Evidence map›Paper›PMID 40051009›Full record

ArticleAlzheimer's research & therapy2025

TREM2 risk variants and associated endophenotypes in alzheimer's disease.

Janna I R Dijkstra, Lisa Vermunt, Vikram Venkatraghavan, Georgii Ozhegov, Emma M Coomans, Rik Ossenkoppele, Elsmarieke van de Giessen, Marc Hulsman, Christa M de Geus, Wiesje M van der Flier and 10 more

Abstract read
In one paragraph

Article in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Neurotransmitter Systems in Alzheimer's Disease.Current issues in molecular biology · 2026
    Review
  4. Phagocytes as plaque catalysts: Human macrophages generate seeding-competent Aβ42 fibrils with cross-seeding activity.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Review
  7. Roles of TREM2 in Alzheimer's disease.Translational neurodegeneration · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
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

20 authors.

Janna I R DijkstraGenomics of Neurodegenerative Diseases and Aging, Department of Human Genetics, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands. j.i.r.dijkstra@amsterdamumc.nl.
Lisa VermuntDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Vikram VenkatraghavanDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Georgii OzhegovGenomics of Neurodegenerative Diseases and Aging, Department of Human Genetics, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Emma M CoomansDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Rik OssenkoppeleDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Elsmarieke van de GiessenDepartment of Radiology & Nuclear Medicine, Amsterdam Neuroscience, Amsterdam UMC location VUmc, Amsterdam Neuroscience, Netherlands.
Marc HulsmanGenomics of Neurodegenerative Diseases and Aging, Department of Human Genetics, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Christa M de GeusClinical Genetics, Department of Human Genetics, Amsterdam UMC, location VUmc, Amsterdam, The Netherlands.
Wiesje M van der FlierDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Sietske A M SikkesDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Frederik BarkhofDepartment of Radiology & Nuclear Medicine, Amsterdam Neuroscience, Amsterdam UMC location VUmc, Amsterdam Neuroscience, Netherlands.
Betty TijmsDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Alida A GouwDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Willem de HaanDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Everard G B VijverbergDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Yolande A L PijnenburgDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Henne HolstegeGenomics of Neurodegenerative Diseases and Aging, Department of Human Genetics, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Charlotte E TeunissenAmsterdam Neuroscience, Amsterdam, The Netherlands.
Sven J van der LeeGenomics of Neurodegenerative Diseases and Aging, Department of Human Genetics, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands. s.j.vanderlee@amsterdamumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRare variants of the triggering receptor expressed on myeloid cell 2 (TREM2) gene are strong risk factors for Alzheimer's disease (AD), and drugs targeting the TREM2 protein are being developed. However, it is unknown what the effect of TREM2 variants is on the AD phenotype.

methodsHere we studied a full range of clinical and biomarker measures in a large cohort of TREM2 variant carriers (n = 123, 7.8%, i.e., R62H n = 66, R47H n = 26, T96K n = 16, other TREM2 variants n = 17) compared to confirmed non-carriers (n = 1,459) with biomarker confirmed symptomatic AD from Amsterdam Dementia Cohort. Secondly, we explored whether specific TREM2 variants were associated with distinct clinical measures compared to the reference group, i.e. non-carriers, within the same cohort.

resultsTREM2 variant carriers (64 ± 7 years, 54% female) did not show distinct clinical measures of AD at presentation compared to AD patients not carrying a TREM2 variant (64 ± 7 years, 52% female). We observed no differences in MMSE, neuropsychological domains (except less impaired visuospatial functioning in TREM2 carriers), MRI scores, CSF biomarkers, EEG, structural MRI (41 ROIs) and Tau-PET scans of four carriers (R62H, R47H, G58A, D87N). Carriers did show faster cognitive decline (MMSE points per year 0.6 ± 0.3, P

conclusionsThis study shows that while carriers of TREM2 risk variants cannot be distinguished based on clinical presentation at baseline compared to non-carriers, they do exhibit a faster global cognitive decline. Variant-specific analyses indicate that especially R47H and T96K carriers drive this association. These results highlight the importance of considering variant-specific effects for understanding the role of TREM2 biology in AD. The rich phenotype information can inform clinical stage drug development.

Indexed as

Alzheimer DiseaseEndophenotypesGenetic Predisposition to DiseaseMembrane GlycoproteinsReceptors, ImmunologicAgedBiomarkersCohort StudiesFemaleGenetic VariationHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsBiomarkersMembrane GlycoproteinsReceptors, ImmunologicTREM2 protein, humanAlzheimer’s diseaseClinical measuresTREM2

Identifiers

PMID40051009
PMCPMC11883996

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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.