Advertisement
Clinical trial| Volume 35, P116-118, October 2019

TREM2 R47H (rs75932628) variant is unlikely to contribute to Multiple Sclerosis susceptibility and severity in a large Greek MS cohort

      Highlights

      • Multiple sclerosis is a multifactorial disease of the central nervous system.
      • TREM2 protein is implicatied to inflammation, proliferation and phagocytosis.
      • Rs75392628 variant across TREM2 gene has been related to neurological diseases.
      • None of the 1246 MS cases and 398 controls carried this variant.
      • Rs75392628 does not seem to play a determining role in the pathogenesis of MS.

      Abstract

      Background

      Multiple Sclerosis is a multifactorial autoimmune disease of the central nervous system, characterized by focal inflammation, demyelination and secondary axonal injury. TREM2 is a signaling protein which participates in the innate immune system by implication to inflammation, proliferation and phagocytosis. The R47H (rs75392628) rare variant of the TREM2 gene has been related to various neurological diseases and leads to impaired signaling, lipoprotein binding, lipoprotein uptake and surface uptake.

      Aim

      To assess the role of TREM2 rs75932628 on MS risk through a genetic candidate gene association case-control study in a Greek population.

      Methods

      1246 MS cases and 398 controls were genotyped for this variant.

      Results

      No MS or healthy subjects carried the variant.

      Conclusion

      This variant does not seem to play a determining role in the pathogenesis of MS, although further studies examining the presence of TREM2 mutations in other, phylogenetically different populations and the epigenetic regulation of this gene are needed in order to thoroughly investigate its role in MS.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Multiple Sclerosis and Related Disorders
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Booth D.
        The clinical implications from the first hundred known MS susceptibility genes.
        Adv. Clin. Neurosci. Rehabil. 2014; 14: 10-13
        • Borroni B.
        • Ferrari F.
        • Galimberti D.
        • Nacmias B.
        • Barone C.
        • Bagnoli S.
        • Fenoglio C.
        • Piaceri I.
        • Archetti S.
        • Bonvicini C.
        Heterozygous TREM2 mutations in frontotemporal dementia.
        Neurobiol. Aging. 2014; 35 (e937-934. e910): 934
        • Cady J.
        • Koval E.D.
        • Benitez B.A.
        • Zaidman C.
        • Jockel-Balsarotti J.
        • Allred P.
        • Baloh R.H.
        • Ravits J.
        • Simpson E.
        • Appel S.H.
        TREM2 variant p. R47H as a risk factor for sporadic amyotrophic lateral sclerosis.
        JAMA Neurol. 2014; 71: 449-453
        • Carmona S.
        • Zahs K.
        • Wu E.
        • Dakin K.
        • Bras J.
        • Guerreiro R.
        The role of TREM2 in Alzheimer's disease and other neurodegenerative disorders.
        Lancet Neurol. 2018; 17: 721-730
        • Dalla Costa G.
        • Finardi A.
        • Garzetti L.
        • Carandini T.
        • Comi G.
        • Martinelli V.
        • Furlan R.
        Disease-modifying treatments modulate myeloid cells in multiple sclerosis patients.
        Neurol. Sci. 2018; 39: 373-376
        • Dardiotis E.
        • Arseniou S.
        • Sokratous M.
        • Tsouris Z.
        • Siokas V.
        • Mentis A.A.
        • Michalopoulou A.
        • Andravizou A.
        • Dastamani M.
        • Paterakis K.
        • Bogdanos D.
        • Brotis A.
        Vitamin B12, folate, and homocysteine levels and multiple sclerosis: a meta-analysis.
        Mult. Scler. Relat. Disord. 2017; 17: 190-197
        • Dardiotis E.
        • Nousia A.
        • Siokas V.
        • Tsouris Z.
        • Andravizou A.
        • Mentis A.A.
        • Florou D.
        • Messinis L.
        • Nasios G.
        Efficacy of computer-based cognitive training in neuropsychological performance of patients with multiple sclerosis: a systematic review and meta-analysis.
        Mult. Scler. Relat. Disord. 2018; 20: 58-66
        • Dardiotis E.
        • Panayiotou E.
        • Siokas V.
        • Aloizou A.M.
        • Christodoulou K.
        • Hadjisavvas A.
        • Pantzaris M.
        • Grigoriadis N.
        • Hadjigeorgiou G.M.
        • Kyriakides T.
        Gene variants of adhesion molecules predispose to MS: a case-control study.
        Neurol. Genetics. 2019; 5: e304
        • Dardiotis E.
        • Siokas V.
        • Pantazi E.
        • Dardioti M.
        • Rikos D.
        • Xiromerisiou G.
        • Markou A.
        • Papadimitriou D.
        • Speletas M.
        • Hadjigeorgiou G.M.
        A novel mutation in TREM2 gene causing Nasu–Hakola disease and review of the literature.
        Neurobiol. Aging. 2017; 53: 194.e113-194.e122
        • Dardiotis E.
        • Tsouris Z.
        • Aslanidou P.
        • Aloizou A.M.
        • Sokratous M.
        • Provatas A.
        • Siokas V.
        • Deretzi G.
        • Hadjigeorgiou G.M.
        Body mass index in patients with multiple Sclerosis: a meta-analysis.
        Neurol. Res. 2019; : 1-11
        • Fagnani C.
        • Neale M.C.
        • Nistico L.
        • Stazi M.A.
        • Ricigliano V.A.
        • Buscarinu M.C.
        • Salvetti M.
        • Ristori G.
        Twin studies in multiple sclerosis: a meta-estimation of heritability and environmentality.
        Mult. Scler. 2015; 21: 1404-1413
        • Ghasemi N.
        • Razavi S.
        • Nikzad E.
        Multiple Sclerosis: pathogenesis, Symptoms, diagnoses and cell-based therapy.
        Cell J. 2017; 19: 1-10
        • Goldenberg M.M.
        Multiple sclerosis review.
        P T. 2012; 37: 175-184
        • Gratuze M.
        • Leyns C.E.G.
        • Holtzman D.M.
        New insights into the role of TREM2 in Alzheimer's disease.
        Mol. Neurodegener. 2018; 13: 66
        • Guerreiro R.
        • Wojtas A.
        • Bras J.
        • Carrasquillo M.
        • Rogaeva E.
        • Majounie E.
        • Cruchaga C.
        • Sassi C.
        • Kauwe J.S.
        • Younkin S.
        TREM2 variants in alzheimer's disease.
        New England J. Med. 2013; 368: 117-127
        • Hadjigeorgiou G.M.
        • Kountra P.M.
        • Koutsis G.
        • Tsimourtou V.
        • Siokas V.
        • Dardioti M.
        • Rikos D.
        • Marogianni C.
        • Aloizou A.M.
        • Karadima G.
        • Ralli S.
        • Grigoriadis N.
        • Bogdanos D.
        • Panas M.
        • Dardiotis E.
        Replication study of GWAS risk loci in greek multiple sclerosis patients.
        Neurol. Sci. 2019; 40: 253-260
        • Hsieh C.L.
        • Koike M.
        • Spusta S.C.
        • Niemi E.C.
        • Yenari M.
        • Nakamura M.C.
        • Seaman W.E.
        A role for TREM2 ligands in the phagocytosis of apoptotic neuronal cells by microglia.
        J. Neurochem. 2009; 109: 1144-1156
        • International Multiple Sclerosis Genetics Consortium
        Low-Frequency and rare-coding variation contributes to multiple sclerosis risk.
        Cell. 2018; 175 (e1677): 1679-1687
        • O'Gorman C.
        • Lucas R.
        • Taylor B.
        Environmental risk factors for multiple sclerosis: a review with a focus on molecular mechanisms.
        Int. J. Mol. Sci. 2012; 13: 11718-11752
        • Ohrfelt A.
        • Axelsson M.
        • Malmestrom C.
        • Novakova L.
        • Heslegrave A.
        • Blennow K.
        • Lycke J.
        • Zetterberg H.
        Soluble TREM-2 in cerebrospinal fluid from patients with multiple sclerosis treated with natalizumab or mitoxantrone.
        Mult. Scler. 2016; 22: 1587-1595
        • Ortega-Cubero S.
        • Lorenzo-Betancor O.
        • Lorenzo E.
        • Agúndez J.A.
        • Jiménez-Jiménez F.J.
        • Ross O.A.
        • Wurster I.
        • Mielke C.
        • Lin J.-.J.
        • Coria F.
        TREM2 R47H variant and risk of essential tremor: a cross-sectional international multicenter study.
        Parkinsonism Relat. Disord. 2015; 21: 306-309
        • Parnell G.P.
        • Booth D.R.
        The multiple sclerosis (MS) genetic risk factors indicate both acquired and innate immune cell subsets contribute to MS pathogenesis and identify novel therapeutic opportunities.
        Front Immunol. 2017; 8: 425
        • Patsopoulos N.A.
        Genetics of multiple sclerosis: an overview and new directions.
        Cold Spring Harb. Perspect. Med. 2018; 8a028951
        • Piccio L.
        • Deming Y.
        • Del-Aguila J.L.
        • Ghezzi L.
        • Holtzman D.M.
        • Fagan A.M.
        • Fenoglio C.
        • Galimberti D.
        • Borroni B.
        • Cruchaga C.
        Cerebrospinal fluid soluble TREM2 is higher in Alzheimer disease and associated with mutation status.
        Acta Neuropathol. 2016; 131: 925-933
        • Rahmanzadeh R.
        • Bruck W.
        • Minagar A.
        • Sahraian M.A.
        Multiple sclerosis pathogenesis: missing pieces of an old puzzle.
        Rev. Neurosci. 2018; 30: 67-83
        • Rayaprolu S.
        • Mullen B.
        • Baker M.
        • Lynch T.
        • Finger E.
        • Seeley W.W.
        • Hatanpaa K.J.
        • Lomen-Hoerth C.
        • Kertesz A.
        • Bigio E.H.
        TREM2 in neurodegeneration: evidence for association of the p. R47H variant with frontotemporal dementia and parkinson's disease.
        Mol. Neurodegener. 2013; 8: 19
        • Sawcer S.
        • Hellenthal G.
        • Pirinen M.
        • Spencer C.C.
        • Patsopoulos N.A.
        • Moutsianas L.
        • Dilthey A.
        • Su Z.
        • Freeman C.
        • Hunt S.E.
        Genetic risk and a primary role for cell-mediated immune mechanisms in multiple sclerosis.
        Nature. 2011; 476: 214
        • Sessa G.
        • Podini P.
        • Mariani M.
        • Meroni A.
        • Spreafico R.
        • Sinigaglia F.
        • Colonna M.
        • Panina P.
        • Meldolesi J.
        Distribution and signaling of TREM2/DAP12, the receptor system mutated in human polycystic lipomembraneous osteodysplasia with sclerosing leukoencephalopathy dementia.
        Eur. J. Neurosci. 2004; 20: 2617-2628
        • Sherry S.T.
        • W. M.
        • Kholodov M.
        • Baker J.
        • Phan L.
        • Smigielski E.M.
        • Sirotkin K.
        dbSNP: the NCBI database of genetic variation.
        Nucleic Acids Res. 2001; 1: 308-311
        • Siokas V.
        • Kardaras D.
        • Aloizou A.M.
        • Asproudis I.
        • Boboridis K.G.
        • Papageorgiou E.
        • Hadjigeorgiou G.M.
        • Tsironi E.E.
        • Dardiotis E.
        BDNF rs6265 (Val66Met) polymorphism as a risk factor for blepharospasm.
        Neuromolecular Med. 2019; 21: 68-74
        • Siokas V.
        • Kardaras D.
        • Aloizou A.M.
        • Asproudis I.
        • Boboridis K.G.
        • Papageorgiou E.
        • Spandidos D.A.
        • Tsatsakis A.
        • Tsironi E.E.
        • Dardiotis E.
        Lack of association of the rs11655081 ARSG gene with blepharospasm.
        J. Mol. Neurosci. 2019; 67: 472-476
        • Sokratous M.
        • Dardiotis E.
        • Bellou E.
        • Tsouris Z.
        • Michalopoulou A.
        • Dardioti M.
        • Siokas V.
        • Rikos D.
        • Tsatsakis A.
        • Kovatsi L.
        • Bogdanos D.P.
        • Hadjigeorgiou G.M.
        CpG island methylation patterns in relapsing-remitting multiple sclerosis.
        J. Mol. Neurosci. 2018; 64: 478-484
        • Sokratous M.
        • Dardiotis E.
        • Tsouris Z.
        • Bellou E.
        • Michalopoulou A.
        • Siokas V.
        • Arseniou S.
        • Stamati T.
        • Tsivgoulis G.
        • Bogdanos D.
        • Hadjigeorgiou G.M.
        Deciphering the role of DNA methylation in multiple sclerosis: emerging issues.
        Auto Immun. Highlights. 2016; 7: 12
        • Stamatelos P.
        • Anagnostouli M.
        HLA-Genotype in multiple Sclerosis: the role in disease onset, clinical Course, cognitive status and response to Treatment: a clear step towards personalized therapeutics.
        Immun. Open Access. 2017; 2: 116
        • Suarez-Calvet M.
        • Morenas-Rodriguez E.
        • Kleinberger G.
        • Schlepckow K.
        • Araque Caballero M.A.
        • Franzmeier N.
        • Capell A.
        • Fellerer K.
        • Nuscher B.
        • Eren E.
        • Levin J.
        • Deming Y.
        • Piccio L.
        • Karch C.M.
        • Cruchaga C.
        • Shaw L.M.
        • Trojanowski J.Q.
        • Weiner M.
        • Ewers M.
        • Haass C.
        Early increase of CSF sTREM2 in alzheimer's disease is associated with tau related-neurodegeneration but not with amyloid-beta pathology.
        Mol Neurodegener. 2019; 14: 1
        • Takahashi K.
        • Prinz M.
        • Stagi M.
        • Chechneva O.
        • Neumann H.
        TREM2-transduced myeloid precursors mediate nervous tissue debris clearance and facilitate recovery in an animal model of multiple sclerosis.
        PLoS Med. 2007; 4: e124
        • Thelen M.
        • Razquin C.
        • Hernández I.
        • Gorostidi A.
        • Sánchez-Valle R.
        • Ortega-Cubero S.
        • Wolfsgruber S.
        • Drichel D.
        • Fliessbach K.
        • Duenkel T.
        Investigation of the role of rare TREM2 variants in frontotemporal dementia subtypes.
        Neurobiol. Aging. 2014; 35 (e2613-2657. e2619): 2657
        • Thompson A.J.
        • Banwell B.L.
        • Barkhof F.
        • Carroll W.M.
        • Coetzee T.
        • Comi G.
        • Correale J.
        • Fazekas F.
        • Filippi M.
        • Freedman M.S.
        Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria.
        Lancet Neurol. 2018; 17: 162-173
        • Yeh F.L.
        • Hansen D.V.
        • Sheng M.
        TREM2, Microglia, and neurodegenerative diseases.
        Trends Mol. Med. 2017; 23: 512-533