"While TREM2 was identified as critical for microglial senescence, the debate lacked fine-grained temporal data on when and how TREM2 signaling shifts from neuroprotective to pathogenic. Understanding this transition timing is essential for intervention strategies. Source: Debate session sess_SDA-2026-04-02-gap-aging-mouse-brain-v5-20260402 (Analysis: SDA-2026-04-02-gap-aging-mouse-brain-v5-20260402)"
Following multi-persona debate and rigorous evaluation across 10 dimensions, these hypotheses emerged as the most promising therapeutic approaches.
Soluble TREM2 (sTREM2) in cerebrospinal fluid represents a dual biomarker: baseline sTREM2 reflects constitutive TREM2 turnover rate, while dynamic sTREM2 changes following intervention distinguish between receptor activation versus recovery of membrane stability.
The TREM2 R47H AD risk variant causes a locked immunometabolic switch that prevents microglial metabolic adaptation to chronic phagocytic challenges. R47H microglia accumulate cholesteryl esters, leading to ER stress and NLRP3 inflammasome activation, accelerating the protective-to-inflammatory transition.
Analysis ID: SDA-2026-04-15-gap-debate-20260410-112522-57d1cc4f
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