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Monica	
  J	
  Carson	
  
(monica.carson@microglia.org)	
  
Microglia	
  as	
  a	
  CNS-­‐specific	
  9ssue	
  macrophage:	
  	
  
TREM2	
  dependent	
  func9ons	
  
TREM2
DAP12/
TRYROBP
Tmem176b
C1qA
!
!!!!"#$%&'()*+&!
,-./01-/.!23%41$5
"# $#
%&'()
*"+,)
--
.%"/0123456243078(524
?0(84@A B0(84@A ,C0(84@A!#
Microglia are a distinct CNS-specific myeloid lineage
but the CNS is also served by infiltrating myeloid cells
B. IC LPS injection
CD45 à
MG MP
A. Untreated, no inflammation
CD45 à
FcRà
MG
FcRà
1)  CNS-resident Microglia
Microglia are:
ü  CD45lo to CD45intermediate
ü  long-lived,
ü  largely self-replenishing
ü  PU.1/IRF8 dependent lineage that
begin populating the CNS during
embryonic development
ü  Do not traffic to draining lymph nodes
(at detectable rates)
2)  Peripheral monocytes /macrophages
that acutely infiltrate the CNS
These cells are:
ü  CD45hi
ü  short lived
ü  rapidly replaced by bone marrow
derived cells in the adult
ü  Can traffic to draining lymph nodes
Trem1	
  
Trem2	
   Macrophage	
  
Trem2	
  Trem1	
  
Microglia	
  
Bkgrd	
  
Bkgrd	
  
mg
100
101
102
103
104
FL2-H
MJC050212.039 11.8
MJC050212.030 11.4
MJC050212.021 15.7
MJC050212.012 11.2
live no boxes
MJC050212.011
Event Count: 27279
100
101
102
103
104
FL4-H
100
101
102
103
104
FL1-H
CD45 à
FcRà
C. IP LPS injection
MP
MG
So what do we know about TREM2 and neuroinflammation:
TREM2 up regulated
Cuprizone
Facial Axotomy
In general, situations with increased cell
damage, changes in neuronal activity and/or
TNF lead to increased microglial expression of
TREM2
Cell debris or TNF alone each are sufficient to
increase microglial expression of TREM2
(Schmid et al. JNC 2002, 2009)
Melchior et al. ASN NEURO 2010)
Please note the gene:
DAP12 = TYROBP = KARAP
!
!!!!"#$%&'()*+&!
,-./01-/.!23%41$5
"# $#
%&'()
*"+,)
--
.%"/0123456243078(524
%&'()
%('(,9:;
< < <= = =
!0000>000!0000>0000!0000>000!0000>0000!0000>0000!000>
?0(84@A B0(84@A ,C0(84@A!#
!"
#"
$"
%"
&"
'!"
'#"
'$"
'%"
'&"
(")*+,-." /")*+,-." '0")*+,-."
*# Trem2
Blue=non-transgenic wild-type; Red=APP23 transgenic
:
Why focus on TREM2 in AD Associated Neuroinflammation?
Because	
  Trem2	
  is	
  a	
  receptor	
  that:	
  	
  
1)  10-­‐50	
  fold	
  higher	
  on	
  microglia	
  than	
  on	
  blood-­‐derived	
  macrophages	
  
2)  In	
  the	
  murine	
  CNS	
  is	
  only	
  expressed	
  by	
  microglia	
  (no	
  TREM2	
  in	
  PU.1	
  KO’s	
  lacking	
  
microglia)	
  	
  
3)  Inhibits	
  signaling	
  of	
  some	
  pro-­‐inflammatory	
  receptors	
  (TLR4)	
  
4)  Increases	
  phagocytosis	
  of	
  cell	
  debris	
  and	
  amyloid	
  by	
  microglia	
  	
  	
  	
  
5)  promotes	
  9ssue	
  repair	
  following	
  injury	
  and	
  	
  inflammatory	
  insults	
  (Overexpression	
  &	
  
an9body	
  blocking	
  studies)	
  
6)  TREM2	
  binding	
  ac9vity	
  (puta9ve	
  TREM2	
  ligands)	
  expressed	
  by	
  microglia,	
  CNS-­‐
infiltra9ng	
  macrophages,	
  ac9vated	
  glia	
  and	
  stressed	
  &	
  apopto9c	
  neurons	
  and	
  glia	
  
Loss of functional TREM2 signaling
leads to early onset cognitive dementia
(20’s) & death by the 40-50’s:
Nasu-Hakola Disease
Tempting to speculate that normal age-
related decrease in TREM2 levels
contributes to age-related susceptibility
for AD
(Thrash et al. 2009)
!""
!"!
!"#
!"$
!"%
!"#$%&'(&)(&*+),&)'-,.*/0$1*2(3"&4
B:TREM2
PD2
3mo.
PD21
PD7
Bkgrd
5*$6*738
!""
!"!
!"#
!"$
!"%
!"
"
!"!
!"#
!"$
!"%
!&'(
)*+,-./*0
9:;<
9:==>
A.
Microglia are the tissue macrophage of the brain….
So, what are the roles and functions of the typical tissue macrophage?
Is the recent AD-associated mutation in TREM2 ligand binding domain, loss of function or altered
recognition of ligands leading to dysregulated TREM2 dependent microglial activation?
Phagocytosis
Antigen-presentation
To T cells: activate,
retain direct effector
functions
Trafficking to lymph nodes
Tissue homeostasis
Tissue repair
Pathogen defense
Microglia not detected to
traffick to cervical lymph
nodes
Microglia: yes
TREM2 regulated
Microglia: Yes:
TREM2 regulated
Microglia: Yes via
innate and adaptive
immunity
TREM2 regulated
Microglia: Yes,
But as inhibitory/
tolerogenic APCs
TREM2 regulated in vitro
Microglia: Yes, very
active innate immunity
and oxidative pathways
TREM2 regulated
TREM2 immunoreactivity: a caution
!
!!!!"#$%&'()*+&!
,-./01-/.!23%41$5
"# $#
%&'()
*"+,)
--
.%"/0123456243078(524
< < <= = =
!0000>000!0000>0000!0000>000!0000>0000!0000>0000!000>
?0(84@A B0(84@A ,C0(84@A!#
Microglia also produce soluble “decoy” form of receptor!
Therefore reports of TREM2 immunoreactivity on non-microglia might reflect detection
of the soluble variant of TREM2 binding these TREM2 ligands on neurons, glia and
perivascular macrophages
Unpublished results, Schmid et al. 2002, Hamerman et al 2006,
Piccio et al. 2008, Hsieh et al.2009
TREM2 binding activity (putative
ligand expression) is detected on
reactive astrocytes, infiltrating
macrophages (high levels) and
stressed and/or apoptotic neurons,
reactive and apoptotic glia
NINDS
UCR Div of Biomed Sci PIC grant
UCR Chancellor’s Strategic Initiative
Dana Foundation
Biogen Idec, Merck
DOD; CRCC
Tammy Kielian
Caroline Whitacre
Emma Wilson
Kathryn Jones
Virginia Sanders
Marco Colonna
Harald Neuman
Jenny Ting
Carson Lab
Tiffany Butts
Deirdre S. Davis
Alfredo Hernandez
Benoit Melchior
Yoshinori Otani
Shweta Puntambekar
Victoria Senechal
Christoph D. Schmid
J. Cameron Thrash
Iryna M. Ethell
Tina Bilousova
Slawomir Sloniwski
Peter Hickmott
Devin Binder
Mike Hsu
Microglia and Macrophages in brain
development and neuroinflammation

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13alzforum carson

  • 1. Monica  J  Carson   (monica.carson@microglia.org)   Microglia  as  a  CNS-­‐specific  9ssue  macrophage:     TREM2  dependent  func9ons   TREM2 DAP12/ TRYROBP Tmem176b C1qA ! !!!!"#$%&'()*+&! ,-./01-/.!23%41$5 "# $# %&'() *"+,) -- .%"/0123456243078(524 ?0(84@A B0(84@A ,C0(84@A!#
  • 2. Microglia are a distinct CNS-specific myeloid lineage but the CNS is also served by infiltrating myeloid cells B. IC LPS injection CD45 à MG MP A. Untreated, no inflammation CD45 à FcRà MG FcRà 1)  CNS-resident Microglia Microglia are: ü  CD45lo to CD45intermediate ü  long-lived, ü  largely self-replenishing ü  PU.1/IRF8 dependent lineage that begin populating the CNS during embryonic development ü  Do not traffic to draining lymph nodes (at detectable rates) 2)  Peripheral monocytes /macrophages that acutely infiltrate the CNS These cells are: ü  CD45hi ü  short lived ü  rapidly replaced by bone marrow derived cells in the adult ü  Can traffic to draining lymph nodes
  • 3. Trem1   Trem2   Macrophage   Trem2  Trem1   Microglia   Bkgrd   Bkgrd   mg 100 101 102 103 104 FL2-H MJC050212.039 11.8 MJC050212.030 11.4 MJC050212.021 15.7 MJC050212.012 11.2 live no boxes MJC050212.011 Event Count: 27279 100 101 102 103 104 FL4-H 100 101 102 103 104 FL1-H CD45 à FcRà C. IP LPS injection MP MG
  • 4. So what do we know about TREM2 and neuroinflammation: TREM2 up regulated Cuprizone Facial Axotomy In general, situations with increased cell damage, changes in neuronal activity and/or TNF lead to increased microglial expression of TREM2 Cell debris or TNF alone each are sufficient to increase microglial expression of TREM2 (Schmid et al. JNC 2002, 2009) Melchior et al. ASN NEURO 2010) Please note the gene: DAP12 = TYROBP = KARAP ! !!!!"#$%&'()*+&! ,-./01-/.!23%41$5 "# $# %&'() *"+,) -- .%"/0123456243078(524 %&'() %('(,9:; < < <= = = !0000>000!0000>0000!0000>000!0000>0000!0000>0000!000> ?0(84@A B0(84@A ,C0(84@A!# !" #" $" %" &" '!" '#" '$" '%" '&" (")*+,-." /")*+,-." '0")*+,-." *# Trem2 Blue=non-transgenic wild-type; Red=APP23 transgenic
  • 5. : Why focus on TREM2 in AD Associated Neuroinflammation? Because  Trem2  is  a  receptor  that:     1)  10-­‐50  fold  higher  on  microglia  than  on  blood-­‐derived  macrophages   2)  In  the  murine  CNS  is  only  expressed  by  microglia  (no  TREM2  in  PU.1  KO’s  lacking   microglia)     3)  Inhibits  signaling  of  some  pro-­‐inflammatory  receptors  (TLR4)   4)  Increases  phagocytosis  of  cell  debris  and  amyloid  by  microglia         5)  promotes  9ssue  repair  following  injury  and    inflammatory  insults  (Overexpression  &   an9body  blocking  studies)   6)  TREM2  binding  ac9vity  (puta9ve  TREM2  ligands)  expressed  by  microglia,  CNS-­‐ infiltra9ng  macrophages,  ac9vated  glia  and  stressed  &  apopto9c  neurons  and  glia   Loss of functional TREM2 signaling leads to early onset cognitive dementia (20’s) & death by the 40-50’s: Nasu-Hakola Disease Tempting to speculate that normal age- related decrease in TREM2 levels contributes to age-related susceptibility for AD (Thrash et al. 2009) !"" !"! !"# !"$ !"% !"#$%&'(&)(&*+),&)'-,.*/0$1*2(3"&4 B:TREM2 PD2 3mo. PD21 PD7 Bkgrd 5*$6*738 !"" !"! !"# !"$ !"% !" " !"! !"# !"$ !"% !&'( )*+,-./*0 9:;< 9:==> A.
  • 6. Microglia are the tissue macrophage of the brain…. So, what are the roles and functions of the typical tissue macrophage? Is the recent AD-associated mutation in TREM2 ligand binding domain, loss of function or altered recognition of ligands leading to dysregulated TREM2 dependent microglial activation? Phagocytosis Antigen-presentation To T cells: activate, retain direct effector functions Trafficking to lymph nodes Tissue homeostasis Tissue repair Pathogen defense Microglia not detected to traffick to cervical lymph nodes Microglia: yes TREM2 regulated Microglia: Yes: TREM2 regulated Microglia: Yes via innate and adaptive immunity TREM2 regulated Microglia: Yes, But as inhibitory/ tolerogenic APCs TREM2 regulated in vitro Microglia: Yes, very active innate immunity and oxidative pathways TREM2 regulated
  • 7. TREM2 immunoreactivity: a caution ! !!!!"#$%&'()*+&! ,-./01-/.!23%41$5 "# $# %&'() *"+,) -- .%"/0123456243078(524 < < <= = = !0000>000!0000>0000!0000>000!0000>0000!0000>0000!000> ?0(84@A B0(84@A ,C0(84@A!# Microglia also produce soluble “decoy” form of receptor! Therefore reports of TREM2 immunoreactivity on non-microglia might reflect detection of the soluble variant of TREM2 binding these TREM2 ligands on neurons, glia and perivascular macrophages Unpublished results, Schmid et al. 2002, Hamerman et al 2006, Piccio et al. 2008, Hsieh et al.2009 TREM2 binding activity (putative ligand expression) is detected on reactive astrocytes, infiltrating macrophages (high levels) and stressed and/or apoptotic neurons, reactive and apoptotic glia
  • 8. NINDS UCR Div of Biomed Sci PIC grant UCR Chancellor’s Strategic Initiative Dana Foundation Biogen Idec, Merck DOD; CRCC Tammy Kielian Caroline Whitacre Emma Wilson Kathryn Jones Virginia Sanders Marco Colonna Harald Neuman Jenny Ting Carson Lab Tiffany Butts Deirdre S. Davis Alfredo Hernandez Benoit Melchior Yoshinori Otani Shweta Puntambekar Victoria Senechal Christoph D. Schmid J. Cameron Thrash Iryna M. Ethell Tina Bilousova Slawomir Sloniwski Peter Hickmott Devin Binder Mike Hsu Microglia and Macrophages in brain development and neuroinflammation