Evidence map›Paper›PMID 36480007›Full record

ArticleGlia2023

Alzheimer's disease-associated R47H TREM2 increases, but wild-type TREM2 decreases, microglial phagocytosis of synaptosomes and neuronal loss.

Alma S Popescu, Claire A Butler, David H Allendorf, Thomas M Piers, Anna Mallach, Julian Roewe, Peter Reinhardt, Alessandro Cinti, Loredana Redaelli, Christophe Boudesco and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Glia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

34 citing papers in PubMed, 43 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Abi3Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Microglial phagocytosis in Alzheimer disease.Nature reviews. Neurology · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Roles of TREM2 in Alzheimer's disease.Translational neurodegeneration · 2025
    Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review
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 6 institutions in 5 countries.

Alma S PopescuDepartment of Biochemistry, University of Cambridge, Cambridge, UK.ORCID 0000-0001-9459-6754
Claire A ButlerDepartment of Biochemistry, University of Cambridge, Cambridge, UK.
David H AllendorfDepartment of Biochemistry, University of Cambridge, Cambridge, UK.ORCID 0000-0003-0161-7056
Thomas M PiersDepartment of Neuroinflammation, UCL Queen Square Institute of Neurology, London, UK.
Anna MallachDepartment of Neuroinflammation, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0002-5014-3654
Julian RoeweNeuroscience Discovery, AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany.
Peter ReinhardtNeuroscience Discovery, AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany.
Alessandro CintiCell Biology, Axxam SpA, Milan, Italy.
Loredana RedaelliCell Biology, Axxam SpA, Milan, Italy.
Christophe BoudescoRare and Neuro Diseases, Sanofi R&D, Chilly-Mazarin, France.
Laurent PradierRare and Neuro Diseases, Sanofi R&D, Chilly-Mazarin, France.ORCID 0000-0001-6022-0951
Jennifer M PocockDepartment of Neuroinflammation, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0001-5812-9331
Peter ThorntonNeuroscience, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK.
Guy C BrownDepartment of Biochemistry, University of Cambridge, Cambridge, UK.ORCID 0000-0002-3610-1730
National Hospital for Neurology and Neurosurgery · GBUniversity of Cambridge · GBAbbVie (Germany) · DEAstraZeneca (United Kingdom) · GBAxxam (Italy) · ITSanofi (France) · FR

Funding

Biotechnology and Biological Sciences Research Council BB/R506047/1
6 · The paper itself

Abstract

Triggering receptor on myeloid cells 2 (TREM2) is an innate immune receptor, upregulated on the surface of microglia associated with amyloid plaques in Alzheimer's disease (AD). Individuals heterozygous for the R47H variant of TREM2 have greatly increased risk of developing AD. We examined the effects of wild-type (WT), R47H and knock-out (KO) of human TREM2 expression in three microglial cell systems. Addition of mouse BV-2 microglia expressing R47H TREM2 to primary mouse neuronal cultures caused neuronal loss, not observed with WT TREM2. Neuronal loss was prevented by using annexin V to block exposed phosphatidylserine, an eat-me signal and ligand of TREM2, suggesting loss was mediated by microglial phagocytosis of neurons exposing phosphatidylserine. Addition of human CHME-3 microglia expressing R47H TREM2 to LUHMES neuronal-like cells also caused loss compared to WT TREM2. Expression of R47H TREM2 in BV-2 and CHME-3 microglia increased their uptake of phosphatidylserine-beads and synaptosomes versus WT TREM2. Human iPSC-derived microglia with heterozygous R47H TREM2 had increased phagocytosis of synaptosomes vs common-variant TREM2. Additionally, phosphatidylserine liposomes increased activation of human iPSC-derived microglia expressing homozygous R47H TREM2 versus common-variant TREM2. Finally, overexpression of TREM2 in CHME-3 microglia caused increased expression of cystatin F, a cysteine protease inhibitor, and knock-down of cystatin F increased CHME-3 uptake of phosphatidylserine-beads. Together, these data suggest that R47H TREM2 may increase AD risk by increasing phagocytosis of synapses and neurons via greater activation by phosphatidylserine and that WT TREM2 may decrease microglial phagocytosis of synapses and neurons via cystatin F.

Indexed as

Alzheimer DiseaseSynaptosomesAnimalsCystatinsHumansMembrane GlycoproteinsMiceMicrogliaNeuronsPhagocytosisPhosphatidylserinesReceptors, ImmunologicCystatinsMembrane GlycoproteinsPhosphatidylserinesReceptors, ImmunologicTREM2 protein, humanTrem2 protein, mouseAlzheimer's diseasecystatin FiPSC-derived microgliaphosphatidylserineR47H variantsynapsesTREM2

Identifiers

PMID36480007
PMCPMC10952257
OpenAlexW4310941345

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.