TREM2

gene
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Also known as TREM-2Trem2aTrem2bTrem2c

Summary

TREM2 (triggering receptor expressed on myeloid cells 2, HGNC:17761) is a protein-coding gene on chromosome 6p21.1, encoding Triggering receptor expressed on myeloid cells 2 (Q9NZC2). Forms a receptor signaling complex with TYROBP which mediates signaling and cell activation following ligand binding.

This gene encodes a membrane protein that forms a receptor signaling complex with the TYRO protein tyrosine kinase binding protein. The encoded protein functions in immune response and may be involved in chronic inflammation by triggering the production of constitutive inflammatory cytokines. Defects in this gene are a cause of polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy (PLOSL). Alternative splicing results in multiple transcript variants encoding different isoforms.

Source: NCBI Gene 54209 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 2 (Strong, GenCC) — +2 more curated relationships
  • GWAS associations: 9
  • Clinical variants (ClinVar): 194 total — 11 pathogenic, 10 likely-pathogenic
  • Phenotypes (HPO): 160
  • Druggable target: yes
  • Transcription factor: yes — 11 downstream targets (CollecTRI)
  • MANE Select transcript: NM_018965

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:17761
Approved symbolTREM2
Nametriggering receptor expressed on myeloid cells 2
Location6p21.1
Locus typegene with protein product
StatusApproved
AliasesTREM-2, Trem2a, Trem2b, Trem2c
Ensembl geneENSG00000095970
Ensembl biotypeprotein_coding
OMIM605086
Entrez54209

Gene structure

Transcript identifiers

Ensembl transcripts: 4 — 4 protein_coding

ENST00000338469, ENST00000373113, ENST00000373122, ENST00000880536

RefSeq mRNA: 2 — MANE Select: NM_018965 NM_001271821, NM_018965

CCDS: CCDS4852, CCDS64422

Canonical transcript exons

ENST00000373113 — 5 exons

ExonStartEnd
ENSE000006190204116126341161613
ENSE000007505534115979241159882
ENSE000008498744115887341159066
ENSE000019221424116304341163116
ENSE000035926464115850841158780

Expression profiles

Bgee: expression breadth ubiquitous, 186 present calls, max score 92.42.

FANTOM5 (CAGE): breadth broad, TPM avg 10.5118 / max 727.6496, expressed in 330 samples.

FANTOM5 promoters (4 alternative TSS)

Promoter IDTPM avgSamples expressed
735278.0166299
735301.8012242
735290.5504160
735280.143571

Top tissues by expression

276 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
C1 segment of cervical spinal cordUBERON:000646992.42gold quality
spinal cordUBERON:000224091.22gold quality
amniotic fluidUBERON:000017385.54gold quality
olfactory bulbUBERON:000226484.03gold quality
inferior vagus X ganglionUBERON:000536383.82gold quality
substantia nigraUBERON:000203883.46gold quality
midbrainUBERON:000189182.38gold quality
cranial nerve IIUBERON:000094181.56gold quality
right coronary arteryUBERON:000162580.90gold quality
gall bladderUBERON:000211080.72gold quality
left adrenal glandUBERON:000123479.82gold quality
subthalamic nucleusUBERON:000190679.61gold quality
upper lobe of left lungUBERON:000895279.12gold quality
left adrenal gland cortexUBERON:003582579.12gold quality
prefrontal cortexUBERON:000045178.36gold quality
upper lobe of lungUBERON:000894878.26gold quality
amygdalaUBERON:000187677.73gold quality
right adrenal glandUBERON:000123377.36gold quality
adrenal cortexUBERON:000123577.35gold quality
right uterine tubeUBERON:000130277.04gold quality
hypothalamusUBERON:000189876.84gold quality
type B pancreatic cellCL:000016976.81gold quality
deciduaUBERON:000245076.69silver quality
caudate nucleusUBERON:000187376.59gold quality
right lungUBERON:000216776.36gold quality
descending thoracic aortaUBERON:000234576.27gold quality
right adrenal gland cortexUBERON:003582776.24gold quality
putamenUBERON:000187476.00gold quality
Ammon’s hornUBERON:000195475.88gold quality
tibial nerveUBERON:000132375.85gold quality

Single-cell (SCXA)

Detected in 6 experiment(s), a significant marker in 6.

ExperimentMarker?Max mean expression
E-MTAB-6701yes74.78
E-GEOD-84465yes40.32
E-MTAB-7316yes15.43
E-CURD-112yes13.57
E-ANND-3yes7.35
E-GEOD-137537yes5.41

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

11 targets.

TargetRegulation
APOC1Activation
APOEActivation
ARG1Unknown
CCL3Unknown
CST7Activation
FABP5Activation
IL1AActivation
IL1BActivation
IL6Unknown
LIPAActivation
TNFActivation

Upstream regulators (CollecTRI, top): NFKB

miRNA regulators (miRDB)

13 targeting TREM2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4692100.0067.322066
HSA-MIR-451499.9967.101870
HSA-MIR-426799.9666.532368
HSA-MIR-3934-5P99.6764.04846
HSA-MIR-451699.6167.783390
HSA-MIR-892C-5P99.1670.562116
HSA-MIR-6749-3P99.0065.731443
HSA-MIR-939-3P98.9765.072347
HSA-MIR-506-5P98.0267.411065
HSA-MIR-446898.0166.851187
HSA-MIR-66597.6065.641781
HSA-MIR-445697.5064.881678
HSA-MIR-227897.3066.191130

Literature-anchored findings (GeneRIF, showing 40)

  • Mutations in two genes encoding different subunits of a receptor signaling complex (TYROBP and TREM2) result in an identical disease phenotype (PMID:12080485)
  • The human TREM gene cluster at 6p21.1 encodes both activating and inhibitory single IgV domain receptors and includes TREM2. (PMID:12645956)
  • Nasu-Hakola disease with a novel genetic mutations in the TREM2 gene (PMID:12754369)
  • results demonstrate a critical role for TREM-2 in the differentiation of mononuclear myeloid precursors into functional multinucleated osteoclasts (PMID:12913093)
  • These results indicate an important role for DAP12-TREM2 signaling complex in the differentiation and function of osteoclasts. (PMID:12925681)
  • Two healthy subjects heterozygous for one mutated TREM2 allele showed a deficit of visuospatial memory associated with hypoperfusion in the basal ganglia, whereas the homozygotes for the wild-type allele of TREM2 did not show any abnormalities. (PMID:15966270)
  • Mutation in Nasu-Hakola disease. (PMID:16505336)
  • Transcript analysis of DCs of PLOSL patients show that TREM2 deficient cells differentiated into DCs and responded to pathogenic stimuli. However, the DCs showed morphological differences due to defects in the actin filaments. (PMID:17530208)
  • Mutations in TREM2 lead to pure early-onset dementia without bone cysts (PMID:18546367)
  • TREM2 is induced and expressed in microglia associated with amyloid plaques where it may impact on their differentiation state and function in aged APP23 transgenic mice, an animal model of Alzheimer’s disease. (PMID:18551625)
  • the DAP12-TREM2 complex unlikely has a role in genetic susceptibility of multiple sclerosis (PMID:19019460)
  • TREM-2 can function as a pattern-recognition receptor in the induction of the innate immune response to gonococci. (PMID:19079182)
  • decreased percentages of TREM-2 positive monocytes in patients with multiple sclerosis (PMID:19230638)
  • Treatment with Hsp60 was found to stimulate the best known TREM2-dependent process, phagocytosis, however, only in the microglial N9 cells rich in the receptor. (PMID:19457124)
  • These findings indicate that DAP12, possibly through association with TREM2, contributes to alveolar macrophage chemotaxis and recruitment to the lung and may mediate macrophage accumulation in lung diseases such as emphysema. (PMID:20421649)
  • TREM2 expression correlates positively with amyloid phagocytosis in a transgenic model of amyloid pathology. (PMID:20640189)
  • This is the first report of a Japanese Nasu-Hakola disease family caused by a splicing mutation of TREM2 that induces both neuroinflammation and neurodegeneration. (PMID:21834902)
  • we have identified a common TREM2 variant associated with CRP in United States minority populations. (PMID:22939635)
  • Our findings strongly implicate variant TREM2 in the pathogenesis of Alzheimer’s disease. (PMID:23150908)
  • Heterozygous rare variants in TREM2 are associated with a significant increase in the risk of Alzheimer’s disease. (PMID:23150934)
  • An association is found between rs75932628-T variant of TREM2 and early-onset Alzheimer’s disease. (PMID:23380991)
  • A positive replication study in a Spanish population confirms that TREM2 rs75932628-T is associated with risk for Alzheimer’s disease. (PMID:23391427)
  • REVIEW: the recent epidemiological findings of TREM2 that related with late-onset AD and speculate the possible roles of TREM2 in progression of this disease (PMID:23407992)
  • TREM2 is expressed on microglial cells, the resident macrophages in the CNS, and functions to stimulate phagocytosis on one hand and to suppress cytokine production and inflammation on the other hand. (PMID:23533697)
  • Mutation in TREM2 may serve as a risk factor for neurodegenerative disease in general, and that potentially this class of TREM2 variant carriers with dementia should be considered as having a molecularly distinct form of neurodegenerative disease. (PMID:23582655)
  • TREM-2 plays an important role in the host defense response to sepsis by enhancing bacterial clearance. (PMID:23721075)
  • Its mutations are rare in a French cohort of patients with frontotemporal dementia. (PMID:23759145)
  • Our results suggest that the TREM2 p.R47H substitution is a risk factor for frontotemporal dementia and Parkinson’s disease (PMID:23800361)
  • R47H variant of TREM2 is an Alzheimer’s disease risk factor. (PMID:23855982)
  • It is significantly enriched for genes genetically implicated in Alzheimer’s disease, multiple sclerosis, and motor neuron disease, implying that these diseases share common pathways centered on microglia. (PMID:23855984)
  • Its homozygous mutations cause frontotemporal dementia. (review) (PMID:23870839)
  • Higher levels of TREM2 mRNA (p = 0.002) and protein (p < 0.001) were identified in Alzheimer disease patients. This study observed a significant correlation between TREM2 expressions and MMSE score. (PMID:24002183)
  • the accumulated TREM2 CTF thereby might limit the interaction of DAP12 with the functional full-length receptor, resulting in decreased DAP12 phosphorylation and impaired metabolism of phosphatidylinositol 4,5-bisphosphate. (PMID:24078628)
  • TREM2 variants may play a role in neurodegenerative diseases in general. (PMID:24119542)
  • The combined analysis confirmed the association of the R47H variant of TREM2 with Parkinson’s disease. (PMID:24131187)
  • Heterozygous TREM2 mutations modulate the risk of FTD in addition to increasing susceptibility to AD. (PMID:24139279)
  • Mutations in exon2 of TREM2 are unlikely to play a key role in the susceptibility of LOAD in the northern Han Chinese population. (PMID:24184202)
  • propose that TREM2 is a potential therapeutic target for stopping ordelaying progression of AD (PMID:24355566)
  • Its association with cognitive performance has been known. (PMID:24378087)
  • TREM2 p.R47H variant signaling pathway is increased in spinal cord samples from amyotrophic lateral sclerosis patients; its experssion negatively correlates with survival in transgenic mice. (PMID:24535663)

Cross-species orthologs

2 orthologs

OrganismSymbolGene ID
mus_musculusTrem2ENSMUSG00000023992
rattus_norvegicusTrem2ENSRNOG00000013578

Paralogs (13): TMIGD3 (ENSG00000121933), CD300LG (ENSG00000161649), TREML1 (ENSG00000161911), FCMR (ENSG00000162894), PIGR (ENSG00000162896), FCAMR (ENSG00000162897), CD300C (ENSG00000167850), CD300A (ENSG00000167851), CD300LB (ENSG00000178789), CD300LF (ENSG00000186074), CD300E (ENSG00000186407), CD300LD (ENSG00000204345), CD300H (ENSG00000284690)

Protein

Protein identifiers

Triggering receptor expressed on myeloid cells 2Q9NZC2 (reviewed: Q9NZC2)

Alternative names: Triggering receptor expressed on monocytes 2

All UniProt accessions (2): Q9NZC2, Q5TCX1

UniProt curated annotations — full annotation on UniProt →

Function. Forms a receptor signaling complex with TYROBP which mediates signaling and cell activation following ligand binding. Acts as a receptor for amyloid-beta protein 42, a cleavage product of the amyloid-beta precursor protein APP, and mediates its uptake and degradation by microglia. Binding to amyloid-beta 42 mediates microglial activation, proliferation, migration, apoptosis and expression of pro-inflammatory cytokines, such as IL6R and CCL3, and the anti-inflammatory cytokine ARG1. Acts as a receptor for lipoprotein particles such as LDL, VLDL, and HDL and for apolipoproteins such as APOA1, APOA2, APOB, APOE, APOE2, APOE3, APOE4, and CLU and enhances their uptake in microglia. Binds phospholipids (preferably anionic lipids) such as phosphatidylserine, phosphatidylethanolamine, phosphatidylglycerol and sphingomyelin. Regulates microglial proliferation by acting as an upstream regulator of the Wnt/beta-catenin signaling cascade. Required for microglial phagocytosis of apoptotic neurons. Also required for microglial activation and phagocytosis of myelin debris after neuronal injury and of neuronal synapses during synapse elimination in the developing brain. Regulates microglial chemotaxis and process outgrowth, and also the microglial response to oxidative stress and lipopolysaccharide. It suppresses PI3K and NF-kappa-B signaling in response to lipopolysaccharide; thus promoting phagocytosis, suppressing pro-inflammatory cytokine and nitric oxide production, inhibiting apoptosis and increasing expression of IL10 and TGFB. During oxidative stress, it promotes anti-apoptotic NF-kappa-B signaling and ERK signaling. Plays a role in microglial MTOR activation and metabolism. Regulates age-related changes in microglial numbers. Triggers activation of the immune responses in macrophages and dendritic cells. Mediates cytokine-induced formation of multinucleated giant cells which are formed by the fusion of macrophages. In dendritic cells, receptor of SEMA6D with PLEXNA1 as coreceptor and mediates up-regulation of chemokine receptor CCR7 and dendritic cell maturation and survival. Involved in the positive regulation of osteoclast differentiation.

Subunit / interactions. Monomer. After ectodomain shedding, the extracellular domain oligomerizes, which is enhanced and stabilized by binding of phosphatidylserine. Interacts with TYROBP/DAP12. Interaction with TYROBP is required for stabilization of the TREM2 C-terminal fragment (TREM2-CTF) which is produced by proteolytic processing. Interacts with PLXNA1 (via TIG domains); the interaction mediates SEMA6D binding and signaling through TYROBP.

Subcellular location. Cell membrane Secreted Secreted.

Tissue specificity. Expressed in the brain, specifically in microglia and in the fusiform gyrus (at protein level). Expressed on macrophages and dendritic cells but not on granulocytes or monocytes. In the CNS strongest expression seen in the basal ganglia, corpus callosum, medulla oblongata and spinal cord.

Post-translational modifications. Undergoes ectodomain shedding through proteolytic cleavage by ADAM10 and ADAM17 to produce a transmembrane segment, the TREM2 C-terminal fragment (TREM2-CTF), which is subsequently cleaved by gamma-secretase.

Disease relevance. Polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 2 (PLOSL2) [MIM:618193] An autosomal recessive disease characterized by presenile frontal dementia with leukoencephalopathy and basal ganglia calcification. In most cases the disorder first manifests in early adulthood as pain and swelling in ankles and feet, followed by bone fractures. Neurologic symptoms manifest in the fourth decade of life as a frontal lobe syndrome with loss of judgment, euphoria, and disinhibition. Progressive decline in other cognitive domains begins to develop at about the same time. The disorder culminates in a profound dementia and death by age 50 years. The disease is caused by variants affecting the gene represented in this entry. Alzheimer disease 17 (AD17) [MIM:615080] A late-onset form of Alzheimer disease. Alzheimer disease is a neurodegenerative disorder characterized by progressive dementia, loss of cognitive abilities, and deposition of fibrillar amyloid proteins as intraneuronal neurofibrillary tangles, extracellular amyloid plaques and vascular amyloid deposits. The major constituents of these plaques are neurotoxic amyloid-beta protein 40 and amyloid-beta protein 42, that are produced by the proteolysis of the transmembrane APP protein. The cytotoxic C-terminal fragments (CTFs) and the caspase-cleaved products, such as C31, are also implicated in neuronal death. Disease susceptibility is associated with variants affecting the gene represented in this entry.

Isoforms (3)

UniProt IDNamesCanonical?
Q9NZC2-11yes
Q9NZC2-22, TREM-2V
Q9NZC2-33

RefSeq proteins (2): NP_001258750, NP_061838* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR013106Ig_V-setDomain
IPR013783Ig-like_foldHomologous_superfamily
IPR036179Ig-like_dom_sfHomologous_superfamily
IPR052314Immune_rcpt_domainFamily

Pfam: PF07686

UniProt features (79 total): sequence variant 35, strand 9, mutagenesis site 7, helix 7, turn 4, binding site 4, glycosylation site 2, disulfide bond 2, splice variant 2, topological domain 2, signal peptide 1, chain 1, site 1, transmembrane region 1, domain 1

Structure

Experimental structures (PDB)

15 structures.

PDBMethodResolution (Å)
6XDSX-RAY DIFFRACTION1.47
5UD8X-RAY DIFFRACTION1.8
9PWNX-RAY DIFFRACTION1.8
8T51X-RAY DIFFRACTION1.9
8T59X-RAY DIFFRACTION2
6B8OX-RAY DIFFRACTION2.2
5UD7X-RAY DIFFRACTION2.2
6Y6CX-RAY DIFFRACTION2.26
6YMQX-RAY DIFFRACTION3.07
5ELIX-RAY DIFFRACTION3.1
6YYEX-RAY DIFFRACTION3.36
9PX5X-RAY DIFFRACTION3.7
6Z0GSOLUTION NMR
6Z0HSOLUTION NMR
6Z0ISOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q9NZC2-F176.850.50

Antibody-complex structures (SAbDab): 76Y6C, 6YMQ, 6YYE, 8T51, 8T59, 9PWN, 9PX5

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (1): 157–158 (cleavage of ectodomain)

Ligand- & substrate-binding residues (4): 67; 68; 77; 88

Disulfide bonds (2): 36–110, 51–60

Glycosylation sites (2): 20, 79

Mutagenesis-validated functional residues (7):

PositionPhenotype
20loss of glycosylation.
36loss of proteolytic cleavage by adam10 and ectodomain shedding. decreases protein maturation and cell membrane localizat
48loss of ldl, clu and apoe binding.
60loss of proteolytic cleavage by adam10 and ectodomain shedding. decreases protein maturation and cell membrane localizat
68no effect on cell membrane localization.
76decreases binding to thp-1 cells.
77decreases binding to thp-1 cells.

Function

Pathways and Gene Ontology

Reactome pathways

4 pathways

IDPathway
R-HSA-198933Immunoregulatory interactions between a Lymphoid and a non-Lymphoid cell
R-HSA-2172127DAP12 interactions
R-HSA-2424491DAP12 signaling
R-HSA-416700Other semaphorin interactions

MSigDB gene sets: 878 (showing top): GSE45365_CD8A_DC_VS_CD11B_DC_IFNAR_KO_MCMV_INFECTION_DN, GOBP_MYELOID_CELL_DIFFERENTIATION, GOBP_CELLULAR_RESPONSE_TO_LIPOPROTEIN_PARTICLE_STIMULUS, GOBP_POTASSIUM_ION_TRANSPORT, GOBP_MEMORY, GOBP_REGULATION_OF_CELL_ACTIVATION, GOBP_NEGATIVE_REGULATION_OF_PROTEIN_CONTAINING_COMPLEX_ASSEMBLY, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_REGULATION_OF_LIPID_STORAGE, GOBP_ANTIGEN_PROCESSING_AND_PRESENTATION_OF_PEPTIDE_OR_POLYSACCHARIDE_ANTIGEN_VIA_MHC_CLASS_II, GOBP_REGULATION_OF_AUTOPHAGY, GOBP_NEGATIVE_REGULATION_OF_CELL_DEVELOPMENT, GOBP_DENDRITIC_CELL_DIFFERENTIATION, REACTOME_INNATE_IMMUNE_SYSTEM, GOBP_REGULATION_OF_INFLAMMATORY_RESPONSE_TO_ANTIGENIC_STIMULUS

GO Biological Process (114): microglial cell activation (GO:0001774), microglial cell activation involved in immune response (GO:0002282), T cell activation via T cell receptor contact with antigen bound to MHC molecule on antigen presenting cell (GO:0002291), positive regulation of antigen processing and presentation of peptide antigen via MHC class II (GO:0002588), negative regulation of inflammatory response to antigenic stimulus (GO:0002862), response to ischemia (GO:0002931), phagocytosis, recognition (GO:0006910), phagocytosis, engulfment (GO:0006911), humoral immune response (GO:0006959), signal transduction (GO:0007165), memory (GO:0007613), regulation of gene expression (GO:0010468), negative regulation of autophagy (GO:0010507), positive regulation of gene expression (GO:0010628), positive regulation of cholesterol efflux (GO:0010875), negative regulation of cholesterol storage (GO:0010887), negative regulation of triglyceride storage (GO:0010891), positive regulation of high-density lipoprotein particle clearance (GO:0010983), regulation of lipid metabolic process (GO:0019216), osteoclast differentiation (GO:0030316), regulation of TOR signaling (GO:0032006), positive regulation of TOR signaling (GO:0032008), detection of lipopolysaccharide (GO:0032497), detection of peptidoglycan (GO:0032499), regulation of interleukin-6 production (GO:0032675), negative regulation of interleukin-1 beta production (GO:0032691), negative regulation of tumor necrosis factor production (GO:0032720), positive regulation of interleukin-10 production (GO:0032733), negative regulation of toll-like receptor 2 signaling pathway (GO:0034136), negative regulation of toll-like receptor 4 signaling pathway (GO:0034144), regulation of toll-like receptor 6 signaling pathway (GO:0034151), positive regulation of macrophage fusion (GO:0034241), negative regulation of glial cell apoptotic process (GO:0034351), social behavior (GO:0035176), CXCL12-activated CXCR4 signaling pathway (GO:0038160), negative regulation of canonical NF-kappaB signal transduction (GO:0043124), positive regulation of potassium ion transport (GO:0043268), apoptotic cell clearance (GO:0043277), regulation of innate immune response (GO:0045088), positive regulation of osteoclast differentiation (GO:0045672)

GO Molecular Function (26): lipopolysaccharide binding (GO:0001530), amyloid-beta binding (GO:0001540), phosphatidylserine binding (GO:0001786), transmembrane signaling receptor activity (GO:0004888), phospholipid binding (GO:0005543), beta-catenin binding (GO:0008013), high-density lipoprotein particle binding (GO:0008035), lipid binding (GO:0008289), phosphatidylethanolamine binding (GO:0008429), semaphorin receptor activity (GO:0017154), kinase activator activity (GO:0019209), low-density lipoprotein particle binding (GO:0030169), semaphorin receptor binding (GO:0030215), apolipoprotein binding (GO:0034185), apolipoprotein A-I binding (GO:0034186), very-low-density lipoprotein particle binding (GO:0034189), signaling receptor activity (GO:0038023), peptidoglycan binding (GO:0042834), protein-containing complex binding (GO:0044877), lipoteichoic acid binding (GO:0070891), lipoprotein particle binding (GO:0071813), scaffold protein binding (GO:0097110), sulfatide binding (GO:0120146), protein tyrosine kinase binding (GO:1990782), protein binding (GO:0005515), carbohydrate derivative binding (GO:0097367)

GO Cellular Component (5): semaphorin receptor complex (GO:0002116), extracellular region (GO:0005576), plasma membrane (GO:0005886), membrane (GO:0016020), plasma membrane raft (GO:0044853)

Reactome top-level categories

Rollup of top-4 pathways:

CategoryPathways
Adaptive Immune System1
Innate Immune System1
DAP12 interactions1
Semaphorin interactions1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
protein binding3
lipoprotein particle binding3
immune response2
phagocytosis2
gene expression2
negative regulation of lipid storage2
lipid binding2
carbohydrate derivative binding2
phospholipid binding2
binding2
cellular anatomical structure2
leukocyte activation involved in inflammatory response1
macrophage activation1
glial cell activation1
microglial cell activation1
macrophage activation involved in immune response1
T cell activation involved in immune response1
antigen processing and presentation of peptide antigen via MHC class II1
positive regulation of antigen processing and presentation of peptide or polysaccharide antigen via MHC class II1
positive regulation of antigen processing and presentation of peptide antigen1
regulation of antigen processing and presentation of peptide antigen via MHC class II1
inflammatory response to antigenic stimulus1
regulation of inflammatory response to antigenic stimulus1
negative regulation of inflammatory response1
negative regulation of immune response1
response to stress1
cell recognition1
cargo receptor activity1
plasma membrane invagination1
cell communication1
cellular process1
signaling1
regulation of cellular process1
cellular response to stimulus1
learning or memory1
regulation of macromolecule biosynthetic process1
autophagy1
negative regulation of catabolic process1
regulation of autophagy1
regulation of gene expression1

Protein interactions and networks

STRING

2320 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
TREM2TYROBPO43914999
TREM2APOEP02649994
TREM2FCER1GP30273990
TREM2CLUP10909980
TREM2TREM1Q9NP99979
TREM2CD33P20138953
TREM2TREML2Q5T2D2918
TREM2TREML1Q86YW5880
TREM2P2RY12Q9H244867
TREM2APPP05067853
TREM2SYKP43405813
TREM2LGALS3P17931811
TREM2TMEM119Q4V9L6810
TREM2CSF1RP07333805
TREM2PSEN1P49768801

IntAct

23 interactions, top by confidence:

ABTypeScore
PSEN1NCSTNpsi-mi:“MI:0914”(association)0.790
TREM2TYROBPpsi-mi:“MI:0915”(physical association)0.670
TREM2TYROBPpsi-mi:“MI:0403”(colocalization)0.670
APPTREM2psi-mi:“MI:0915”(physical association)0.610
TREM2APPpsi-mi:“MI:0407”(direct interaction)0.610
TREM2PSEN1psi-mi:“MI:0915”(physical association)0.600
TREM2PSEN1psi-mi:“MI:0403”(colocalization)0.600
APOETREM2psi-mi:“MI:0915”(physical association)0.600
TREM2APOEpsi-mi:“MI:0407”(direct interaction)0.600
TREM2APOEpsi-mi:“MI:0915”(physical association)0.600
TREM2APPpsi-mi:“MI:0407”(direct interaction)0.440
TNFRSF12ATREM2psi-mi:“MI:0915”(physical association)0.400
TREM2NUCB2psi-mi:“MI:0914”(association)0.350
TREM2HMG20Apsi-mi:“MI:0915”(physical association)0.000
TREM2SNRNP70psi-mi:“MI:0915”(physical association)0.000

BioGRID (11): APOA1 (Reconstituted Complex), GH1 (Reconstituted Complex), NRN1L (Reconstituted Complex), SCGB2A2 (Reconstituted Complex), UNC5B (Reconstituted Complex), APOA2 (Reconstituted Complex), APOB (Reconstituted Complex), CLU (Reconstituted Complex), APOE (Reconstituted Complex), ATP6V0A2 (Affinity Capture-MS), NUCB2 (Affinity Capture-MS)

ESM2 similar proteins: A0A0K2S4Q6, A2A7V7, A6NI73, A8K4G0, O43699, O75019, O75022, O75023, O75871, O76036, P0C191, P20138, P24071, P40198, P59901, P80943, Q08708, Q13410, Q28110, Q3U497, Q496F6, Q64JA4, Q6GTX8, Q6ISS4, Q6PI73, Q6UXZ3, Q7TSN2, Q863H2, Q8C567, Q8K249, Q8MJZ2, Q8MJZ7, Q8N149, Q8N423, Q8N6C8, Q8NHJ6, Q8NHL6, Q8VBT3, Q8VCH2, Q95JB9

Diamond homologs: A1KXC4, A2A7V7, A2TGX5, A5D7B2, O60667, O70570, O95944, P01832, P01833, P0DUB1, P15083, P81265, Q08708, Q1ERP8, Q29244, Q2TB54, Q3U497, Q496F6, Q566E6, Q5M871, Q5R770, Q6SJQ7, Q6UXG3, Q7TSN2, Q8K249, Q8TDQ1, Q8VCH2, Q8WWV6, Q9NZC2, Q9UGN4, A0A0K2S4Q6, Q3LRV9, Q6SJQ0, Q6UXN2, Q8K558, A8K4G0, G3X8R9, P0DMS9, Q6SJQ5, Q6UXZ3

SIGNOR signaling

0 interactions.

Disease & clinical

Clinical variants and AI predictions

ClinVar

194 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic11
Likely pathogenic10
Uncertain significance77
Likely benign63
Benign3

Top pathogenic / likely-pathogenic (21)

Variant IDHGVSClassification
1178350NM_018965.4(TREM2):c.594G>A (p.Trp198Ter)Pathogenic
1676016NM_018965.4(TREM2):c.199del (p.His67fs)Pathogenic
192241NM_018965.4(TREM2):c.113A>G (p.Tyr38Cys)Pathogenic
2426502NC_000006.11:g.(?41126341)(41130820_?)delPathogenic
2583155NM_018965.4(TREM2):c.40+1G>APathogenic
2693499NM_018965.4(TREM2):c.256_265del (p.Asp86fs)Pathogenic
3012919NM_018965.4(TREM2):c.368del (p.Lys123fs)Pathogenic
4687831NM_018965.4(TREM2):c.491T>A (p.Leu164Ter)Pathogenic
5219NM_018965.4(TREM2):c.97C>T (p.Gln33Ter)Pathogenic
56722NM_018965.4(TREM2):c.313del (p.Ala105fs)Pathogenic
56724NM_018965.4(TREM2):c.40G>T (p.Glu14Ter)Pathogenic
1473898NM_018965.4(TREM2):c.483-2A>CLikely pathogenic
1498893NM_018965.4(TREM2):c.483-1G>ALikely pathogenic
2715444NM_018965.4(TREM2):c.392-2A>TLikely pathogenic
3341881NM_018965.4(TREM2):c.257A>T (p.Asp86Val)Likely pathogenic
3381007NM_018965.4(TREM2):c.114T>G (p.Tyr38Ter)Likely pathogenic
3391393NM_018965.4(TREM2):c.41-1G>CLikely pathogenic
4086449NM_018965.4(TREM2):c.428del (p.Phe143fs)Likely pathogenic
5213NM_018965.4(TREM2):c.233G>A (p.Trp78Ter)Likely pathogenic
5217NM_018965.4(TREM2):c.132G>A (p.Trp44Ter)Likely pathogenic
56721NM_018965.4(TREM2):c.269del (p.Gly90fs)Likely pathogenic

SpliceAI

703 predictions. Top by Δscore:

VariantEffectΔscore
6:41159068:T:Cacceptor_gain1.0000
6:41159786:CTGTA:Cdonor_loss1.0000
6:41159787:TGTA:Tdonor_loss1.0000
6:41159788:GTAC:Gdonor_loss1.0000
6:41159789:TACCT:Tdonor_loss1.0000
6:41159790:A:Tdonor_loss1.0000
6:41159791:CCTG:Cdonor_loss1.0000
6:41159883:C:CCacceptor_gain1.0000
6:41163037:TCCTA:Tdonor_loss1.0000
6:41163038:CCTAC:Cdonor_loss1.0000
6:41163039:CTA:Cdonor_loss1.0000
6:41163040:TACCT:Tdonor_loss1.0000
6:41163041:A:Tdonor_loss1.0000
6:41159066:CCT:Cacceptor_gain0.9900
6:41159068:T:TCacceptor_gain0.9900
6:41160063:T:TAdonor_gain0.9900
6:41161609:CAGCT:Cacceptor_gain0.9900
6:41158778:GCCCT:Gacceptor_loss0.9800
6:41158780:CCTGC:Cacceptor_loss0.9800
6:41158781:C:CCacceptor_gain0.9800
6:41158781:C:Gacceptor_loss0.9800
6:41158782:T:Cacceptor_loss0.9800
6:41159012:C:CTacceptor_gain0.9800
6:41159013:A:Tacceptor_gain0.9800
6:41159064:CTC:Cacceptor_gain0.9800
6:41159067:C:CCacceptor_gain0.9800
6:41159880:GGTCT:Gacceptor_loss0.9800
6:41159881:GT:Gacceptor_gain0.9800
6:41159881:GTCT:Gacceptor_loss0.9800
6:41159882:TC:Tacceptor_loss0.9800

AlphaMissense

1494 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
6:41161504:C:AW50C0.993
6:41161504:C:GW50C0.993
6:41161510:C:AK48N0.991
6:41161510:C:GK48N0.991
6:41161506:A:GW50R0.990
6:41161506:A:TW50R0.990
6:41161325:C:GC110S0.989
6:41161326:A:TC110S0.989
6:41161331:T:CY108C0.988
6:41161332:A:CY108D0.986
6:41161326:A:GC110R0.981
6:41161502:C:GC51S0.980
6:41161503:A:TC51S0.980
6:41161403:A:TI84N0.977
6:41161370:A:TI95N0.976
6:41161547:C:GC36S0.973
6:41161548:A:TC36S0.973
6:41161376:A:GL93P0.972
6:41161403:A:GI84T0.972
6:41161331:T:GY108S0.969
6:41161370:A:CI95S0.969
6:41161548:A:GC36R0.969
6:41161332:A:TY108N0.968
6:41161324:G:CC110W0.964
6:41161509:C:GA49P0.964
6:41161370:A:GI95T0.963
6:41161512:T:CK48E0.961
6:41161547:C:TC36Y0.961
6:41161503:A:GC51R0.960
6:41161511:T:GK48T0.959

dbSNP variants (sampled 300 via entrez): RS1000218712 (6:41159284 C>T), RS1000412848 (6:41164664 A>T), RS1000739474 (6:41158063 T>A), RS1001269749 (6:41163254 G>A,C), RS1001372793 (6:41161036 G>A), RS1002057411 (6:41160861 T>C), RS1002087034 (6:41160670 C>A,T), RS1003725484 (6:41162270 G>T), RS1003756223 (6:41161980 T>A), RS1004875471 (6:41158492 A>C,G), RS1004928526 (6:41163945 T>C), RS1005368749 (6:41158701 G>A), RS1005388986 (6:41164263 C>T), RS1007830203 (6:41160199 C>T), RS1007861089 (6:41160027 G>C)

Disease associations

OMIM: gene MIM:605086 | disease phenotypes: MIM:618193, MIM:221770

GenCC curated gene-disease

DiseaseClassificationInheritance
polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 2StrongAutosomal recessive
Alzheimer disease 17StrongAutosomal recessive
polycystic lipomembranous osteodysplasia with sclerosing leukoencephalySupportiveAutosomal recessive

Mondo (5): frontotemporal dementia (MONDO:0017276), polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 2 (MONDO:0020750), polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 1 (MONDO:0020749), polycystic lipomembranous osteodysplasia with sclerosing leukoencephaly (MONDO:0009092), Alzheimer disease 17 (MONDO:0014036)

Orphanet (2): Frontotemporal dementia (Orphanet:282), Nasu-Hakola disease (Orphanet:2770)

HPO phenotypes

160 total (30 of 160 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000020Urinary incontinence
HP:0000217Xerostomia
HP:0000238Hydrocephalus
HP:0000474Thickened nuchal skin fold
HP:0000504Abnormality of vision
HP:0000657Oculomotor apraxia
HP:0000708Atypical behavior
HP:0000709Psychosis
HP:0000710Hyperorality
HP:0000711Restlessness
HP:0000712Emotional lability
HP:0000713Agitation
HP:0000716Depression
HP:0000718Aggressive behavior
HP:0000719Inappropriate behavior
HP:0000723Restrictive behavior
HP:0000726Dementia
HP:0000727Frontal lobe dementia
HP:0000733Motor stereotypy
HP:0000734Disinhibition
HP:0000737Irritability
HP:0000738Hallucinations
HP:0000739Anxiety
HP:0000741Apathy
HP:0000751Personality changes
HP:0000757Lack of insight
HP:0000938Osteopenia
HP:0001155Abnormality of the hand
HP:0001249Intellectual disability

GWAS associations

9 associations (top):

StudyTraitp-value
GCST001650_7C-reactive protein1.000000e-10
GCST001743_1Alzheimer’s disease2.000000e-12
GCST005549_10Alzheimer’s disease (late onset)5.000000e-24
GCST005549_7Alzheimer’s disease (late onset)2.000000e-14
GCST005936_5Supraventricular ectopy1.000000e-06
GCST006585_1726Blood protein levels3.000000e-10
GCST007320_57Alzheimer’s disease or family history of Alzheimer’s disease1.000000e-16
GCST007320_91Alzheimer’s disease or family history of Alzheimer’s disease3.000000e-08
GCST007321_31Family history of Alzheimer’s disease2.000000e-16

EFO canonical traits (4, from GWAS)

EFO IDTrait name
EFO:0004458C-reactive protein measurement
EFO:1001870late-onset Alzheimers disease
EFO:0009277supraventricular ectopy
EFO:0009268family history of Alzheimer’s disease

MeSH disease descriptors (1)

DescriptorNameTree numbers
D057180Frontotemporal DementiaC10.228.140.380.266.299; C10.574.950.300.299; C18.452.845.800.300.299; F03.615.400.380.299

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL6196124 (SINGLE PROTEIN)

PharmGKB: 1 entry (VIP=true, CPIC=false)

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: other protein — Immunoglobulin like domain containing proteins

Most potent curated ligand interactions (3 total), top 3:

LigandActionAffinityParameter
T2M-010Agonist6.08pKd
TREM2 agonist 4iAgonist4.72pKd
TREM2 agonist C1Agonist4.15pKd

ChEMBL bioactivities

6 potent at pChembl≥5 of 6 total, top 6 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
9.00EC501nMCHEMBL6172797
8.70EC502nMCHEMBL6165036
8.70EC502nMCHEMBL6166127
8.52EC503nMCHEMBL6174051
8.40EC504nMCHEMBL6165261
8.30EC505nMCHEMBL6166220

CTD chemical–gene interactions

13 total (human), top 13 by PubMed support.

ChemicalActions (top 5)PubMed papers
Benzo(a)pyreneincreases expression, increases methylation5
Aflatoxin B1affects expression, increases expression5
aristolochic acid Iincreases expression1
CGP 52608affects binding, increases reaction1
nutlin 3affects cotreatment, increases expression1
theaflavin-3,3’-digallateaffects expression1
Cisplatinincreases expression1
Dactinomycinincreases expression, affects cotreatment1
Estradiolaffects cotreatment, decreases expression1
Quercetinincreases expression1
Tobacco Smoke Pollutionaffects expression1
Valproic Acidincreases methylation1
Okadaic Acidaffects expression1

ChEMBL screening assays

1 unique, capped per target: 1 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL6141350BindingAgonist activity at human TREM2 expressed in HEK cells co-expressing human DAP12 assessed as increase in Syk phosphorylation incubated for 30 mins by AlphaLISA assayNovel Pyrido[3,4-d]pyrimidin-4-one and Pyrimido[5,4-d]pyrimidin-4-one Derivatives as TREM2 Agonists for Treating Parkinson’s Disease. — ACS Med Chem Lett

Cellosaurus cell lines

37 cell lines: 33 induced pluripotent stem cell, 2 cancer cell line, 1 spontaneously immortalized cell line, 1 transformed cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_AB84Lymph2-AD2-iPSInduced pluripotent stem cellMale
CVCL_B1AMAbcam THP-1 TREM2 KOCancer cell lineMale
CVCL_C6RBLBi016-AInduced pluripotent stem cellFemale
CVCL_C6RCLBi016-BInduced pluripotent stem cellFemale
CVCL_C6RDLBi017-AInduced pluripotent stem cellFemale
CVCL_C6RELBi017-BInduced pluripotent stem cellFemale
CVCL_C6RFLBi018-AInduced pluripotent stem cellFemale
CVCL_C6RGLBi018-BInduced pluripotent stem cellFemale
CVCL_C6RHLBi019-AInduced pluripotent stem cellMale
CVCL_C6RILBi019-BInduced pluripotent stem cellMale

Clinical trials (associated diseases)

146 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00376051PHASE4COMPLETEDSerotonergic Function and Behavioural and Psychological Symptoms of Frontotemporal Dementia
NCT00950430PHASE4ENROLLING_BY_INVITATIONImaging of Brain Amyloid Plaques in the Aging Population
NCT06093126PHASE4RECRUITINGLemborexant for Insomnia in a Patient With Dementia: An N-of-1 Trial
NCT00594737PHASE3COMPLETEDOpen Label Pilot Study of the Effects of Memantine on FDG-PET in Frontotemporal Dementia
NCT03682185PHASE3COMPLETEDThe Healthy Patterns Sleep Study
NCT04374136PHASE3TERMINATEDA Phase 3 Study to Evaluate Efficacy and Safety of AL001 in Frontotemporal Dementia (INFRONT-3)
NCT00416169PHASE2COMPLETEDA Pilot Study to Explore the Safety and Tolerability of Galantamine HBr in the Treatment of Pick Complex/Frontotemporal Dementia
NCT01890343PHASE2COMPLETEDImaging Characteristics of Florbetapir 18F in Patients With Frontotemporal Dementia, Alzheimer’s Disease and Normal Controls.
NCT01937013PHASE2COMPLETEDImpact of Emotional Mimicry and Oxytocin on Frontotemporal Dementia
NCT02676843PHASE2COMPLETEDTau PET Imaging With 18F-AV-1451 in Subjects With MAPT Mutations
NCT02862210PHASE2COMPLETEDLow-Dose Lithium for the Treatment of Behavioral Symptoms in Frontotemporal Dementia
NCT03260920PHASE2UNKNOWNIntranasal Oxytocin for Frontotemporal Dementia
NCT03987295PHASE2COMPLETEDA Phase 2 Study to Evaluate Safety of Long-term AL001 Dosing in Frontotemporal Dementia (FTD) Patients (INFRONT-2)
NCT04220021PHASE2ACTIVE_NOT_RECRUITINGSafety and Therapeutic Potential of the FDA-approved Drug Metformin for C9orf72 ALS/FTD
NCT04489017PHASE2COMPLETEDPalmitoylethanolamide Combined With Luteoline in Frontotemporal Dementia Patients. A Randomized Controlled Trial
NCT04937452PHASE2COMPLETEDDopaminergic Therapy for Frontotemporal Dementia Patients
NCT04993755PHASE2COMPLETEDA Phase 2a Study of TPN-101 in Patients With C9ORF72 ALS/FTD
NCT05742698PHASE2RECRUITINGNabilone for Agitation in Frontotemporal Dementia
NCT06604520PHASE2RECRUITINGVortioxetine for the Treatment of Mood and Cognitive Symptoms in Frontotemporal Dementia
NCT07154485PHASE2NOT_YET_RECRUITINGInvestigator Initiated Study for the Safety and Efficacy in Frontotemporal Dementia
NCT01386333PHASE1COMPLETEDSafety Study of Intranasal Oxytocin in Frontotemporal Dementia
NCT03040713PHASE1COMPLETEDFlortaucipir PET Imaging in Subjects With FTD
NCT03636204PHASE1COMPLETEDA First in Human Study in Healthy Volunteers and in Participants With Frontotemporal Dementia With Granulin (GRN) Mutation
NCT05315661PHASE1ACTIVE_NOT_RECRUITINGThe Safety and The Efficacy Evaluation of ET-STEM in Patients With Frontotemporal Dementia
NCT06705192PHASE1COMPLETEDStudy in Asymptomatic GRN-FTD Patients to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of VES001
NCT04100889Not specifiedWITHDRAWNA Non-Interventional Pilot Study to Explore the Role of Gut Flora in Alzheimer’s Disease
NCT05637801Not specifiedACTIVE_NOT_RECRUITINGA Pivotal Study of Sensory Stimulation in Alzheimer’s Disease (HOPE Study)
NCT04408625PHASE1/PHASE2ACTIVE_NOT_RECRUITINGPhase 1/2 Clinical Trial of LY3884963 in Patients With Frontotemporal Dementia With Progranulin Mutations (FTD-GRN)
NCT04747431PHASE1/PHASE2ACTIVE_NOT_RECRUITINGA Study of PBFT02 in Participants With FTD and Mutations in the Granulin Precursor (GRN) or C9ORF72 Genes
NCT04931862PHASE1/PHASE2TERMINATEDStudy of WVE-004 in Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD)
NCT05262023PHASE1/PHASE2ACTIVE_NOT_RECRUITINGA Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL593 in Healthy Participants and Participants With Frontotemporal Dementia (FTD-GRN)
NCT05374278PHASE1/PHASE2RECRUITINGFirst-in-Human Evaluation of an Astrocytic Glutamate Transporter (EAAT2) PET Tracer in Dementia
NCT05683860PHASE1/PHASE2TERMINATEDOpen-label Extension (OLE) Study of WVE-004 in Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) and/or Frontotemporal Dementia (FTD)
NCT06064890PHASE1/PHASE2RECRUITINGA Study to Evaluate the Safety and Effect of AVB-101, a Gene Therapy Product, in Subjects With a Genetic Sub-type of Frontotemporal Dementia (FTD-GRN)
NCT03510572EARLY_PHASE1COMPLETEDEvaluation of [18F]PI-2620 as a Potential Positron Emission Computed Tomography Radioligand for Imaging Tau Protein in the Brain
NCT03625128EARLY_PHASE1COMPLETED18F-PM-PBB3 PET Study in Tauopathy Including Alzheimer’s Disease, Other Dementias and Normal Controls
NCT06891716EARLY_PHASE1RECRUITING[18F]ACI-19626 PET in TDP-43 Proteinopathies
NCT00159198Not specifiedTERMINATEDAmyotrophic Lateral Sclerosis and Frontotemporal Dementia
NCT00938665Not specifiedCOMPLETEDEvaluation of a Handheld Event Related Potential (ERP)/Quantitative Electroencephalography (qEEG) System (COGNISION™) as a Useful Cognitive Biomarker for Alzheimer’s Disease.
NCT01002300Not specifiedCOMPLETEDOxytocin and Social Cognition in Frontotemporal Dementia