jin Kim Hanna Sabelström Fen Huang Gilbert Di Paolo Mikael Simons Joseph W Lewcock Christian Haass

EMBO Mol Med 2020 04 10;12(4):e11227. Epub 2020 Mar 10.

German Center for Neurodegenerative Diseases (DZNE) Munich, Munich, Germany.

Triggering receptor expressed on myeloid cells 2 (TREM2) is essential for the transition of homeostatic microglia to a disease-associated microglial state. To enhance TREM2 activity, we sought to selectively increase the full-length protein on the cell surface via reducing its proteolytic shedding by A Disintegrin And Metalloproteinase (i.e., α-secretase) 10/17. We screened a panel of monoclonal antibodies against TREM2, with the aim to selectively compete for α-secretase-mediated shedding. Monoclonal antibody 4D9, which has a stalk region epitope close to the cleavage site, demonstrated dual mechanisms of action by stabilizing TREM2 on the cell surface and reducing its shedding, and concomitantly activating phospho-SYK signaling. 4D9 stimulated survival of macrophages and increased microglial uptake of myelin debris and amyloid β-peptide in vitro. In vivo target engagement was demonstrated in cerebrospinal fluid, where nearly all soluble TREM2 was 4D9-bound. Moreover, in a mouse model for Alzheimer's disease-related pathology, 4D9 reduced amyloidogenesis, enhanced microglial TREM2 expression, and reduced a homeostatic marker, suggesting a protective function by driving microglia toward a disease-associated state.

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http://dx.doi.org/10.15252/emmm.201911227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136959PMC
April 2020

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