Loss-of-function mutation of triggering receptor expressed on myeloid cell 2 (TREM2) is associated with increased risks for Alzheimer's disease (AD). Recent animal studies reveal that the activation of peripheral TREM2 signaling may affect cerebral beta-amyloid (A beta) and tau aggregates. However, the underlying relationship between peripheral TREM2 and brain AD pathology has not yet been well-elucidated in the aging population. In this study, we collected 318 Chinese older adults with A beta PET and plasma biomarker measures, including soluble TREM2 (sTREM2) and glial fibrillary acidic protein (GFAP), a proxy for astrocyte reactivity. Additionally, 129 participants underwent tau PET scans. We explored the association between plasma sTREM2, GFAP, and primary AD pathology. Plasma sTREM2 was negatively associated with reduced temporal tau PET burden in participants with abnormal A beta and tau pathology. Higher plasma sTREM2 was related to the weaker association of A beta pathology and plasma phosphorylated tau with tau PET increases. In contrast, elevated plasma GFAP was related to greater A beta and tau PET burden along with stronger A beta-related tau accumulation. Finally, higher plasma sTREM2 was linked to attenuated strength of the association between plasma GFAP and tau PET increases at both pre-defined regions of interest and voxel levels. Altogether, our findings suggest distinct relationships between plasma sTREM2 and GFAP with cerebral tau pathology, providing novel insights into the roles of peripheral TREM2 signaling and astrocytic reactivity in AD neuropathological development. This study has important implications, such as targeting the peripheral TREM2 signature, which may be a potential strategy for future AD therapies.
基金:
This study was funded by the National Natural Science Foundation of China (No.
82422027, U24A20340, 82171197, 82301380), the Guangdong Basic and Applied
Basic Science Foundation for Distinguished Young Scholars (Grant
No.2023B1515020113), the Shenzhen Science and Technology Program (Grant No.
RCYX20221008092935096), Shenzhen Bay Laboratory (Grant No. S241101004-1), and
Lingang Laboratory (Grant No. LG-GG-202401-ADA070600).
第一作者机构:[1]Inst Neurol & Psychiat Disorders, Shenzhen Bay Lab, Shenzhen 518132, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Inst Neurol & Psychiat Disorders, Shenzhen Bay Lab, Shenzhen 518132, Peoples R China[25]Peking Univ, Shenzhen Grad Sch, Shenzhen 518132, Peoples R China
推荐引用方式(GB/T 7714):
Lan Guoyu,Li Anqi,Gonzalez-Ortiz Fernando,et al.Higher plasma soluble TREM2 correlates with reduced cerebral tau accumulation in Alzheimer's disease[J].MOLECULAR PSYCHIATRY.2025,30(9):3988-3997.doi:10.1038/s41380-025-02976-4.
APA:
Lan, Guoyu,Li, Anqi,Gonzalez-Ortiz, Fernando,Lv, Jieqin,Ran, Wenqing...&Guo, Tengfei.(2025).Higher plasma soluble TREM2 correlates with reduced cerebral tau accumulation in Alzheimer's disease.MOLECULAR PSYCHIATRY,30,(9)
MLA:
Lan, Guoyu,et al."Higher plasma soluble TREM2 correlates with reduced cerebral tau accumulation in Alzheimer's disease".MOLECULAR PSYCHIATRY 30..9(2025):3988-3997