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Triggering Receptor Expressed by Myeloid Cells-2 (TREM2): Paving the Road to Recovery from Stroke

Weekly Seminar | Not Open to the Public
Who Should Attend: 


Midori's Photo
Department of Neurology
University of California, San Francisco


My laboratory research focuses on a better understanding of the pathophysiology of stroke, and the identification of potential therapeutic targets for intervention. My lab is especially interested in the study of the inflammatory response and how it participates in injury from stroke. Although inflammation has largely been thought to be mediated through blood borne elements, the brain also has resident cell populations which also contribute to this response. Microglia, in particular, are thought to be of the monocyte lineage, and are activated following infection and various injurious stimuli. In whole animal models of stroke, we explored two novel innate immune receptors not previously studied in stroke models. Recent focus in our lab has involved the study of innate immune receptor triggering receptor expressed on myeloid cells-2 (TREM2). We showed that TREM2 was important in the recovery of neurological function in a stroke model by virtue of its phagocytic properties. We studied TREM2 deficient mice, and found that strokes created in these mice failed to resorb due to inhibited phagocytosis. As such, these mice had worsened neurological outcomes compared to wildtype (Kawabori et al, J Neuroscience 2015). Ongoing work in our lab includes studies to determine how TREM2 might be involved in improving outcome from stroke, and whether TREM2 can be induced to higher levels in microglia to improve stroke outcome. We are also studying whether TREM2 might have a similar role in models of traumatic brain injury. 

We continue to pursue a long held interest in the role of heat shock protein 70 (HSP70) in brain injury. We were one of the first labs to show that this protein protected neurons from stroke, and did so through an anti-inflammatory mechanism. Conversely, HSP70 deficiency worsened outcomes (Kim et al, Neurobio Dis 2013). We then explored whether HSP70 could be induced pharmacologically, and whether this might be protective. We first studied a panel of HSP70 inducers in our cell culture models, and identified 17-N-allylamino-17- demethoxygeldanamycin (17 AAG, also known as Tanespimycin) as a candidate lead compound based on lack of cytotoxicity and robust Hsp70 inducing and anti-inflammatory properties (Kacimi & Yenari, Glia 2015). We then treated mice with an analogue of 17 AAG and showed that it induced HSP70 in the brain. Treatment of mice exposed to experimental TBI led to improved outcomes, comparable to that seen in our HSP70 overexpressing mice (Kim et al, Neuroscience, 2015). 

Midori's Figure

TREM2 in Ischemic Stroke


Mizuma A, Kim JY, Kacimi R, Stauderman K, Dunn M, Hebbar S, Yenari MA.
Microglial Calcium Release-Activated Calcium Channel Inhibition Improves Outcome from Experimental Traumatic Brain Injury and Microglia-Induced Neuronal Death.
J Neurotrauma. 2019 Apr 1;36(7):996-1007. doi: 10.1089/neu.2018.5856. Epub 2018 Dec 4.
Kurisu K, Zheng Z, Kim JY, Shi J, Kanoke A, Liu J, Hsieh CL, Yenari MA.
Triggering receptor expressed on myeloid cells-2 expression in the brain is required for maximal phagocytic activity and improved neurological outcomes following experimental stroke.
J Cereb Blood Flow Metab. 2018 Dec 7:271678X18817282. doi: 10.1177/0271678X18817282. [Epub ahead of print]
Mizuma A, You JS, Yenari MA.
Targeting Reperfusion Injury in the Age of Mechanical Thrombectomy.
Stroke. 2018 Jul;49(7):1796-1802. doi: 10.1161/STROKEAHA.117.017286. Epub 2018 May 14.


Tuesday, April 16, 2019 - 12:30pm


Burke Neurological Institute
785 Mamaroneck Avenue
White Plains, NY 10605
United States
Conference Room: 
Billings Building – Rosedale

More Information

Lindsey Echevarria

Conditions & Recovery

Stroke icon
Stroke is the leading cause of disability in the U.S.
Traumatic Brain Injury icon
In the U.S., over 5.3 million adults and children live with TBI.