Evidence map›Paper›PMID 29278889›Full record

ArticleJournal of Alzheimer's disease : JAD2018

Erythromyeloid-Derived TREM2: A Major Determinant of Alzheimer's Disease Pathology in Down Syndrome.

Ruma Raha-Chowdhury, James W Henderson, Animesh Alexander Raha, Simon R W Stott, Romina Vuono, Simona Foscarin, Liam Wilson, Tiina Annus, Robert Fincham, Kieren Allinson and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Blood-based biomarkers for Alzheimer's disease in Down syndrome: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  19. Further understanding the connection between Alzheimer's disease and Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Ruma Raha-ChowdhuryDepartment of Clinical Neuroscience, John Van Geest Centre for Brain Repair, Cambridge, UK.
James W HendersonDepartment of Clinical Neuroscience, John Van Geest Centre for Brain Repair, Cambridge, UK.
Animesh Alexander RahaDepartment of Clinical Neuroscience, John Van Geest Centre for Brain Repair, Cambridge, UK.
Simon R W StottDepartment of Clinical Neuroscience, John Van Geest Centre for Brain Repair, Cambridge, UK.
Romina VuonoDepartment of Clinical Neuroscience, John Van Geest Centre for Brain Repair, Cambridge, UK.
Simona FoscarinDepartment of Clinical Neuroscience, John Van Geest Centre for Brain Repair, Cambridge, UK.
Liam WilsonDepartment of Psychiatry, Cambridge Intellectual and Developmental Disabilities Research Group, University of Cambridge, Cambridge, UK.
Tiina AnnusDepartment of Psychiatry, Cambridge Intellectual and Developmental Disabilities Research Group, University of Cambridge, Cambridge, UK.
Robert FinchamClinical Pathology, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Kieren AllinsonClinical Pathology, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Vinod DevaliaDepartment of Haematology, Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK.
Robert P FriedlandUniversity of Louisville School of Medicine, Louisville, KY, USA.
Anthony HollandDepartment of Psychiatry, Cambridge Intellectual and Developmental Disabilities Research Group, University of Cambridge, Cambridge, UK.
Shahid H ZamanDepartment of Psychiatry, Cambridge Intellectual and Developmental Disabilities Research Group, University of Cambridge, Cambridge, UK.
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBLuton and Dunstable University Hospital NHS Foundation Trust · GBUniversity of Louisville · US

Funding

Medical Research Council G1002252Medical Research Council RNAG/254
6 · The paper itself

Abstract

backgroundDown syndrome (DS; trisomy 21) individuals have a spectrum of hematopoietic and neuronal dysfunctions and by the time they reach the age of 40 years, almost all develop Alzheimer's disease (AD) neuropathology which includes senile plaques and neurofibrillary tangles. Inflammation and innate immunity are key players in AD and DS. Triggering receptor expressed in myeloid cells-2 (TREM2) variants have been identified as risk factors for AD and other neurodegenerative diseases.

objectiveTo investigate the effects of TREM2 and the AD-associated R47H mutation on brain pathology and hematopoietic state in AD and DS.

methodsWe analyzed peripheral blood, bone marrow, and brain tissue from DS, AD, and age-matched control subjects by immunohistochemistry and western blotting. TREM2-related phagocytosis was investigated using a human myeloid cell line.

resultsTREM2 protein levels in brain and sera declined with age and disease progression in DS. We observed soluble TREM2 in brain parenchyma that may be carried by a subset of microglia, macrophages, or exosomes. Two DS cases had the AD-associated TREM2-R47H mutation, which manifested a morphologically extreme phenotype of megakaryocytes and erythrocytes in addition to impaired trafficking of TREM2 to the erythroid membrane. TREM2 was shown to be involved in phagocytosis of red blood cells. TREM2 was seen in early and late endosomes. Silencing TREM2 using siRNA in THP1 cells resulted in significant cell death.

conclusionWe provide evidence that peripheral TREM2 originating from erythromyeloid cells significantly determines AD neuropathology in DS subjects. Understanding the molecular signaling pathways mediated by TREM2 may reveal novel therapeutic targets.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseBrainCell LineDisease ProgressionDown SyndromeExosomesFemaleHumansImmunity, InnateMacrophagesMaleMembrane GlycoproteinsMicrogliaMiddle AgedMembrane GlycoproteinsReceptors, ImmunologicTREM2 protein, humanAlzheimer’s diseasedementiaDown syndromeimmunomodulationinflammationinnate immunitymyelinationmyeloid hypothesisneurodegenerationsoluble TREM2

Identifiers

PMID29278889
PMCPMC5817909
OpenAlexW2781209100

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.