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Advanced Neurologyurology
            Advanced Ne                                                               TRPM2 in neurological disorders


            to elucidate the pathophysiology of neurological disease,   2. Expression, distribution, and function of
            may not recapitulate the complexity of human diseases.   the TRPM2 ion channel
            This has been an issue in clinical translation of AD mouse
            model findings where strategies to remove plaques in mice   Real-time quantitative reverse transcription polymerase
            do not cure AD in humans . In some cases, therapeutic   chain reaction reveals TRPM2 expression in all peripheral
                                  [5]
                                                                                                       [17]
            treatments for ischemia, such as administering growth   regions analyzed aside from cartilage and bone . This
            factors, have had side effects such as blood–brain barrier   includes expression in bone marrow, lung, spleen, heart,
            (BBB) leakage .                                    and pancreas, with highest relative expression levels
                       [6]
                                                               apparent in the brain . Within the central nervous
                                                                                  [17]
              The transient receptor potential melastatin 2 (TRPM2)   system (CNS), TRPM2 is among the most abundant of all
            ion  channel is  an  important  member of  the  calcium-  the TRPM channels . Regarding regional distribution
                                                                                [17]
            permeable, non-selective, cation conducting TRP family.   patterns within the human CNS, a major 6.2  kb  trpm2
            It is sensitive to perturbations in the cellular environment   transcript was demonstrated by northern blotting in various
            and is essential to both cell survival and the induction of   regions, including the cerebral cortex, hippocampus,
            cell death. TRPM2 is located at the plasma membrane   thalamus, cerebellum, and substantia nigra, while a minor
            and/or lysosomal compartments, with a broad tissue   5.5  kb transcript was detected only in the striatum [18,19] .
            distribution profile indicative of its involvement in multiple   Trpm2  mRNA  and TRMP2  protein  are  also  detected  in
            physiological processes [7,8] .                    corresponding brain regions in murine models [18,20,21] .
              TRPM2 is highly expressed in a variety of cells in the   The Allen Mouse Brain Atlas has been an instrumental
            brain and is, therefore, an attractive target for improving   tool in mapping  Trpm2 gene expression within a three-
            brain function. Modulation of TRPM2 has the potential   dimensional reference framework [13-15] . The available high-
            to prevent apoptosis, minimize BBB leakage, and reduce   resolution in situ hybridization (ISH) map of Trpm2 expression
            the inflammatory response. Activated in response to   in a male postnatal day 56 mouse, corresponding  to the
            oxidative stress and reactive oxygen species (ROS), which   adult stage, provides a transcriptomic profile of the channel.
            are common among different diseases, TRPM2 is involved   Representative images of Trpm2 expression in a sagittal section
            in many neurological disorders, such as Parkinson’s disease   and three-dimensional reconstruction of the mouse brain are
            (PD), AD, ischemia, brain tumors, and aging [9,10] . TRPM2   shown in Figure 1A and 1B, respectively, with the background
            is  also  implicated in  the  evolution  and development of   signal subtracted and the relative expression level displayed in
            neuropsychiatric disorders. Our own studies in neonatal   cool colors (low expression) to hot colors (high expression).
            hypoxic-ischemic-induced mice demonstrate reduced   Quantification of this dataset demonstrates that at this
            infarction volume and glial cell activation in response to   developmental stage, the level of Trpm2 mRNA is greatest in
            TRPM2 gene knockout or administration of a TRPM2   the thalamus followed by the medulla, midbrain, and cortical
            inhibitor [11,12] . This suggests that TRPM2 inhibition confers   subplate (Figure 1C) [13-15] . It is important to note that the ISH
            neuroprotective effects in neurological diseases that share   data are semi-quantitative because of the signal amplification
            common underlying molecular mechanisms.            process, but nevertheless it enables the visualization of Trpm2
              This review begins  with an  introduction describing   mRNA localization coupled with intensity, which helps to
            the  expression, distribution,  and  function  of  the   guide the study of neurological processes in which TRPM2
            TRPM2 channel. We use data from the Allen Mouse    is implicated. For example, Trpm2 is expressed in the preoptic
            Brain Atlas [13-15]  to highlight TRPM2 expression across   area of the hypothalamus, with its function confirmed by
            the brain and discuss the common mechanisms by which   electrophysiological recordings. Cultured preoptic neurons
                                                                                      -/-
            TRPM2 activation induces neural dysfunction or injury. In   from TRPM2-deficient (Trpm2 ) mice had reduced responses
            a previous review , we focused on the role of the TRPM2   to high temperatures above 37°C, compared with wild-type
                          [16]
            channel in ischemia/hypoxia. Here, we discuss TRPM2 in a   cultures, indicating that TRPM2 serves as a hypothalamic
                                                                        [22,23]
            number of neurological conditions or disorders, including   heat  sensor  .  TRPM2  is  also  involved  in  hippocampal
            PD, AD, ischemia, TBI, and psychiatric disorders,   synaptic plasticity and long-term depression (LTD), with
                                                                                                           [24]
            highlighting the common mechanisms and pathways    hippocampal TRPM2 ablation conferring impaired LTD .
            between the conditions. We primarily focus on the use of   Similarly, knowledge of TRPM2 regional localization paired
            animal (rodent) disease models as well as in vitro studies   with an understanding of its modulation and signaling
            to better understand the role that TRPM2 activation plays   patterns implicates this channel in a variety of neurological
            in mediating brain dysfunction or injury. The review   disorders.
            concludes by summarizing the current status of TRPM2   TRPM2 has been detected in various cell types,
            research and potential future developments in the field.  including  neurons  and  glial cells  of the CNS, other


            Volume 1 Issue 1 (2022)                         2                         https://doi.org/10.36922/an.v1i1.3
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