Table 2 Summary of studies for sTREM2.

From: Neuroinflammatory fluid biomarkers in patients with Alzheimer’s disease: a systematic literature review

Study no.

Study

Groups analyzed

Outcome measure

Magnitude of measure: mean (SD)/median (IQR)

Statistical analysis

1

Pereira et al. [58]

Cognitively unimpaired Aβ− (n = 217)

Cognitively impaired Aβ+ (n = 78)

CSF levels of sTREM2

Cognitively unimpaired Aβ− (10.3 [4.9–22.9] ng/mL)

Cognitively impaired Aβ+ (11.5 [5.5–29.6] ng/mL)

Kruskal–Wallis test

p < 0.001

Cognitively unimpaired Aβ+ (n = 71)

Cognitively impaired Aβ− (n = 63)

Cognitively unimpaired Aβ+ (12.3 [4.7–21.9] ng/mL)

Cognitively impaired Aβ− (10.8 [6.2–24.7] ng/mL)

2

Ashton et al. [66]

Controls (n = 20)

MCI (n = 18)

CSF levels of sTREM2

Controls: 7352 (5318) ng/L

MCI: 6204 (2572) ng/L

AD dementia: 8859 (5951) ng/L

ANCOVA

p = 0.164

AD dementia (n = 59)

3

Bekris et al. [65]

HC (CSF: n = 37; plasma: n = 104)

MCI (CSF: n = 38; plasma: n = 35)

CSF and plasma levels of sTREM2

CSF sTREM2 levels in MCI and AD dementia were significantly elevated compared with HC

Plasma sTREM2 levels were not significantly different between disease groups

Control and MCI (p = 0.0056)

Control and AD dementia (p = 0.0249)

AD dementia (CSF: n = 83; plasma: n = 83)

4

Brosseron et al. [61]

HC (n = 74)

SCD (n = 99)

Serum levels of sTREM2

Control (7.4 ± 9.1 [1.6–16.4] ng/mL)

SCD (7.9 ± 17.6 [2.2–14.0] ng/mL)

Kruskal–Wallis test,

p = 0.244

MCI (n = 75)

MCI (9.0 ± 16.9 [2.3–76.0] ng/mL)

AD dementia (n = 38)

AD dementia (8.3 ± 17.5 [1.9–75.6] ng/mL)

5

Rauchmann et al. [64]

Control (n = 18)

AD (n = 32)

CSF levels of sTREM2

Control (10.35 [3.00] ng/mL)

AD (11.31 [3.49] ng/mL)

p = 0.37

6

Rauchmann et al. [63]

A−T−(N−) (CN) (n = 79)

A+T−N− (CN, MCI, AD dementia) (n = 54)

CSF levels of sTREM3

A−T−(N−) (CN) (2572.10 [1596.09] pg/mL)

A+T−N− (CN, MCI, AD dementia) (3110.76 [1425.49] pg/mL)

Kruskal–Wallis test

p < 0.001

A+T+N− (CN, MCI, AD dementia) (n = 64)

A+T+N− (CN, MCI, AD dementia) (3617.73 [1651.78] pg/mL)

A+T+N+ (CN, MCI, AD dementia) (n = 129)

A+T+N+ (CN, MCI, AD dementia) (4577.71 [2151.30] pg/mL)

A−T+N− (CN, MCI, AD dementia) (n = 32)

A−T+N− (CN, MCI, AD dementia) (3716.45 [2031.35] pg/mL)

A−T+N+ (CN, MCI, AD dementia) (n = 20)

A−T+N+ (CN, MCI, AD dementia) (5317.08 [2619.21] pg/mL)

7

Suárez-Calvet et al. [46]

CDR = 0

A−/TN− (n = 122)

CSF levels of sTREM2

CDR = 0

A−/TN− (3741 [1690]) pg/mL

p < 0.0001

A+/TN− (n = 52)

A+/TN− (2835 [1524]) pg/mL

A+/TN+ (n = 45)

A+/TN+ (4839 [2240]) pg/mL

CDR = 0.5

A−/TN− (n = 118)

CDR = 0.5

A−/TN− (3436 [1754]) pg/mL

p < 0.0001

A+/TN− (n = 93)

A+/TN− (2791 [1292]) pg/mL

A+/TN+ (n = 282)

A+/TN+ (4441 [2211]) pg/mL

CDR = 1

A−/TN− (n = 2)

CDR = 1

A−/TN− (5660 [2008]) pg/mL

A+/TN− (n = 15)

A+/TN− (3051 [1128]) pg/mL

A+/TN+ (n = 80)

A+/TN+ (3967 [2000]) pg/mL

AD (n = 31)

  1. The term “MCI” is “all-cause MCI”, unless otherwise stated. Presence (+) or absence (−) of abnormal biomarkers of amyloid (A), tau (T), and neurodegeneration (N) as per A−T−N classification.
  2. amyloid-beta, AD Alzheimer’s disease, ANCOVA analysis of covariance, CDR clinical dementia rating scale, CN cognitively normal, CSF cerebrospinal fluid, HC healthy controls, IQR interquartile range, MCI mild cognitive impairment, SCD subjective cognitive decline, SD standard deviation, sTREM2 soluble triggering receptor expressed on myeloid cells 2.