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A high cerebrospinal fluid soluble TREM2 level is associated with slow clinical progression of Alzheimer's disease.


ABSTRACT:

Introduction

The progression rate of Alzheimer's disease (AD) varies and might be affected by the triggering receptor expressed on myeloid cells (TREM2) activity. We explored if cerebrospinal fluid (CSF) soluble TREM2 (sTREM2), a proxy of microglial activity, is associated with clinical progression rate.

Methods

Patients with clinical AD (N = 231) were followed for up to 3 years after diagnosis. Cognitively healthy controls (N = 42) were followed for 5 years. CSF sTREM2 was analyzed by enzyme-linked immunosorbent assay. Group-based trajectory modeling revealed distinct clinical progression groups.

Results

Higher CSF sTREM2 was associated with slow clinical progression. The slow- and medium-progressing groups had higher CSF sTREM2 than the cognitively healthy, who had a similar level to patients with rapid clinical progression.

Discussion

CSF sTREM2 levels were associated with clinical progression in AD, regardless of core biomarkers. This could be useful in assessing disease development in relation to patient care and clinical trial recruitment.

SUBMITTER: Edwin TH 

PROVIDER: S-EPMC7720866 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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A high cerebrospinal fluid soluble TREM2 level is associated with slow clinical progression of Alzheimer's disease.

Edwin Trine Holt TH   Henjum Kristi K   Nilsson Lars N G LNG   Watne Leiv Otto LO   Persson Karin K   Eldholm Rannveig Sakshaug RS   Saltvedt Ingvild I   Halaas Nathalie Bodd NB   Selbæk Geir G   Engedal Knut K   Strand Bjørn Heine BH   Knapskog Anne-Brita AB  

Alzheimer's & dementia (Amsterdam, Netherlands) 20201207 1


<h4>Introduction</h4>The progression rate of Alzheimer's disease (AD) varies and might be affected by the triggering receptor expressed on myeloid cells (TREM2) activity. We explored if cerebrospinal fluid (CSF) soluble TREM2 (sTREM2), a proxy of microglial activity, is associated with clinical progression rate.<h4>Methods</h4>Patients with clinical AD (N = 231) were followed for up to 3 years after diagnosis. Cognitively healthy controls (N = 42) were followed for 5 years. CSF sTREM2 was analyz  ...[more]

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