In_Vivo experiment designed to assess clinical efficacy targeting TREM2 in 5xFAD transgenic mice (n=15/group x 4 groups: WT-vehicle, 5xFAD-vehicle, 5xFAD-AL002c low, 5xFAD-AL002c high). Primary outcome: Reduction of astrocyte A1 markers (C3, Lcn2 mRNA) >=40% vs 5xFAD-vehicle; NOR discrimination index >
Test whether a TREM2-agonist antibody (AL002c analogue) normalises the dysfunctional astrocyte-microglia cross-talk that amplifies neuroinflammation in 5xFAD mice. Weekly IV injections (10 mg/kg) from 3 to 9 months of age; endpoint readouts at 9 months include LPS-stimulated astrocyte A1-marker expression (C3, Lcn2), microglial plaque-associated gene scores (Cst7, Spp1), soluble Abeta42/Abeta40 ratio, and NOR cognitive test.
AL002c-analogue will suppress astrocyte A1 conversion by >=40% (C3, Lcn2), shift microglia toward DAM-protective state (increased Cst7, Spp1), reduce plaque burden by ~25%, and restore NOR discrimination index to >=0.65.
Primary: >=40% reduction in C3 mRNA in GFAP+ astrocytes (Student t-test p<0.05). Secondary: NOR discrimination index >=0.65 (vs ~0.50 vehicle); >=15% plaque area reduction.
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