Primate cerebrospinal fluid CHI3L1 reflects brain TREM2 agonism

Author:

Schauer Stephen P.1,Cho Chang Hoon2,Novikova Gloriia3,Roth Gillie A.4,Lee Julie1,Sharma Anup D.2,Foley Alejandro R.5,Ng Carl5,Shen Philip6,Choi Meena7,Ma Taylur P.7,Phu Lilian7,Budayeva Hanna G.7,Cheung Tommy K.7,Lalehzadeh Guita8,Imperio Jose8,Ngu Hai9,Etxeberria Ainhoa8,Liang Yuxin7,Rezzonico Mitchell G.3,Dourado Michelle8,Huang Kevin1,Lai Zijuan10,Hokom Martha5,Pandya Nikhil J.2,Newton Dwight11,Abdel‐Haleem Alyaa M.11,Chan Pamela12,Lee Donna13,Tassew Nardos G.13,Sangaraju Dewakar10,O'Connor Deborah14,Hötzel Isidro15,Stark Kimberly L.8,Chou Carolina16,Foreman Oded9,Easton Amy8,Wildsmith Kristin R.1,Sperinde Gizette5,Rose Christopher M.7,Friedman Brad A.3,Fuji Reina N.6,Weimer Robby M.17,Meilandt William J.8,Sadekar Shraddha4,Nugent Alicia A.2,Biever Anne1ORCID

Affiliation:

1. Department of Translational Medicine Genentech, Inc. South San Francisco California USA

2. Department of Human Pathobiology and OMNI Reverse Translation Genentech, Inc. South San Francisco California USA

3. Department of Bioinformatics Genentech, Inc. South San Francisco California USA

4. Department of Preclinical and Translational Pharmacokinetics and Pharmacodynamics Genentech, Inc. South San Francisco California USA

5. Department of BioAnalytical Sciences Genentech, Inc. South San Francisco California USA

6. Department of Safety Assessment Pathology Genentech, Inc. South San Francisco California USA

7. Department of Microchemistry Proteomics, Lipidomics, and Next Generation Sequencing Genentech, Inc. South San Francisco California USA

8. Department of Neuroscience Genentech, Inc. South San Francisco California USA

9. Department of Research Pathology Genentech, Inc. South San Francisco California USA

10. Department of Drug Metabolism and Pharmacokinetics Genentech, Inc. South San Francisco California USA

11. Roche Informatics Hoffmann‐La Roche, Ltd. Mississauga Ontario Canada

12. Department of Biochemical and Cellular Pharmacology Genentech, Inc. South San Francisco California USA

13. Department of Safety Assessment Toxicology Genentech, Inc. South San Francisco California USA

14. Department of Chemistry Manufacturing, and Controls Genentech, Inc. South San Francisco California USA

15. Department of Antibody Engineering Genentech, Inc. South San Francisco California USA

16. Department of Safety Assessment Nonclinical Operations Genentech, Inc. South San Francisco California USA

17. Department of Translational Imaging Genentech, Inc. South San Francisco California USA

Abstract

AbstractINTRODUCTIONTriggering receptor expressed on myeloid cells 2 (TREM2) agonists are being clinically evaluated as disease‐modifying therapeutics for Alzheimer's disease. Clinically translatable pharmacodynamic (PD) biomarkers are needed to confirm drug activity and select the appropriate therapeutic dose in clinical trials.METHODSWe conducted multi‐omic analyses on paired non‐human primate brain and cerebrospinal fluid (CSF), and stimulation of human induced pluripotent stem cell–derived microglia cultures after TREM2 agonist treatment, followed by validation of candidate fluid PD biomarkers using immunoassays. We immunostained microglia to characterize proliferation and clustering.RESULTSWe report CSF soluble TREM2 (sTREM2) and CSF chitinase‐3‐like protein 1 (CHI3L1/YKL‐40) as PD biomarkers for the TREM2 agonist hPara.09. The respective reduction of sTREM2 and elevation of CHI3L1 in brain and CSF after TREM2 agonist treatment correlated with transient microglia proliferation and clustering.DISCUSSIONCSF CHI3L1 and sTREM2 reflect microglial TREM2 agonism and can be used as clinical PD biomarkers to monitor TREM2 activity in the brain.Highlights CSF soluble triggering receptor expressed on myeloid cells 2 (sTREM2) reflects brain target engagement for a novel TREM2 agonist, hPara.09. CSF chitinase‐3‐like protein 1 reflects microglial TREM2 agonism. Both can be used as clinical fluid biomarkers to monitor TREM2 activity in brain.

Publisher

Wiley

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