<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD with MathML3 v1.2 20190208//EN"  "JATS-archivearticle1-mathml3.dtd"><article article-type="research-article" dtd-version="1.2" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="nlm-ta">elife</journal-id><journal-id journal-id-type="publisher-id">eLife</journal-id><journal-title-group><journal-title>eLife</journal-title></journal-title-group><issn pub-type="epub" publication-format="electronic">2050-084X</issn><publisher><publisher-name>eLife Sciences Publications, Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">73021</article-id><article-id pub-id-type="doi">10.7554/eLife.73021</article-id><article-categories><subj-group subj-group-type="display-channel"><subject>Research Article</subject></subj-group><subj-group subj-group-type="heading"><subject>Immunology and Inflammation</subject></subj-group><subj-group subj-group-type="heading"><subject>Neuroscience</subject></subj-group></article-categories><title-group><article-title>TREM2 regulates purinergic receptor-mediated calcium signaling and motility in human iPSC-derived microglia</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes" id="author-250513"><name><surname>Jairaman</surname><given-names>Amit</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-5206-700X</contrib-id><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="equal-contrib1">†</xref><xref ref-type="fn" rid="con1"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" equal-contrib="yes" id="author-250530"><name><surname>McQuade</surname><given-names>Amanda</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-5368-6788</contrib-id><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="aff" rid="aff4">4</xref><xref ref-type="aff" rid="aff5">5</xref><xref ref-type="fn" rid="equal-contrib1">†</xref><xref ref-type="other" rid="fund8"/><xref ref-type="fn" rid="con2"/><xref ref-type="fn" rid="fn1">‡</xref><xref ref-type="fn" rid="conf2"/></contrib><contrib contrib-type="author" id="author-250531"><name><surname>Granzotto</surname><given-names>Alberto</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff6">6</xref><xref ref-type="aff" rid="aff7">7</xref><xref ref-type="other" rid="fund10"/><xref ref-type="fn" rid="con3"/><xref ref-type="fn" rid="conf2"/></contrib><contrib contrib-type="author" id="author-250534"><name><surname>Kang</surname><given-names>You Jung</given-names></name><xref ref-type="aff" rid="aff8">8</xref><xref ref-type="fn" rid="con4"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-250535"><name><surname>Chadarevian</surname><given-names>Jean Paul</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="con5"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-250532"><name><surname>Gandhi</surname><given-names>Sunil</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="other" rid="fund9"/><xref ref-type="other" rid="fund15"/><xref ref-type="fn" rid="con6"/><xref ref-type="fn" rid="conf3"/></contrib><contrib contrib-type="author" id="author-86302"><name><surname>Parker</surname><given-names>Ian</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="con7"/><xref ref-type="fn" rid="conf2"/></contrib><contrib contrib-type="author" id="author-83888"><name><surname>Smith</surname><given-names>Ian</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-9910-195X</contrib-id><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="con8"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-250533"><name><surname>Cho</surname><given-names>Hansang</given-names></name><xref ref-type="aff" rid="aff9">9</xref><xref ref-type="other" rid="fund11"/><xref ref-type="other" rid="fund12"/><xref ref-type="other" rid="fund13"/><xref ref-type="other" rid="fund14"/><xref ref-type="fn" rid="con9"/><xref ref-type="fn" rid="conf2"/></contrib><contrib contrib-type="author" id="author-194793"><name><surname>Sensi</surname><given-names>Stefano L</given-names></name><xref ref-type="aff" rid="aff6">6</xref><xref ref-type="aff" rid="aff7">7</xref><xref ref-type="fn" rid="con10"/><xref ref-type="fn" rid="conf2"/></contrib><contrib contrib-type="author" id="author-99402"><name><surname>Othy</surname><given-names>Shivashankar</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-6832-5547</contrib-id><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff10">10</xref><xref ref-type="other" rid="fund7"/><xref ref-type="fn" rid="con11"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" corresp="yes" id="author-166747"><name><surname>Blurton-Jones</surname><given-names>Mathew</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-7770-7157</contrib-id><email>mblurton@uci.edu</email><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="aff" rid="aff4">4</xref><xref ref-type="aff" rid="aff10">10</xref><xref ref-type="other" rid="fund3"/><xref ref-type="other" rid="fund4"/><xref ref-type="other" rid="fund5"/><xref ref-type="other" rid="fund6"/><xref ref-type="other" rid="fund16"/><xref ref-type="fn" rid="con12"/><xref ref-type="fn" rid="conf4"/></contrib><contrib contrib-type="author" corresp="yes" id="author-15953"><name><surname>Cahalan</surname><given-names>Michael D</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-4987-2526</contrib-id><email>mcahalan@uci.edu</email><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff10">10</xref><xref ref-type="other" rid="fund1"/><xref ref-type="other" rid="fund2"/><xref ref-type="fn" rid="con13"/><xref ref-type="fn" rid="conf2"/></contrib><aff id="aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/04gyf1771</institution-id><institution>Department of Physiology and Biophysics, University of California, Irvine</institution></institution-wrap><addr-line><named-content content-type="city">Irvine</named-content></addr-line><country>United States</country></aff><aff id="aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/04gyf1771</institution-id><institution>Department of Neurobiology and Behavior, University of California, Irvine</institution></institution-wrap><addr-line><named-content content-type="city">Irvine</named-content></addr-line><country>United States</country></aff><aff id="aff3"><label>3</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/04gyf1771</institution-id><institution>Sue and Bill Gross Stem Cell Research Center, University of California, Irvine</institution></institution-wrap><addr-line><named-content content-type="city">Irvine</named-content></addr-line><country>United States</country></aff><aff id="aff4"><label>4</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/04gyf1771</institution-id><institution>UCI Institute for Memory Impairments and Neurological Disorders, University of California</institution></institution-wrap><addr-line><named-content content-type="city">Irvine</named-content></addr-line><country>United States</country></aff><aff id="aff5"><label>5</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/043mz5j54</institution-id><institution>Institute for Neurodegenerative Diseases, University of California, San Francisco</institution></institution-wrap><addr-line><named-content content-type="city">San Francisco</named-content></addr-line><country>United States</country></aff><aff id="aff6"><label>6</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/00qjgza05</institution-id><institution>Center for Advanced Sciences and Technology (CAST), University &quot;G. d'Annunzio&quot; of Chieti-Pescara</institution></institution-wrap><addr-line><named-content content-type="city">Chieti</named-content></addr-line><country>Italy</country></aff><aff id="aff7"><label>7</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/00qjgza05</institution-id><institution>Department of Neuroscience, Imaging and Clinical Sciences, University G d'Annunzio of Chieti-Pescara</institution></institution-wrap><addr-line><named-content content-type="city">Chieti</named-content></addr-line><country>Italy</country></aff><aff id="aff8"><label>8</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/04dawnj30</institution-id><institution>Department of Mechanical Engineering and Engineering Science, University of North Carolina</institution></institution-wrap><addr-line><named-content content-type="city">Charlotte</named-content></addr-line><country>United States</country></aff><aff id="aff9"><label>9</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/04q78tk20</institution-id><institution>Institute of Quantum Biophysics, Department of Biophysics, Dept of Intelligent Precision Healthcare Convergence, Sungkyunkwan University</institution></institution-wrap><addr-line><named-content content-type="city">Gyeonggi-do</named-content></addr-line><country>Republic of Korea</country></aff><aff id="aff10"><label>10</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/04gyf1771</institution-id><institution>Institute for Immunology, University of California, Irvine</institution></institution-wrap><addr-line><named-content content-type="city">Irvine</named-content></addr-line><country>United States</country></aff></contrib-group><contrib-group content-type="section"><contrib contrib-type="editor"><name><surname>Prakriya</surname><given-names>Murali</given-names></name><role>Reviewing Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/000e0be47</institution-id><institution>Northwestern University</institution></institution-wrap><country>United States</country></aff></contrib><contrib contrib-type="senior_editor"><name><surname>Aldrich</surname><given-names>Richard W</given-names></name><role>Senior Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/00hj54h04</institution-id><institution>The University of Texas at Austin</institution></institution-wrap><country>United States</country></aff></contrib></contrib-group><author-notes><fn fn-type="con" id="equal-contrib1"><label>†</label><p>These authors contributed equally to this work</p></fn><fn fn-type="other" id="fn1"><label>‡</label><p>This author is a co-first author</p></fn></author-notes><pub-date date-type="publication" publication-format="electronic"><day>22</day><month>02</month><year>2022</year></pub-date><pub-date pub-type="collection"><year>2022</year></pub-date><volume>11</volume><elocation-id>e73021</elocation-id><history><date date-type="received" iso-8601-date="2021-08-13"><day>13</day><month>08</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2022-02-18"><day>18</day><month>02</month><year>2022</year></date></history><pub-history><event><event-desc>This manuscript was published as a preprint at .</event-desc><date date-type="preprint" iso-8601-date="2021-08-24"><day>24</day><month>08</month><year>2021</year></date><self-uri content-type="preprint" xlink:href="https://doi.org/10.1101/2021.08.24.457491"/></event></pub-history><permissions><copyright-statement>© 2022, Jairaman, McQuade et al</copyright-statement><copyright-year>2022</copyright-year><copyright-holder>Jairaman et al</copyright-holder><ali:free_to_read/><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><ali:license_ref>http://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>This article is distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use and redistribution provided that the original author and source are credited.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="elife-73021-v3.pdf"/><self-uri content-type="figures-pdf" xlink:href="elife-73021-figures-v3.pdf"/><abstract><p>The membrane protein TREM2 (Triggering Receptor Expressed on Myeloid cells 2) regulates key microglial functions including phagocytosis and chemotaxis. Loss-of-function variants of TREM2 are associated with increased risk of Alzheimer’s disease (AD). Because abnormalities in Ca<sup>2+</sup> signaling have been observed in several AD models, we investigated TREM2 regulation of Ca<sup>2+</sup> signaling in human induced pluripotent stem cell-derived microglia (iPSC-microglia) with genetic deletion of TREM2. We found that iPSC-microglia lacking TREM2 (TREM2 KO) show exaggerated Ca<sup>2+</sup> signals in response to purinergic agonists, such as ADP, that shape microglial injury responses. This ADP hypersensitivity, driven by increased expression of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors, results in greater release of Ca<sup>2+</sup> from the endoplasmic reticulum stores, which triggers sustained Ca<sup>2+</sup> influx through Orai channels and alters cell motility in TREM2 KO microglia. Using iPSC-microglia expressing the genetically encoded Ca<sup>2+</sup> probe, Salsa6f, we found that cytosolic Ca<sup>2+</sup> tunes motility to a greater extent in TREM2 KO microglia. Despite showing greater overall displacement, TREM2 KO microglia exhibit reduced directional chemotaxis along ADP gradients. Accordingly, the chemotactic defect in TREM2 KO microglia was rescued by reducing cytosolic Ca<sup>2+</sup> using a P2Y<sub>12</sub> receptor antagonist. Our results show that loss of TREM2 confers a defect in microglial Ca<sup>2+</sup> response to purinergic signals, suggesting a window of Ca<sup>2+</sup> signaling for optimal microglial motility.</p></abstract><kwd-group kwd-group-type="author-keywords"><kwd>iPSC-derived microglia</kwd><kwd>TREM2</kwd><kwd>Alzheimer's disease</kwd><kwd>P2Y receptor</kwd><kwd>Ca<sup>2+</sup> signaling</kwd><kwd>store-operated Ca<sup>2+</sup> entry</kwd></kwd-group><kwd-group kwd-group-type="research-organism"><title>Research organism</title><kwd>Human</kwd></kwd-group><funding-group><award-group id="fund1"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R01 NS14609</award-id><principal-award-recipient><name><surname>Cahalan</surname><given-names>Michael D</given-names></name></principal-award-recipient></award-group><award-group id="fund2"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R01 AI121945</award-id><principal-award-recipient><name><surname>Cahalan</surname><given-names>Michael D</given-names></name></principal-award-recipient></award-group><award-group id="fund3"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R01 AG048099</award-id><principal-award-recipient><name><surname>Blurton-Jones</surname><given-names>Mathew</given-names></name></principal-award-recipient></award-group><award-group id="fund4"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R01 AG056303</award-id><principal-award-recipient><name><surname>Blurton-Jones</surname><given-names>Mathew</given-names></name></principal-award-recipient></award-group><award-group id="fund5"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R01 AG055524</award-id><principal-award-recipient><name><surname>Blurton-Jones</surname><given-names>Mathew</given-names></name></principal-award-recipient></award-group><award-group id="fund6"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>core AG066519</award-id><principal-award-recipient><name><surname>Blurton-Jones</surname><given-names>Mathew</given-names></name></principal-award-recipient></award-group><award-group id="fund7"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>U01 AI160397</award-id><principal-award-recipient><name><surname>Othy</surname><given-names>Shivashankar</given-names></name></principal-award-recipient></award-group><award-group id="fund8"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>T32 NS082174</award-id><principal-award-recipient><name><surname>McQuade</surname><given-names>Amanda</given-names></name></principal-award-recipient></award-group><award-group id="fund9"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>RF1DA048813</award-id><principal-award-recipient><name><surname>Gandhi</surname><given-names>Sunil</given-names></name></principal-award-recipient></award-group><award-group id="fund10"><funding-source><institution-wrap><institution>The Marie Sklodowska-Curie grant agreement iMIND</institution></institution-wrap></funding-source><award-id>no. 84166</award-id><principal-award-recipient><name><surname>Granzotto</surname><given-names>Alberto</given-names></name></principal-award-recipient></award-group><award-group id="fund11"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100001321</institution-id><institution>National Research Foundation</institution></institution-wrap></funding-source><award-id>2020R1A2C2010285</award-id><principal-award-recipient><name><surname>Cho</surname><given-names>Hansang</given-names></name></principal-award-recipient></award-group><award-group id="fund12"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100011512</institution-id><institution>National Research Foundation</institution></institution-wrap></funding-source><award-id>2020 M3C7A1023941</award-id><principal-award-recipient><name><surname>Cho</surname><given-names>Hansang</given-names></name></principal-award-recipient></award-group><award-group id="fund13"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100011512</institution-id><institution>National Research Foundation</institution></institution-wrap></funding-source><award-id>I21SS7606036</award-id><principal-award-recipient><name><surname>Cho</surname><given-names>Hansang</given-names></name></principal-award-recipient></award-group><award-group id="fund14"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institute of Health</institution></institution-wrap></funding-source><award-id>AG059236-01A1</award-id><principal-award-recipient><name><surname>Cho</surname><given-names>Hansang</given-names></name></principal-award-recipient></award-group><award-group id="fund15"><funding-source><institution-wrap><institution>UCI Sue &amp; Bill Gross Stem Cell Research Center</institution></institution-wrap></funding-source><award-id>Seed Grant</award-id><principal-award-recipient><name><surname>Gandhi</surname><given-names>Sunil</given-names></name></principal-award-recipient></award-group><award-group id="fund16"><funding-source><institution-wrap><institution>Susan Scott Foundation</institution></institution-wrap></funding-source><award-id>gift</award-id><principal-award-recipient><name><surname>Blurton-Jones</surname><given-names>Mathew</given-names></name></principal-award-recipient></award-group><funding-statement>The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.</funding-statement></funding-group><custom-meta-group><custom-meta specific-use="meta-only"><meta-name>Author impact statement</meta-name><meta-value>Deletion of Alzheimer’s disease risk gene TREM2 augments sensitivity to the purinergic agonist ADP, leading to increased Ca<sup>2+</sup> influx and reduced directional migration in human induced pluripotent stem cell-derived microglia.</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="s1" sec-type="intro"><title>Introduction</title><p>As the primary immune cells of the central nervous system, microglia survey their local environment to maintain homeostasis and respond to local brain injury or abnormal neuronal activity. Microglia are strongly implicated in several neurodevelopmental and neurodegenerative diseases (<xref ref-type="bibr" rid="bib3">Andersen et al., 2021</xref>; <xref ref-type="bibr" rid="bib12">Crotti et al., 2014</xref>; <xref ref-type="bibr" rid="bib22">Fahira et al., 2019</xref>; <xref ref-type="bibr" rid="bib34">Jansen et al., 2019</xref>; <xref ref-type="bibr" rid="bib49">McQuade and Blurton-Jones, 2019</xref>; <xref ref-type="bibr" rid="bib63">Pimenova et al., 2021</xref>; <xref ref-type="bibr" rid="bib67">Tan et al., 2013</xref>), warranting further study of human microglial dynamics. Purinergic metabolites (ATP, ADP, UTP, UDP) in the brain constitute key signals driving microglial activation and chemotaxis, and are detected by microglial cells over concentrations ranging from hundreds of nM to μM (<xref ref-type="bibr" rid="bib14">Davalos et al., 2005</xref>; <xref ref-type="bibr" rid="bib15">De Simone et al., 2010</xref>; <xref ref-type="bibr" rid="bib30">Honda et al., 2001</xref>; <xref ref-type="bibr" rid="bib37">Koizumi et al., 2007</xref>; <xref ref-type="bibr" rid="bib29">Haynes et al., 2006</xref>; <xref ref-type="bibr" rid="bib73">Yegutkin, 2008</xref>). ATP released from both homeostatic and damaged cells is hydrolyzed locally by nucleosidases such as the ectonucleotidase NTPDase1 (CD39) or pyrophosphatase NPP1 to produce ADP (<xref ref-type="bibr" rid="bib17">Dissing-Olesen et al., 2014</xref>; <xref ref-type="bibr" rid="bib46">Madry and Attwell, 2015</xref>; <xref ref-type="bibr" rid="bib75">Zhang et al., 2014</xref>). ADP is then detected by P2Y purinergic receptors on microglia, causing IP<sub>3</sub>-dependent Ca<sup>2+</sup> release from the endoplasmic reticulum (ER) lumen. Ca<sup>2+</sup> depletion from the ER in turn activates ER STIM1 proteins to translocate proximally to puncta where closely apposed plasma membrane (PM) Orai1 channels are activated. This mechanism underlies store-operated Ca<sup>2+</sup> entry (SOCE) in many cell types (<xref ref-type="bibr" rid="bib64">Prakriya and Lewis, 2015</xref>), including microglia (<xref ref-type="bibr" rid="bib47">McLarnon, 2020</xref>; <xref ref-type="bibr" rid="bib55">Mizuma et al., 2019</xref>; <xref ref-type="bibr" rid="bib23">Gilbert et al., 2016</xref>).</p><p>Purinergic signaling is central to microglial communication with other brain cell types and has been negatively correlated with the onset of disease-associated microglia (DAM) transcriptional states (<xref ref-type="bibr" rid="bib28">Hasselmann et al., 2019</xref>; <xref ref-type="bibr" rid="bib36">Keren-Shaul et al., 2017</xref>; <xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib59">Olah et al., 2020</xref>; <xref ref-type="bibr" rid="bib65">Sala Frigerio et al., 2019</xref>). P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors are highly expressed by microglia and are activated predominantly by ADP (<xref ref-type="bibr" rid="bib75">Zhang et al., 2014</xref>; <xref ref-type="bibr" rid="bib71">Weisman et al., 2012</xref>). P2Y<sub>12</sub> receptors are essential for microglial chemotaxis and have been implicated in the microglial response to cortical injury (<xref ref-type="bibr" rid="bib29">Haynes et al., 2006</xref>; <xref ref-type="bibr" rid="bib13">Cserép et al., 2020</xref>), NLRP3 inflammasome activation (<xref ref-type="bibr" rid="bib66">Suzuki et al., 2020</xref>; <xref ref-type="bibr" rid="bib72">Wu et al., 2019</xref>), neuronal hyperactivity and protection (<xref ref-type="bibr" rid="bib13">Cserép et al., 2020</xref>; <xref ref-type="bibr" rid="bib21">Eyo et al., 2014</xref>), and blood-brain barrier maintenance (<xref ref-type="bibr" rid="bib45">Lou et al., 2016</xref>; <xref ref-type="bibr" rid="bib6">Bisht et al., 2021</xref>). While purinergic receptors have been broadly identified as markers of microglial homeostasis (<xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib71">Weisman et al., 2012</xref>), mechanisms by which receptor expression may drive or maintain homeostatic microglial states remain incompletely understood.</p><p>Neuroinflammatory pathologies are often associated with altered Ca<sup>2+</sup> signaling (<xref ref-type="bibr" rid="bib40">Leissring et al., 2000</xref>). Microglia, in particular, show altered Ca<sup>2+</sup> responses in mouse models of Alzheimer’s disease (AD) by mechanisms that are not fully understood (<xref ref-type="bibr" rid="bib8">Brawek et al., 2014</xref>; <xref ref-type="bibr" rid="bib16">Demuro et al., 2010</xref>; <xref ref-type="bibr" rid="bib57">Mustaly-Kalimi et al., 2018</xref>). Ca<sup>2+</sup> responses to purinergic metabolites have been extensively studied in cultured murine microglia, acute brain slices, and, more recently, in anesthetized mice (<xref ref-type="bibr" rid="bib14">Davalos et al., 2005</xref>; <xref ref-type="bibr" rid="bib30">Honda et al., 2001</xref>; <xref ref-type="bibr" rid="bib8">Brawek et al., 2014</xref>; <xref ref-type="bibr" rid="bib19">Eichhoff et al., 2011</xref>; <xref ref-type="bibr" rid="bib32">Irino et al., 2008</xref>; <xref ref-type="bibr" rid="bib54">Milior et al., 2020</xref>). However, our understanding of how specific patterns of Ca<sup>2+</sup> signals in microglia correlate with and tune downstream microglial responses such as cell motility or process extension remains incomplete. There is also a paucity of knowledge on how regulators of purinergic Ca<sup>2+</sup> signals in microglia might play a role in the dysregulation of Ca<sup>2+</sup> signaling associated with aging and neuroinflammation.</p><p>TREM2 encodes a cell surface receptor that binds a variety of ligands, including various lipids, apolipoprotein E (ApoE), and amyloid-β peptides. Upon ligand binding, TREM2 signals through its adaptor protein DAP12 to activate a host of downstream pathways (<xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib10">Cheng-Hathaway et al., 2018</xref>; <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="bibr" rid="bib68">Ulrich et al., 2014</xref>). Loss of TREM2 function is thought to promote a more homeostatic-like state (<xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib5">Andrews et al., 2020</xref>; <xref ref-type="bibr" rid="bib35">Karch et al., 2012</xref>). Indeed, microglia lacking TREM2 expression exhibit greatly diminished activation against disease pathology, correlating with increased risk of Alzheimer’s disease (AD) (<xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="bibr" rid="bib9">Cheng et al., 2018</xref>). Purinergic receptor hyperexpression has been reported at the transcriptome level across multiple TREM2 loss of function models, including human patient mutations (<xref ref-type="bibr" rid="bib28">Hasselmann et al., 2019</xref>; <xref ref-type="bibr" rid="bib36">Keren-Shaul et al., 2017</xref>; <xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib65">Sala Frigerio et al., 2019</xref>; <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="bibr" rid="bib26">Gratuze et al., 2020</xref>). For example, P2Y<sub>12</sub> receptor protein expression was found to be elevated in the cortical microglia of <italic>Trem2<sup>-/-</sup></italic> mice and in a preclinical mouse model of AD (<xref ref-type="bibr" rid="bib25">Götzl et al., 2019</xref>; <xref ref-type="bibr" rid="bib27">Griciuc et al., 2019</xref>), although the mechanistic link between purinergic receptor expression and TREM2 function remains poorly understood.</p><p>We previously developed methods to generate human induced pluripotent stem cell-derived microglia (iPSC-microglia) (<xref ref-type="bibr" rid="bib1">Abud et al., 2017</xref>; <xref ref-type="bibr" rid="bib48">McQuade et al., 2018</xref>; <xref ref-type="bibr" rid="bib51">McQuade and Blurton-Jones, 2021</xref>), which can be used to model human microglial behavior. While iPSC-microglia are proving increasingly useful to investigate neurodegenerative disorders (<xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="bibr" rid="bib4">Andreone et al., 2020</xref>; <xref ref-type="bibr" rid="bib11">Cosker et al., 2021</xref>; <xref ref-type="bibr" rid="bib38">Konttinen et al., 2019</xref>; <xref ref-type="bibr" rid="bib62">Piers et al., 2020</xref>; <xref ref-type="bibr" rid="bib74">You et al., 2022</xref>), Ca<sup>2+</sup> signaling has not yet been extensively profiled in these models. In this study, we compared purinergic Ca<sup>2+</sup> signaling and motility characteristics in wild type (WT) and TREM2 knockout (KO) human iPSC-microglia, and examined the mechanisms that underlie enhanced purinergic Ca<sup>2+</sup> signaling in microglia lacking TREM2. We find that motility is differentially tuned by Ca<sup>2+</sup> in TREM2 KO cells with consequences for chemotaxis.</p></sec><sec id="s2" sec-type="results"><title>Results</title><sec id="s2-1"><title>Purinergic receptor Ca<sup>2+</sup> signaling is enhanced in TREM2 KO human iPSC-microglia</title><p>To determine if TREM2 plays a role in microglial Ca<sup>2+</sup> signaling, we compared cytosolic Ca<sup>2+</sup> responses to the purinergic agonist ADP in isogenic, CRISPR-modified wild type (WT) and TREM2 KO human iPSC-microglia. ADP stimulation induced a biphasic Ca<sup>2+</sup> response – a rapid initial peak followed by a secondary phase of sustained Ca<sup>2+</sup> elevation lasting several minutes, in line with previous observations in mouse microglia (<xref ref-type="bibr" rid="bib53">Michaelis et al., 2015</xref>; <xref ref-type="bibr" rid="bib69">Visentin et al., 2006</xref>). Both phases of the Ca<sup>2+</sup> response were significantly elevated in TREM2 KO microglia, raising the possibility that augmentation of the initial Ca<sup>2+</sup> response to ADP in TREM2 KO microglia may be coupled to a larger sustained component of Ca<sup>2+</sup> entry (<xref ref-type="fig" rid="fig1">Figure 1A and B</xref>). These results were corroborated in iPSC-derived microglia cell line expressing the genetically encoded Ca<sup>2+</sup> indicator Salsa6f (<xref ref-type="bibr" rid="bib18">Dong et al., 2017</xref>; <xref ref-type="bibr" rid="bib33">Jairaman and Cahalan, 2021</xref>; <xref ref-type="fig" rid="fig1">Figure 1C and D</xref>). The Salsa6f probe showed the expected increase in the GCaMP6f fluorescence in response to Ca<sup>2+</sup> elevation without any change in the tdTomato signal, and it did not perturb microglial activation and function (<xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1A–G</xref>). TREM2 KO microglia also showed exaggerated Ca<sup>2+</sup> responses to the purinergic agonists ATP and UTP at similar low μM concentrations, although the secondary Ca<sup>2+</sup> elevations were not as long-lasting as with ADP (<xref ref-type="fig" rid="fig1">Figure 1E and F</xref>, <xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2</xref>).</p><fig-group><fig id="fig1" position="float"><label>Figure 1.</label><caption><title>Microglia lacking TREM2 show exaggerated Ca<sup>2+</sup> responses to purinergic stimulation.</title><p>(<bold>A</bold>) Representative red-green channel overlay images of wild type (WT) (top) and TREM2 knockout (KO) (bottom) induced pluripotent stem cell (iPSC)-microglia loaded with Fluo-4 (green) and Fura-red (red) showing resting cytosolic Ca<sup>2+</sup> before ADP, and Ca<sup>2+</sup> levels 15 s and 5 min after ADP addition. Scale bar = 20 μm. (<bold>B</bold>) Average traces (left panels) showing changes in cytosolic Ca<sup>2+</sup> in response to 2.5 μM ADP in 1 mM Ca<sup>2+</sup> buffer (n = 39–44 cells). Baseline-subtracted peak Ca<sup>2+</sup> response and cytosolic Ca<sup>2+</sup> levels 5 min after ADP shown on the right (n = 250–274 cells, five experiments, Mann–Whitney test). (<bold>C, D</bold>) Cytosolic Ca<sup>2+</sup> response to ADP as in (<bold>A</bold>) and<bold> (B</bold>) but in iPSC-microglia expressing the GCaMP6f-tdTomato fusion Ca<sup>2+</sup> probe Salsa6f (n = 41–53 cells, two independent experiments, Mann–Whitney test). Images in (<bold>C</bold>) are overlay of GCaMP6f (green) and tdTomato (red) channel images. Scale bar = 20 μm. (<bold>E</bold>) Ca<sup>2+</sup> responses to 2.5 μM ATP in WT and TREM2 KO iPSC-microglia. Average traces (left panel, n = 63–71 cells) and bar graph summary of peak cytosolic Ca<sup>2+</sup> and Ca<sup>2+</sup> after 5 min (right panel, 165–179 cells, three experiments, Mann–Whitney test). (<bold>F</bold>) Ca<sup>2+</sup> responses to 10 μM UTP. Average traces (45–55 cells) and summary of peak cytosolic Ca<sup>2+</sup> and Ca<sup>2+</sup> after 5 min (175–269 cells, three experiments, Mann–Whitney test). Data shown as mean ± SEM for traces and bar graphs. p-Values indicated by *** for p&lt;0.001, ****p&lt;0.0001<italic>.</italic></p><p><supplementary-material id="fig1sdata1"><label>Figure 1—source data 1.</label><caption><title>Microglia lacking TREM2 show exaggerated Ca<sup>2+</sup> responses to purinergic stimulation.</title><p>In this dataset, the results of microglial stimulation with purinergic agonists and validation of Salsa6f isogenic microglia are included.</p></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-73021-fig1-data1-v3.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig1-v3.tif"/></fig><fig id="fig1s1" position="float" specific-use="child-fig"><label>Figure 1—figure supplement 1.</label><caption><title>Validation of Salsa6f transgenic induced pluripotent stem cell (iPSC)-microglia.</title><p>(<bold>A</bold>) Representative bright field, green (GCaMP6f), red (tdTomato), and green/red channel overlay images of transgenic Salsa6f expressing iPSC-microglia at low (top row) and high (bottom row) cytosolic Ca<sup>2+</sup> levels. Cells were treated with 2 μM thapsigargin (TG) to deplete stores and evoke store-operated Ca<sup>2+</sup> entry (SOCE). Images are shown at the end of TG treatment for low Ca<sup>2+</sup> and at the peak of SOCE for high Ca<sup>2+</sup>. Scale bar = 20 μm. (<bold>B</bold>) Trace of average change in fluorescence intensity of tdTomato (red) and GCamp6f (green) over time. Summary of GCaMP6f and tdTomato intensities before and after invoking SOCE is shown on the right. (<bold>C</bold>) Ratiometric GCaMP6f/ tdTomato signal (green/red or G/R ratio) over time calculated from (<bold>B</bold>). Summary of G/R ratio at low and high cytosolic Ca<sup>2+</sup> (<bold>B, C</bold>, n = 19 cells, Mann–Whitney test). (<bold>D</bold>) Immunofluorescence images showing staining for the microglia-specific marker IBA1 in either resting or activated wild type (WT) or Salsa6f-transgenic iPSC-microglia (left). Right panel shows quantification of IBA1 protein expression (n = 4 wells, two independent images per well, <italic>t</italic>-test). Cells were activated with 100 ng/mL lipopolysaccharide (LPS for 24 hr). (<bold>E</bold>) Microglia cell counts at final day of differentiation (n = 3 wells, <italic>t</italic>-test). (<bold>F</bold>) Phagocytosis of synaptosomes in WT non-transgenic (open circle) and Salsa6f-expressing (closed circle) iPSC-microglia. Cytochalasin D (gray, 10 µM) used as negative control to inhibit phagocytosis. Live cultures imaged on IncuCyte S3 (n = 4 wells; four images per well). (<bold>G</bold>) Phagocytic load at 24 hr for synaptosomes, beta-amyloid, zymosan A, and <italic>S. aureus</italic> (n = 4 wells; four images per well; one-way ANOVA with Tukey post-hoc test). Data shown as mean ± SEM for traces and bar graphs. p-Values indicated by ns for nonsignificant, ****P&lt;0.0001<italic>.</italic></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig1-figsupp1-v3.tif"/></fig><fig id="fig1s2" position="float" specific-use="child-fig"><label>Figure 1—figure supplement 2.</label><caption><title>Comparison of cytosolic Ca<sup>2+</sup> signal over time triggered by various purinergic agonists.</title><p>(<bold>A</bold>) Representative trace showing changes in cytosolic Ca<sup>2+</sup> in a single cell to illustrate the scheme for measuring cytosolic Ca<sup>2+</sup> level 5 min after agonist application. (<bold>B</bold>) Bar graph summary of cytosolic Ca<sup>2+</sup> levels in wild type (WT) and TREM2 knockout (KO) induced pluripotent stem cell (iPSC)-microglia 5 min after application of 2.5 μM ADP (blue), 2.5 μM ATP (red), and 10 μM UTP (yellow). N = 165–274 cells pooled from 2 to 3 experiments. One-way ANOVA with multiple comparisons. Data shown as mean ± SEM for the bar graph. p-Values indicated by ****p&lt;0.0001<italic>.</italic></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig1-figsupp2-v3.tif"/></fig></fig-group></sec><sec id="s2-2"><title>Increased P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor expression drives increased peak Ca<sup>2+</sup> in TREM2 KO microglia</title><p>Given the critical importance of ADP signaling in several aspects of microglial function, we investigated the mechanisms driving higher ADP-evoked Ca<sup>2+</sup> signals in TREM2 KO microglia by focusing on specific steps in the purinergic Ca<sup>2+</sup> signaling pathway (<xref ref-type="fig" rid="fig2">Figure 2A</xref>). The initial Ca<sup>2+</sup> response to P2Y receptor engagement results from G protein-coupled phospholipase C activation and IP<sub>3</sub>-mediated ER Ca<sup>2+</sup> store release. To test this, we treated cells with ADP in Ca<sup>2+</sup>-free solution buffered with the Ca<sup>2+</sup> chelator EGTA to isolate Ca<sup>2+</sup> signals from store release and eliminate Ca<sup>2+</sup> influx across the PM. Both WT and TREM2 KO cells exhibited a single Ca<sup>2+</sup> peak, with TREM2 KO cells showing significantly higher peak Ca<sup>2+</sup> response to ADP (<xref ref-type="fig" rid="fig2">Figure 2B</xref>, <xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1A and B</xref>). Moreover, the amplitude of the Ca<sup>2+</sup> peak was not significantly different in the presence or absence of external Ca<sup>2+</sup>, strongly suggesting that it is driven primarily by release of Ca<sup>2+</sup> from intracellular stores even when external Ca<sup>2+</sup> is present (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1C</xref>). Dose–response curves for the peak Ca<sup>2+</sup> response showed a steep leftward shift in TREM2 KO cells (<xref ref-type="fig" rid="fig2">Figure 2C</xref>). The EC<sub>50</sub> value for WT microglia was 650 nM, whereas TREM2 KO microglia reached their EC<sub>50</sub> by 15 nM. This stark difference was driven at least in part by a diminished percentage of WT cells responding to ADP at low μM doses (<xref ref-type="fig" rid="fig2">Figure 2D</xref>). However, limiting the analysis to cells that showed a Ca<sup>2+</sup> rise revealed that ‘responding’ TREM2 KO cells still exhibited higher Ca<sup>2+</sup> responses to ADP than ‘responding’ WT cells (<xref ref-type="fig" rid="fig2">Figure 2E</xref>). TREM2 KO microglia are thus significantly more sensitive to ADP than WT cells, which may be critical in sensing ADP and detecting ADP gradients.</p><fig-group><fig id="fig2" position="float"><label>Figure 2.</label><caption><title>Higher sensitivity of TREM2 knockout (KO) microglia to ADP is driven by increased purinergic receptor expression.</title><p>(<bold>A</bold>) Schematic highlighting key downstream Ca<sup>2+</sup> signaling events triggered by ADP. Cytosolic Ca<sup>2+</sup> response to ADP is determined by functional expression and activity of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors, IP<sub>3</sub> receptors, endoplasmic reticulum (ER) store Ca<sup>2+</sup> content, and store-operated Ca<sup>2+</sup> entry (SOCE) regulated by STIM and Orai proteins. (<bold>B</bold>) Representative images (left panel) showing overlay of Fluo-4 (green) and Fura-red (red) channels in wild type (WT) (top) and TREM2 KO (bottom) induced pluripotent stem cell (iPSC)-microglia before and peak Ca<sup>2+</sup> response after ADP addition in Ca<sup>2+</sup>-free buffer. Scale bar = 20 μm. Average trace showing Ca<sup>2+</sup> response to ADP in Ca<sup>2+</sup>-free buffer (middle panel, 64–83 cells). Quantification of peak signal (right panel, n = 264–289 cells, four experiments, Mann–Whitney test). (<bold>C–E</bold>) Dose–response curves showing baseline-subtracted peak Ca<sup>2+</sup> responses to ADP in Ca<sup>2+</sup>-free buffer (<bold>C</bold>), percent of ‘responding’ cells (<bold>D</bold>), and peak Ca<sup>2+</sup> responses only in ‘responding’ cells (<bold>E</bold>). N = 84–474 WT cells and 70–468 TREM2 KO cells, 2–5 experiments. (<bold>F</bold>) RNA normalized read counts of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor expression from bulk RNA-sequencing of WT and TREM2 KO iPSC-microglia (n = 4, adjusted p-values from DESeq2). (<bold>G</bold>) Representative histogram (left panel) showing plasma membrane (PM) expression of P2Y<sub>12</sub> receptor in WT and TREM2 KO microglia. Cells were stained with BV421-labeled anti-human P2Y<sub>12</sub> receptor antibody. Isotype control is shown as dashed line. Right panel shows summary of median fluorescence intensity (MFI) of P2Y<sub>12</sub> receptor-labeled cells (n = 10 samples each, Student’s <italic>t</italic>-test). (<bold>H</bold>) Ca<sup>2+</sup> traces (left panel) showing response to 1 μM ADP in Ca<sup>2+</sup>-free buffer after 30 min pretreatment with a combination of P2Y<sub>12</sub> receptor antagonist PSB 0739 (10 μM) and P2Y<sub>13</sub> receptor antagonist MRS 2211 (10 μM). Summary of the peak Ca<sup>2+</sup> response (right panel, n = 40–79 cells, two experiments, Mann–Whitney test). Data are mean ± SEM. p-Values indicated by ****p&lt;0.0001.</p><p><supplementary-material id="fig2sdata1"><label>Figure 2—source data 1.</label><caption><title>Higher sensitivity of TREM2 knockout (KO) microglia to ADP is driven by increased purinergic receptor expression.</title><p>In this dataset, the results of ADP stimulation in 0 Ca<sup>2+</sup>, dose curve of ADP in wild type (WT) and TREM2 KO, P2Y receptor expression, expression of key calcium signaling proteins, and inhibition of P2Y receptors are included.</p></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-73021-fig2-data1-v3.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig2-v3.tif"/></fig><fig id="fig2s1" position="float" specific-use="child-fig"><label>Figure 2—figure supplement 1.</label><caption><title>Role of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors in ADP-mediated augmentation of store release in TREM2 knockout (KO) microglia.</title><p>(<bold>A</bold>) Representative green (GCaMP6f) and red (tdTomato) channel overlay images of wild type (WT) (top) and TREM2 KO (bottom) induced pluripotent stem cell (iPSC)-microglia before and peak Ca<sup>2+</sup> response after ADP addition in Ca<sup>2+</sup>-free buffer. Scale bar = 20 μm. (<bold>B</bold>) Average trace (left panel) showing Ca<sup>2+</sup> response to 100 nM ADP in Ca<sup>2+</sup>-free buffer. Quantification of peak signal (right panel, n = 46–75 cells, two experiments, Mann–Whitney test). (<bold>C</bold>) Comparison of peak cytosolic Ca<sup>2+</sup> in response to ADP (2.5 μM ADP) in 1 mM Ca<sup>2+</sup> or Ca<sup>2+</sup>-free buffer (n = 38–96 cells<italic>,</italic> ordinary one-way ANOVA with multiple comparisons). (<bold>D</bold>) Volcano plot of differentially expressed genes from bulk RNA-sequencing of WT and TREM2 KO iPSC-microglia (n = 4). Genes for IP3R, STIM1, and ORAI1 are highlighted. (<bold>E</bold>) RNA normalized read counts for IP<sub>3</sub> receptor type 2 (ITPR2), PMCA1 (ATP2B1), SERCA2 (ATP2A2), SERCA3 (ATP2A3), STIM1, and ORAI1 in WT and TREM2 KO iPSC-microglia. Isoforms expressed lower than 10 reads in any sample are not considered expressed and are not shown. Relative expression of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors is shown for comparison of the relative fold change between WT and TREM2 KO cells. (<bold>F, G</bold>) Peak Ca<sup>2+</sup> response in Ca<sup>2+</sup>-free buffer after treatment with 1 or 10 μM ADP in the presence of P2Y<sub>12</sub> receptor antagonist PSB 0739 (<bold>F</bold>) or P2Y<sub>13</sub> receptor antagonist MRS 2211 (<bold>G</bold>), respectively. Cells were pretreated with 10 μM of PSB 0739 or 10 μM MRS 2211 for 30 min before imaging. (72–128 cells, <bold>F</bold>; 83–117 cells, <bold>G</bold>; representative of three experiments, Mann–Whitney test). Data shown as mean ± SEM for traces and bar graphs. Data shown as mean ± SEM for traces and bar graphs. p-Values indicated by ns, nonsignificant, **p&lt;0.01, ***p&lt;0.001, ****p&lt;0.0001<italic>.</italic></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig2-figsupp1-v3.tif"/></fig></fig-group><p>RNA-sequencing revealed significantly increased transcripts for P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors, the main P2Y receptor subtypes in microglia that bind ADP, in TREM2 KO microglia (<xref ref-type="bibr" rid="bib1">Abud et al., 2017</xref>; <xref ref-type="bibr" rid="bib48">McQuade et al., 2018</xref>; <xref ref-type="fig" rid="fig2">Figure 2F</xref>). In comparison, relative mRNA levels of common mediators of Ca<sup>2+</sup> signaling – including predominant isoforms of IP<sub>3</sub> receptors, SOCE mediators Orai and STIM proteins, and SERCA and PMCA Ca<sup>2+</sup> pumps – were either similar or modestly reduced in TREM2 KO in comparison with WT iPSC-microglia (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1D and E</xref>). We therefore considered the possibility that signal amplification in microglia lacking TREM2 results primarily from increased expression of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors. Consistent with this, expression of P2Y<sub>12</sub> receptors in the PM was significantly increased in TREM2 KO cells (<xref ref-type="fig" rid="fig2">Figure 2G</xref>). Furthermore, Ca<sup>2+</sup> responses to ADP in Ca<sup>2+</sup>-free medium were completely abolished following treatment with a combination of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor antagonists (PSB 0739 and MRS 2211, respectively) in both WT and TREM2 KO microglia (<xref ref-type="fig" rid="fig2">Figure 2H</xref>). Treatment of cells with P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor antagonists separately produced partial inhibition of peak ADP-mediated Ca<sup>2+</sup> signals, implicating involvement of both receptor subtypes (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1F and G</xref>). In summary, deletion of TREM2 results in a larger cytosolic Ca<sup>2+</sup> peak in response to ADP due to increased expression of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors.</p></sec><sec id="s2-3"><title>SOCE through Orai channels mediates the sustained phase of ADP-evoked Ca<sup>2+</sup> elevation</title><p>To probe the basis for the increased sustained component of ADP-evoked Ca<sup>2+</sup> signal in TREM2 KO microglia, we examined SOCE using pharmacological and genetic approaches. Synta66, a reasonably specific inhibitor of Orai channels, significantly reduced the rate of SOCE following Ca<sup>2+</sup> readdition after ER store depletion by the sarco-endoplasmic reticulum Ca<sup>2+</sup> ATPase (SERCA pump) inhibitor, thapsigargin (TG), in both WT and TREM2 KO microglia (<xref ref-type="fig" rid="fig3">Figure 3A</xref>, <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1A</xref>). Using a similar Ca<sup>2+</sup> readdition protocol with ADP, we found significant inhibition of ADP-induced SOCE by Synta66 in both WT and TREM2 KO cells (<xref ref-type="fig" rid="fig3">Figure 3B</xref>, <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1B</xref>). The ADP-evoked sustained Ca<sup>2+</sup> phase in TREM2 KO iPSC-microglia was also blocked by less specific Orai channel inhibitors, Gd<sup>3+</sup> and 2-APB (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1C and D</xref>). To further confirm the specific role of Orai1 channels in mediating SOCE, we generated an Orai1 CRISPR-knockout iPSC line. Deletion of Orai1 abrogated SOCE and significantly reduced the sustained Ca<sup>2+</sup> response to ADP (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1E and F</xref>). These results confirm that Orai1 plays an important role in mediating SOCE and ADP-evoked Ca<sup>2+</sup> signals in iPSC-microglia.</p><fig-group><fig id="fig3" position="float"><label>Figure 3.</label><caption><title>Regulation of ADP-evoked store-operated Ca<sup>2+</sup> entry (SOCE) in wild type (WT) and TREM2 knockout (KO) microglia.</title><p>(<bold>A</bold>) SOCE in WT microglia triggered with thapsigargin (TG, 2 μM) in Ca<sup>2+</sup>-free buffer followed by readdition of 1 mM Ca<sup>2+</sup> in the absence (control, gray trace) or presence (red trace) of the Orai channel inhibitor Synta66 (n = 34–48 cells). Cells were pretreated with Synta66 (10 μM) for 30 min before imaging. Bar graph summary of the rate of Ca<sup>2+</sup> influx (n = 80–137 cells, two experiments, Mann–Whitney test). (<bold>B</bold>) SOCE evoked by ADP (2.5 μM) in WT microglia (gray trace) using a similar Ca<sup>2+</sup> addback protocol as in (<bold>A</bold>). Red trace shows the effect of Synta66 on ADP-evoked SOCE. Right panel shows bar graph summary of the rate of ADP-triggered Ca<sup>2+</sup> influx after readdition of 1 mM Ca<sup>2+</sup> (n = 148–155 cells, two experiments, Mann–Whitney test). (<bold>C</bold>) Comparison of SOCE evoked with TG (2 μM) in WT and TREM2 KO cells (n = 90–129 cells). Bar graph summaries of endoplasmic reticulum (ER) store release quantified as area under the curve, rate of SOCE, and peak SOCE (n = 187–266 cells, two experiments, Mann–Whitney test). (<bold>D</bold>) Traces showing ADP-evoked SOCE in WT and TREM2 KO microglia after depleting stores with 100 nM ADP in Ca<sup>2+</sup>-free buffer and readdition of 1 mM Ca<sup>2+</sup> (left panel, n = 97–114 cells). Comparison of ADP-evoked cytosolic Ca<sup>2+</sup> peak, peak SOCE and SOCE rate (right panel, n = 234–313 cells, three experiments, Mann–Whitney test). (<bold>E</bold>) Ionomycin pulse experiment to measure residual ER Ca<sup>2+</sup> pool in cells after initial treatment with ADP. WT and TREM2 KO cells were pulsed sequentially with ADP first (200 nM) and subsequently treated with ionomycin (1 μM) to empty and measure the residual pool of ER Ca<sup>2+</sup>. Imaging was done entirely in Ca<sup>2+</sup>-free buffer to prevent Ca<sup>2+</sup> influx across the plasma membrane (PM). Average trace (left panel), peak ADP Ca<sup>2+</sup> response (middle panel), and peak ionomycin-induced Ca<sup>2+</sup> response (right panel) (n = 38–60 cells, 3–4 experiments, Mann–Whitney test). (<bold>F</bold>) Average trace (left, 71–117 cells) and summary of ER store release after 2 μM ionomycin treatment in Ca<sup>2+</sup>-free buffer (right, 146–234 cells, two experiments; nd, nonsignificant p&gt;0.05<italic>,</italic> Mann–Whitney test). (<bold>G</bold>) Same as (<bold>H</bold>) but in response to UV IP<sub>3</sub> uncaging (167–200 cells, ns<italic>,</italic> nonsignificant p&gt;0.05<italic>,</italic> nonparametric <italic>t</italic>-test). Data shown as mean ± SEM for traces and bar graphs. Data are mean ± SEM. p-Values indicated by ns, nonsignificant, *p&lt;0.05, and ****p&lt;0.0001.</p><p><supplementary-material id="fig3sdata1"><label>Figure 3—source data 1.</label><caption><title>Regulation of ADP-evoked store-operated Ca<sup>2+</sup> entry (SOCE) in wild type (WT) and TREM2 knockout (KO) microglia.</title><p>In this dataset, the results of blocking SOCE on ADP stimulation and investigation of store content as well as the correlation between original calcium store release and SOCE are included.</p></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-73021-fig3-data1-v3.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig3-v3.tif"/></fig><fig id="fig3s1" position="float" specific-use="child-fig"><label>Figure 3—figure supplement 1.</label><caption><title>Regulation of store-operated Ca<sup>2+</sup> entry (SOCE) in induced pluripotent stem cell (iPSC)-microglia.</title><p>(<bold>A</bold>) Average trace showing SOCE triggered in TREM2 knockout (KO) microglia via emptying endoplasmic reticulum (ER) Ca<sup>2+</sup> stores with thapsigargin (TG, 2 μM) in Ca<sup>2+</sup>-free buffer followed by readdition of 1 mM Ca<sup>2+</sup> in the absence (control, green trace) or presence (red trace) of the Orai channel inhibitor Synta66. Cells were pretreated with Synta66 (10 μM) for 30 min before experiment. Bar graph summary of the rate of Ca<sup>2+</sup> influx after readdition of 1 mM Ca<sup>2+</sup> (80–126 cells, Mann–Whitney test). (<bold>B</bold>) SOCE evoked by ADP (2.5 μM) in TREM2 KO microglia (green trace) using a similar Ca<sup>2+</sup> addback protocol. Red trace shows the effect of Synta66 on ADP-evoked SOCE. Right panel summarizes the rate of ADP-triggered Ca<sup>2+</sup> influx after readdition of 1 mM Ca<sup>2+</sup> (n = 125–154 cells, two experiments, Mann–Whitney test). (<bold>C, D</bold>) Cytosolic Ca<sup>2+</sup> response to ADP in TREM2 KO iPSC-microglia pretreated with 2-APB (50 μM) or Gd<sup>3+</sup> (5 μM) to block SOCE. Average traces (<bold>C</bold>), baseline-subtracted initial peak Ca<sup>2+</sup> responses to ADP (<bold>D</bold>, left panel), and baseline-subtracted Ca<sup>2+</sup> after 5 min of ADP addition (<bold>D</bold>, right panel) are shown (n = 41–74 cells, ordinary one-way ANOVA with multiple comparisons). (<bold>E, F</bold>) Role of Orai1 in TG- and ADP-evoked SOCE in iPSC-microglia. (<bold>E</bold>) Comparison of TG-evoked SOCE in WT and Orai1 KO cell showing average traces (left panel) and summary of SOCE rate (right panel; n = 42–54 cells, 3–4 experiments, Mann–Whitney test). (<bold>F</bold>) ADP-evoked SOCE in WT and Orai1 KO showing average traces (left panel) and summary of SOCE rate (right panel; n = 42–53 cells, 3–4 experiments, Mann–Whitney test). Data shown as mean ± SEM for traces and bar graphs. p-Values indicated by ns, nonsignificant, ****p&lt;0.0001<italic>.</italic></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig3-figsupp1-v3.tif"/></fig><fig id="fig3s2" position="float" specific-use="child-fig"><label>Figure 3—figure supplement 2.</label><caption><title>ADP depletes endoplasmic reticulum (ER) Ca<sup>2+</sup> stores to a greater extent in TREM2 knockout (KO) microglia.</title><p>(<bold>A</bold>) Thapsigargin (TG) pulse experiment to measure residual ER Ca<sup>2+</sup> pool in cells after initial treatment with ADP (1 μM) and subsequent treatment with TG (2 μM). Imaging was done in Ca<sup>2+</sup>-free buffer to prevent Ca<sup>2+</sup> influx across the plasma membrane (PM). Average trace (left panel), peak ADP Ca<sup>2+</sup> response (middle panel), and extent of TG-induced ER store release measured as area under the curve (AUC, right panel) (n = 81–108 cells, Mann–Whitney test). (<bold>B</bold>) Control experiment comparing the ER-Ca<sup>2+</sup> pool in WT and TREM2 KO microglia after store depletion with TG and without any pretreatment with ADP (n = 29–63 cells, Mann–Whitney test). (<bold>C, D</bold>) Relationship between ADP-induced store release and store-operated Ca<sup>2+</sup> entry (SOCE) in induced pluripotent stem cell (iPSC)-microglia. (<bold>C</bold>) Representative single-cell trace of Ca<sup>2+</sup> signal in response to ADP in 1 mM extracellular Ca<sup>2+</sup> buffer showing the scheme for measuring ER store release as the initial Ca<sup>2+</sup> peak and SOCE as cytosolic Ca<sup>2+</sup> level 5 min after ADP application. (<bold>D</bold>) Scatter plot showing correlation of initial ADP-induced Ca<sup>2+</sup> response (store release) and cytoplasmic Ca<sup>2+</sup> after 5 min (SOCE) in WT (gray) and KO (green) cells (n = 866–935 cells from multiple imaging runs with a range of ADP doses; in μM: 0.001, 0.1, 0.5, 1, 2, 2.5, 5, 10; comparison of slopes between WT and TREM2 KO: p=0.7631; extra sum of squares <italic>F</italic>-test). (<bold>E, F</bold>) Comparison of cytosolic Ca<sup>2+</sup> clearance indicative of PMCA pump activity in WT and TREM2 KO microglia. SOCE was invoked and rate of Ca<sup>2+</sup> decline was measured after addition of 0 mM Ca<sup>2+</sup>. (<bold>E</bold>) Average trace showing invoking SOCE with 2 μM TG (left panel). Right panel shows the drop in cytosolic Ca<sup>2+</sup> following addition of Ca<sup>2+</sup>-free solution as highlighted (pink) in the SOCE trace. (<bold>F</bold>) Summary of rate of Ca<sup>2+</sup> decline after addition of 0 mM Ca<sup>2+</sup> (n = 8 imaging fields, 142–175 total cells, Mann–Whitney test). Data shown as mean ± SEM for traces and bar graphs. p-Values indicated by ns, nonsignificant, **p&lt;0.01<italic>.</italic></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig3-figsupp2-v3.tif"/></fig></fig-group><p>To determine if SOCE is increased in TREM2 KO microglia and contributing to the higher sustained Ca<sup>2+</sup> response to ADP, we compared the rate of store-operated Ca<sup>2+</sup> influx after store depletion with TG and found that both the rate and amplitude of SOCE were modestly reduced in TREM2 KO cells (<xref ref-type="fig" rid="fig3">Figure 3C</xref>). In keeping with this, RNA-sequencing revealed a modest reduction in STIM1 mRNA expression in TREM2 KO cells, although Orai1 mRNA was similar in WT and TREM2 KO microglia (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1C and D</xref>). We further conclude that the elevated secondary phase of ADP-driven Ca<sup>2+</sup> signals in TREM2 KO microglia is not primarily due to the differences in the expression of STIM and Orai.</p></sec><sec id="s2-4"><title>ADP depletes ER Ca<sup>2+</sup> stores to a greater extent in TREM2 KO microglia, leading to greater SOCE activation</title><p>We hypothesized that the exaggerated secondary Ca<sup>2+</sup> phase in response to ADP in TREM2 KO microglia may be driven by increased ER Ca<sup>2+</sup> store release, leading to greater SOCE activation. Consistent with this possibility, peak cytosolic Ca<sup>2+</sup> in response to partial store depletion with ADP and after Ca<sup>2+</sup> readdition was elevated in TREM2 KO microglia (<xref ref-type="fig" rid="fig3">Figure 3D</xref>). To examine if the higher magnitude of SOCE in TREM2 KO cells is due to depletion of ER Ca<sup>2+</sup> stores by ADP, we sequentially treated cells with ADP followed by ionomycin to completely release stores in Ca<sup>2+</sup>-free buffer. While TREM2 KO cells showed greater peak Ca<sup>2+</sup> with ADP as expected, the ionomycin Ca<sup>2+</sup> peak – which reflects the residual ER Ca<sup>2+</sup> pool – was significantly reduced, indicating that ADP depletes ER Ca<sup>2+</sup> stores to a greater extent in TREM2 KO cells (<xref ref-type="fig" rid="fig3">Figure 3E</xref>). Similar results were obtained when residual ER store content was depleted using TG instead of ionomycin (<xref ref-type="fig" rid="fig3s2">Figure 3—figure supplement 2A and B</xref>). We plotted cytosolic Ca<sup>2+</sup> levels 5 min after addition of varying doses of ADP to indicate the degree of SOCE as a function of the initial peak Ca<sup>2+</sup>, a readout of ER store release (<xref ref-type="fig" rid="fig3s2">Figure 3—figure supplement 2C and D</xref>). Both WT and TREM2 KO microglia showed similar linear relationships between SOCE and store release, further suggesting that SOCE is activated by similar mechanisms in the two cell lines, but is recruited to a greater extent in TREM2 KO cells due to increased ER store release. We also note that increased sustained Ca<sup>2+</sup> in TREM2 KO cells is unlikely to be due to differences in Ca<sup>2+</sup> pump activity based on similar Ca<sup>2+</sup> clearance rates (<xref ref-type="fig" rid="fig3s2">Figure 3—figure supplement 2E and F</xref>), consistent with comparable transcriptomic expression of major SERCA and PM Ca<sup>2+</sup> ATPase (PMCA) isoforms in WT and TREM2 KO cells (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1C and D</xref>).</p><p>Finally, quantification of cumulative cytosolic Ca<sup>2+</sup> increases after maximally depleting ER stores with ionomycin alone suggested that overall ER store content is not altered in microglia lacking TREM2 (<xref ref-type="fig" rid="fig3">Figure 3F</xref>). Comparison of Ca<sup>2+</sup> responses to IP<sub>3</sub> uncaging also ruled out major differences in the pool of functional IP<sub>3</sub> receptors between WT and TREM2 KO cells (<xref ref-type="fig" rid="fig3">Figure 3G</xref>), as further substantiated by similar transcriptomic expression of IP<sub>3</sub> receptor type 2 (the major IP<sub>3</sub>R subtype expressed in iPSC-microglia) in WT and TREM2 KO cells (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1C and D</xref>; <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="bibr" rid="bib1">Abud et al., 2017</xref>). In summary, deletion of TREM2 in iPSC-derived microglia leads to upregulation of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors and renders the cells hypersensitive to ADP signaling, consequently leading to greater IP<sub>3</sub>-mediated ER store depletion and increased coupling to SOCE in response to purinergic metabolites.</p></sec><sec id="s2-5"><title>ADP potentiates cell motility and process extension in human WT iPSC-microglia</title><p>ADP is a potent chemoattractant for microglia (<xref ref-type="bibr" rid="bib30">Honda et al., 2001</xref>). Analogous to a previous study in fibroblasts (<xref ref-type="bibr" rid="bib7">Borges et al., 2021</xref>), we found that ADP treatment alters cell motility and leads to increased rates of scratch wound closure in WT iPSC-microglia (<xref ref-type="fig" rid="fig4">Figure 4A</xref>). To investigate the cellular mechanism of accelerated wound closure, we used time-lapse imaging to track open-field microglial cell motility (<xref ref-type="fig" rid="fig4">Figure 4B</xref>). Mean cell track speed and track displacement (defined as the overall change in position from the origin at a given time) were both increased after application of ADP. On the other hand, average track straightness, an indicator of how frequently cells change direction, was unaltered by ADP (<xref ref-type="fig" rid="fig4">Figure 4C</xref>). These data suggest that ADP-driven changes in motility in WT iPSC-microglia primarily arise from increases in microglial speed, and not altered turning behavior. ADP-dependent increases in speed were reversed in the presence of P2Y<sub>12</sub> (PSB 0739) and P2Y<sub>13</sub> (MRS 2211) receptor antagonists, confirming the role of these two purinergic receptors in ADP enhancement of microglial motility (<xref ref-type="fig" rid="fig4">Figure 4D</xref>). To determine if Ca<sup>2+</sup> influx regulates ADP-mediated increases in motility, we measured cell migration with ADP in Ca<sup>2+</sup>-free medium and found that removing extracellular Ca<sup>2+</sup> significantly decreased cell speed, displacement, and track straightness, suggesting that sustained Ca<sup>2+</sup> signals are required for maximal increase in motility in response to ADP (<xref ref-type="fig" rid="fig4">Figure 4E</xref>).</p><fig-group><fig id="fig4" position="float"><label>Figure 4.</label><caption><title>Nondirectional ADP exposure increases wild type (WT) microglial speed and process extension.</title><p>(<bold>A</bold>) Average trace showing closure of scratch wound produced with IncuCyte S3 WoundMaker. Induced pluripotent stem cell (iPSC)-microglia imaged every 30 min after scratch wound with or without ADP stimulation (n = 4 wells; two images per well). (<bold>B</bold>) Representative image of WT iPSC-microglia motility 30 min after ADP exposure with cell tracks overlain (left). Pseudocolored images (center) across time: 0 min (red), 4 min (orange), 8 min (yellow), 12 min (green), 16 min (cyan), 20 min (blue), 24 min (purple), and 28 min (magenta). Scale bar = 100 μm. White boxes zoomed in at right to demonstrate motile (top) and nonmotile (bottom) cells. (<bold>C</bold>) Representative color images (top left) and displacement vectors (bottom left) of WT iPSC-microglia at baseline (no ADP, gray) and 30 min after 2.5 μM ADP treatment (red). Summary of mean speed (µm/min), Displacement over 10 min (μm/10 min) and track straightness (track length/track displacement) (414–602 cells, two experiments). (<bold>D</bold>) Representative images, displacement vectors, and quantification of WT iPSC-microglia motility for 20 min following ADP addition. Cells were pretreated with vehicle (gray), MRS 2211 (10 μM, gold), or PBS 0739 (10 μM, blue) (180–187 cells, two experiments). (<bold>E</bold>) Representative images, displacement vectors, and quantification of WT iPSC-microglia motility after ADP in 1 mM Ca<sup>2+</sup> (light gray) or Ca<sup>2+</sup>-free buffer (dark gray) (401–602 cells, three experiments). (<bold>F</bold>) Representative images (left) and process extension (right) of iPSC-microglia (cytoplasmic GFP, gray) before or 30 min after ADP addition. Cells were pretreated with vehicle (gray), MRS 2211 (10 μM, gold), or PBS 0739 (10 μM, blue) (52–163 cells, 3–4 experiments). (<bold>C–F</bold>) One-way ANOVA with Tukey post hoc test. Data shown as mean ± SEM (<bold>A, F</bold>) and as violin plots with mean, 25th and 75th percentile (<bold>C–E</bold>). p-Values indicated by ns, nonsignificant, *p&lt;0.05, **p&lt;0.01, ***p&lt;0.001, and ****p&lt;0.0001.</p><p><supplementary-material id="fig4sdata1"><label>Figure 4—source data 1.</label><caption><title>Nondirectional ADP exposure increases wild type (WT) microglial speed and process extension.</title><p>In this dataset, the results of motility experiments and process extension in WT cells are included.</p></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-73021-fig4-data1-v3.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig4-v3.tif"/></fig><fig id="fig4s1" position="float" specific-use="child-fig"><label>Figure 4—figure supplement 1.</label><caption><title>ADP-mediated process extension in wild type (WT) induced pluripotent stem cell (iPSC)-microglia.</title><p>(<bold>A</bold>) Representative images of a cell (Cell 1) from a time-lapse experiment showing increased branching and extension of processes in GFP-expressing WT iPSC-microglia, at times indicated following addition of 2.5 μM ADP. Bright-field DIC images (top row) and GFP images (bottom row) are shown. (<bold>B</bold>) Another example of a cell (Cell 2) showing process extension in the same imaging field. (<bold>C</bold>) A motile cell (Cell 3) in the same imaging field is shown for comparison. Note the lack of displacement in cells that extend their process and lack of significant process extension in a highly motile cell. Scale bar: 15 μM.</p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig4-figsupp1-v3.tif"/></fig></fig-group><p>In addition, some microglia responded to ADP by extending processes and altering their morphology rather than increasing motility (<xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1</xref>). Microglia have been observed to extend processes in response to injury and purinergic stimulation in brain slices (<xref ref-type="bibr" rid="bib14">Davalos et al., 2005</xref>; <xref ref-type="bibr" rid="bib29">Haynes et al., 2006</xref>). Therefore, we compared process complexity before and 30 min after ADP exposure in WT microglia and observed significant increases in both the number of branches per process and total length of these processes (<xref ref-type="fig" rid="fig4">Figure 4F</xref>). Similar to effects on cell motility, ADP-mediated process extension was inhibited by P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor antagonists (PSB 0739 and MRS 2211, respectively). Furthermore, even before process extension was activated with ADP, cells treated with P2Y antagonists showed significantly fewer and shorter processes, suggesting that baseline purinergic signaling may regulate resting microglial process dynamics. Altogether, these results demonstrate that activation of purinergic signaling through P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors is required for ADP-driven microglial process extension and motility.</p></sec><sec id="s2-6"><title>ADP-evoked changes in cell motility and process extension are enhanced in TREM2 KO microglia</title><p>To characterize differences in motility characteristics between WT and TREM2 KO microglia responding to ADP, we plotted mean squared displacement (MSD) vs. time and compared cell track overlays (flower plots), which showed that ADP enhances motility in TREM2 KO cells to a greater extent than in WT microglia (<xref ref-type="fig" rid="fig5">Figure 5A and B</xref>). Baseline motility characteristics in unstimulated cells, however, were similar in WT and TREM2 KO cells (<xref ref-type="fig" rid="fig5s1">Figure 5—figure supplement 1A and B</xref>). To further understand the basis of differences in ADP-induced motility between WT and TREM2 KO cells, we analyzed mean track speed, track displacement, and track straightness. Although mean track speeds were similar, TREM2 KO microglia showed greater displacement than WT cells (<xref ref-type="fig" rid="fig5">Figure 5C and D</xref>), raising the possibility that TREM2 KO cells may turn with lower frequency. Consistent with this, analysis of track straightness revealed that TREM2 KO microglia move farther from their origin for the same total distance traveled (<xref ref-type="fig" rid="fig5">Figure 5E</xref>). Vector autocorrelation, an analysis of directional persistence (<xref ref-type="bibr" rid="bib24">Gorelik and Gautreau, 2014</xref>), further confirmed that WT cells turn more frequently than TREM2 KO microglia in response to ADP (<xref ref-type="fig" rid="fig5s1">Figure 5—figure supplement 1C and D</xref>). To assess if these differences in TREM2 KO cells require sustained Ca<sup>2+</sup> influx, we analyzed microglial motility in response to ADP stimulation in the absence of extracellular Ca<sup>2+</sup> (<xref ref-type="fig" rid="fig5">Figure 5F–J</xref>). MSD and cell track overlay plots showed that motility is constrained when Ca<sup>2+</sup> is removed from the external bath in both WT and TREM2 KO cells (<xref ref-type="fig" rid="fig5">Figure 5A and B vs. F and G</xref>). In the absence of extracellular Ca<sup>2+</sup>, TREM2 KO microglia showed similar mean speed, displacement, and track straightness as WT cells (<xref ref-type="fig" rid="fig5">Figure 5C–E vs. H–J</xref>). We conclude that increases in microglial motility (mean speed, displacement, and straightness) require sustained Ca<sup>2+</sup> influx and that deletion of TREM2 reduces microglial turning in response to ADP.</p><fig-group><fig id="fig5" position="float"><label>Figure 5.</label><caption><title>ADP-driven process extension and cell displacement are increased in TREM2 knockout (KO) induced pluripotent stem cell (iPSC)-microglia.</title><p>(<bold>A–E</bold>) Motility of wild type (WT) (gray) and TREM2 KO (green) iPSC-microglia over 20 min following ADP addition in 1 mM Ca<sup>2+</sup>-containing buffer. (<bold>A</bold>) Plots of track displacement in μm centered from point of origin at (0,0). (<bold>B</bold>) Mean squared displacement (MSD) vs. time. Mean cell track speeds (<bold>C</bold>), total track displacement in 10 min interval (<bold>D</bold>), and track straightness (<bold>E</bold>) for 130–327 cells, seven experiments, Student’s <italic>t</italic>-test. (<bold>F–J</bold>) Same as (<bold>A–F</bold>) but in Ca<sup>2+</sup>-free medium (125–279 cells, two experiments, Student’s <italic>t</italic>-test). (<bold>K</bold>) Representative images of GFP-expressing WT (top) and TREM2 KO (bottom) iPSC-microglia, before and 30 min after 2.5 μM ADP addition. (<bold>L</bold>) Quantification of total number of branches per cell before and after ADP treatment (left) and paired dot plots showing fold change in branch number from pre-ADP levels (right). Each data point represents an imaging field in the paired plots. (<bold>M</bold>) Total process length before and after ADP treatment displayed as raw values per cell (left) and as fold change from baseline conditions per imaging field (right). For (<bold>L</bold>) and (<bold>M</bold>). n = 151–158 cells, WT; 133–167 cells, KO; 9–10 imaging fields, 3–4 experiments. One-way ANOVA with multiple comparisons for single-cell data, two-tailed paired <italic>t</italic>-test for the paired plots. Data shown as mean ± SEM (<bold>B, G, L, M</bold>) and as violin plots with mean, 25th and 75th percentile (<bold>C– E, H–J</bold>). p-Values indicated by ns, nonsignificant, *p&lt;0.05, **p&lt;0.01, and ****p&lt;0.0001.</p><p><supplementary-material id="fig5sdata1"><label>Figure 5—source data 1.</label><caption><title>ADP-driven process extension and cell displacement are increased in TREM2 knockout (KO) induced pluripotent stem cell (iPSC)-microglia.</title><p>In this dataset, the results of motility experiments and process extension in wild type (WT) and TREM2 KO cells, as well as baseline motility and directional persistence, are included.</p></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-73021-fig5-data1-v3.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig5-v3.tif"/></fig><fig id="fig5s1" position="float" specific-use="child-fig"><label>Figure 5—figure supplement 1.</label><caption><title>Motility analysis in wild type (WT) and TREM2 knockout (KO) induced pluripotent stem cell (iPSC)-microglia.</title><p>(<bold>A</bold>) Summary of microglial mean speeds, displacement over 10 min, and track straightness in open-field migration in the absence of any purinergic stimulation (Student’s <italic>t</italic>-test). (<bold>B</bold>) Flower plots show similar displacement from origin for WT (left) and TREM2 KO (right) cells. (<bold>C</bold>) Directional autocorrelation calculated via DiPer Excel Macro. Due to lack of directional gradient, directional autocorrelation of motility vectors is expected to drop quickly. Time constants for best-fit single-exponential curves are indicated, consistent with increased straightness for TREM2 KO cells treated with ADP. (<bold>D</bold>) Directional autocorrelation of WT (gray) and TREM2 KO (green) iPSC-microglia at baseline (open circles) or after ADP addition (filled circles). Mean autocorrelation values in the first 5 min (left panel, one-way ANOVA) and time (min) until autocorrelation reaches zero (right panel). Data shown as mean ± SEM for the bar graph in (<bold>D</bold>), and as violin plots with mean, 25th and 75th percentile in (<bold>A</bold>). p-Values indicated by ns, nonsignificant, *p&lt;0.05, and ****p&lt;0.0001.</p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig5-figsupp1-v3.tif"/></fig><fig id="fig5s2" position="float" specific-use="child-fig"><label>Figure 5—figure supplement 2.</label><caption><title>Comparison of process extension in wild type (WT) and TREM2 knockout (KO) microglia.</title><p>Branching and process extension in WT and TREM2 KO induced pluripotent stem cell (iPSC)-microglia 30 min after addition of ADP in 1 mM (<bold>A, B</bold>) or 0 mM extracellular Ca<sup>2+</sup> buffer (<bold>C, D</bold>). (<bold>A</bold>) Data displayed as paired plots showing average branch number per cell in an imaging field (top row) and normalized to pre-ADP values for each imaging field (middle row). Bottom row shows fold change in branching after ADP treatment for WT (gray) and KO (green) iPSC-microglia. (<bold>B</bold>) Changes in process length in the same dataset as (<bold>A</bold>). n = 151–158 cells, WT; 133–167 cells, KO; 9–10 imaging fields, 3–4 experiments. (<bold>C, D</bold>) Same analysis as (<bold>A, B</bold>) but with ADP in Ca<sup>2+</sup>-free buffer. n = 137–143 cells, eight imaging fields, 2–3 experiments. (<bold>A–D</bold>) p-Values calculated by two-tailed paired Student’s <italic>t</italic>-test for the paired plots and unpaired <italic>t</italic>-test when comparing fold change in WT and KO cells. Data shown as paired plots and as mean ± SEM for the bar graphs. p-Values indicated by ns, nonsignificant, *p&lt;0.05, **p&lt;0.01, ***p&lt;0.001, and ****p&lt;0.0001.</p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig5-figsupp2-v3.tif"/></fig></fig-group><p>We next analyzed the effects of TREM2 deletion on process extension in microglia. Treatment with ADP induced a dramatic increase in the number of branches and length of processes extended in both WT and TREM2 KO microglia (<xref ref-type="fig" rid="fig5">Figure 5K and L</xref>). Comparison of the absolute number of branches and process length after ADP treatment, as well as the relative fold increase in these parameters from baseline, indicated that process extension is not affected in TREM2 KO microglia (<xref ref-type="fig" rid="fig5">Figure 5K–M</xref><bold>,</bold> <xref ref-type="fig" rid="fig5s2">Figure 5—figure supplement 2A and B</xref>). We note that the greater fold change in process extension in TREM2 KO cells can be attributed to the reduced morphological complexity of these cells prior to stimulation. Finally, ADP stimulation in Ca<sup>2+</sup>-free medium did not induce process extension in WT cells, and only a modest increase in TREM2 KO cells (<xref ref-type="fig" rid="fig5s2">Figure 5—figure supplement 2A and B vs. C and D</xref>). Together, these results indicate that sustained Ca<sup>2+</sup> entry across the PM is required for optimal microglial process extension in both WT and TREM2 KO microglia.</p></sec><sec id="s2-7"><title>Cytosolic Ca<sup>2+</sup> levels tune motility in TREM2 KO iPSC-microglia</title><p>To further characterize the effects of sustained Ca<sup>2+</sup> signals on microglial motility, we used Salsa6f-expressing iPSC WT and TREM2 KO reporter lines to monitor cytosolic Ca<sup>2+</sup> and motility simultaneously in individual cells (<xref ref-type="fig" rid="fig6s1">Figure 6—figure supplement 1</xref>). To isolate the effects of sustained Ca<sup>2+</sup> elevations on microglia motility and eliminate any contribution from Ca<sup>2+</sup> independent signaling pathways, we used a protocol that relies on triggering SOCE and varying external Ca<sup>2+</sup> to maintain cytosolic Ca<sup>2+</sup> at ‘low’ or ‘high’ levels in the Salsa6f reporter line (<xref ref-type="fig" rid="fig6">Figure 6A–C</xref>), similar to our previous study in T lymphocytes (<xref ref-type="bibr" rid="bib58">Negulescu et al., 1996</xref>). In WT cells, lowering extracellular Ca<sup>2+</sup> from 2 to 0.2 mM predictably decreased the G/R ratio but did not influence mean track speed, 10 min track displacement, or track straightness (<xref ref-type="fig" rid="fig6">Figure 6C and D</xref>, top). However, in TREM2 KO microglia, reducing Ca<sup>2+</sup> to a lower level significantly increased speed, displacement, and track straightness (<xref ref-type="fig" rid="fig6">Figure 6C and D</xref>, bottom). These data suggest that motility characteristics of TREM2 KO microglia are more sensitive to changes in cytoplasmic Ca<sup>2+</sup> levels than in WT cells. Similar results were obtained upon addition of ADP in this paradigm, suggesting that long-lasting Ca<sup>2+</sup> elevations may override effects of Ca<sup>2+</sup>-independent ADP signaling on cell motility (<xref ref-type="fig" rid="fig6s2">Figure 6—figure supplement 2A</xref>).</p><fig-group><fig id="fig6" position="float"><label>Figure 6.</label><caption><title>Cytosolic Ca<sup>2+</sup> levels tune microglial motility in TREM2 knockout (KO) cells.</title><p>(<bold>A</bold>) Schematic of traditional store-operated Ca<sup>2+</sup> entry (SOCE) pathway with store refilling (left) and protocol for sustaining cytoplasmic Ca<sup>2+</sup> to ‘low’ and ‘high’ levels with 0.2 and 2 mM extracellular Ca<sup>2+</sup> and using thapsigargin (TG) to inhibit store refilling (right). (<bold>B</bold>) Average SOCE traces in wild type (WT) Salsa6f induced pluripotent stem cell (iPSC)-microglia showing changes in cytoplasmic Ca<sup>2+</sup> after addition of either 0.2 or 2 mM extracellular Ca<sup>2+</sup> (n = 78–110 cells). (<bold>C</bold>) Average change in cytoplasmic Ca<sup>2+</sup> levels in WT and TREM2 KO microglia over 25 min after SOCE activation. (<bold>D</bold>) Comparison of Ca<sup>2+</sup> levels and microglia motility in WT (top) and TREM2 KO (bottom) microglia. Cytosolic Ca<sup>2+</sup> levels indicated by instantaneous single-cell G/R ratio (n = 74–158 cells). Mean of instantaneous speeds, track displacement, and track straightness calculated as before in <xref ref-type="fig" rid="fig3">Figures 3</xref> and <xref ref-type="fig" rid="fig4">4</xref>. Yellow (0.2 mM Ca, TG), green (2 mM Ca, TG). Student’s <italic>t</italic>-test ****p&lt;0.0001; **p=0.0062; *p=0.432; ns &gt; 0.9999. (<bold>E</bold>) Correlation of instantaneous Ca<sup>2+</sup> and instantaneous speed in WT and KO cells. Red line denotes 10 μm/s (cells above this threshold considered ‘fast moving’). For WT: p&lt;0.0001; <italic>r</italic> = –0.1316; number pairs = 5850. For KO: p&lt;0.0001; <italic>r</italic> = –0.1433; number pairs = 6,063 (Spearman’s correlation). (<bold>F</bold>) Mean speed of cells binned by instantaneous G/R Ca<sup>2+</sup> ratio (one-way ANOVA ****p&lt;0.0001). Each data point is calculated for a bin increment of 0.5 G/R ratio. (<bold>G</bold>) Percentage of fast-moving cells quantified as a function of G/R Ca<sup>2+</sup> ratio. X-axis G/R ratios binned in increments of 0.5 as in (<bold>F</bold>). In (<bold>E–G</bold>), n = 78–100 cells. Data shown as mean ± SEM (<bold>B, F</bold>) and as violin plots with mean, 25th and 75th percentile (<bold>D</bold>). p-Values indicated by ns, nonsignificant, *p&lt;0.05, **p&lt;0.01, and ****p&lt;0.0001.</p><p><supplementary-material id="fig6sdata1"><label>Figure 6—source data 1.</label><caption><title>Cytosolic Ca<sup>2+</sup> levels tune microglial motility in TREM2 knockout (KO) cells.</title><p>In this dataset, the results showing the effect of calcium levels on motility in TREM2 wild type (WT) and KO cells are included.</p></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-73021-fig6-data1-v3.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig6-v3.tif"/></fig><fig id="fig6s1" position="float" specific-use="child-fig"><label>Figure 6—figure supplement 1.</label><caption><title>Tracking cell motility and cytosolic Ca<sup>2+</sup> using Salsa6f-expressing induced pluripotent stem cell (iPSC) cell line.</title><p>(<bold>A</bold>) Average change in single-cell fluorescence intensity of tdTomato (red trace) and GCaMP6f (green trace) (left Y-axis) in wild type (WT) Salsa6f microglia over 5 min following ADP treatment, overlaid with corresponding change in cell displacement over time (black trace, right Y-axis) (n = 52–79 cells). (<bold>B</bold>) Same as (<bold>A</bold>) but for cells tracked over a period of 30 min. Data shown as mean ± SEM for average traces.</p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig6-figsupp1-v3.tif"/></fig><fig id="fig6s2" position="float" specific-use="child-fig"><label>Figure 6—figure supplement 2.</label><caption><title>Motility analysis with varying Ca<sup>2+</sup>.</title><p>(<bold>A</bold>) Salsa6f Ca<sup>2+</sup> ratios and microglia motility in wild type (WT) (top) and knockout (KO) (bottom) microglia, with ADP added: yellow (0.2 mM Ca<sup>2+</sup>, thapsigargin [TG] + ADP), green (2 mM Ca<sup>2+</sup>, TG + ADP). Cytosolic Ca<sup>2+</sup> levels indicated by instantaneous single-cell G/R ratio. Mean of instantaneous speeds, 10 min track displacement and track straightness calculated as before. Student’s <italic>t</italic>-test ****p&lt;0.0001; ***p=0.0001. n = 164–393 cells. (<bold>B, C</bold>) Ca<sup>2+</sup> dependence of track displacement length in 0.2 mM Ca<sup>2+</sup> in WT cells (<bold>B</bold>) and TREM2 KO cells (<bold>C</bold>). Correlation between instantaneous Ca<sup>2+</sup> and frame-to-frame displacement (left panels). Each dot represents an individual cell for an individual frame. Dotted red line represents displacement of 200 μm<sup>2</sup>. Mean square of frame-to-frame displacement of cells binned by instantaneous G/R Ca<sup>2+</sup> ratio (middle panels, one-way ANOVA ****p&lt;0.0001). Each data point is calculated for a bin increment of 0.5 G/R ratio. Summary of cells with frame-to-frame square displacement &gt;200 μm<sup>2</sup> (right panels). WT cells (<bold>B</bold>) displace less than KO cells (<bold>C</bold>). For each cell type, larger displacements are correlated with lower G/R Ca<sup>2+</sup> ratios. Cells that maintain elevated cytoplasmic Ca<sup>2+</sup> do not displace as far. For WT: p&lt;0.0001; <italic>r</italic> = –0.4778; number pairs = 5973. For KO: p&lt;0.0001; <italic>r</italic> = –0.3699; number pairs = 5761 (Spearman’s correlation). Data shown as mean ± SEM for bar graphs (<bold>B, C</bold>) and as violin plots with mean, 25th and 75th percentile (<bold>A</bold>). p-Values indicated by ns, nonsignificant, ***p&lt;0.001, and ****p&lt;0.0001.</p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig6-figsupp2-v3.tif"/></fig></fig-group><p>To further analyze the Ca<sup>2+</sup> dependence of microglial motility, we plotted Salsa6f G/R Ca<sup>2+</sup> ratios for each individual cell at every time point against the instantaneous speeds of that cell (<xref ref-type="fig" rid="fig6">Figure 6E</xref>). These data revealed a stronger dependence of instantaneous speed on Ca<sup>2+</sup> levels in TREM2 KO microglia (<xref ref-type="fig" rid="fig6">Figure 6F</xref>). Furthermore, when stratifying cell speed arbitrarily as ‘fast’ (&gt;10 μm/min) or ‘slow’ (&lt;10 μm/min), we observe a marked reduction in the percentage of ‘fast’ cells when Ca<sup>2+</sup> levels are high in TREM2 KO microglia (<xref ref-type="fig" rid="fig6">Figure 6G</xref>). Interestingly, frame-to-frame cell displacement correlated with cytosolic Ca<sup>2+</sup> to the same degree in both WT and KO cells (<xref ref-type="fig" rid="fig6s2">Figure 6—figure supplement 2B and C</xref>). Together, TREM2 KO human microglia are more sensitive to tuning of motility by cytosolic Ca<sup>2+</sup> than WT cells.</p></sec><sec id="s2-8"><title>Chemotactic defects in TREM2 KO microglia are rescued by dampening purinergic receptor activity</title><p>To assess the physiological significance of TREM2 deletion on microglial motility over longer time scales, we performed a scratch wound assay. At baseline, both WT and TREM2 KO microglia migrated into the cell-free area at similar rates, consistent with our previous findings (<xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="fig" rid="fig7s1">Figure 7—figure supplement 1</xref>). Addition of ADP to this system accelerated the scratch wound closure rates to the same extent in WT and TREM2 KO. In vivo, directed migration of microglia is often driven by gradients of ADP from dying or injured cells (<xref ref-type="bibr" rid="bib29">Haynes et al., 2006</xref>; <xref ref-type="bibr" rid="bib21">Eyo et al., 2014</xref>). Because no chemical gradient is formed in the scratch wound assay (<xref ref-type="bibr" rid="bib41">Liang et al., 2007</xref>), we studied microglial chemotaxis toward ADP over a stable gradient using two-chamber microfluidic devices. Consistent with previous findings, WT iPSC-microglia directionally migrated up the concentration gradient of ADP, resulting in higher numbers of cells within the central chamber (<xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="bibr" rid="bib61">Park et al., 2018</xref>). In the absence of a chemotactic cue, this directional migration was lost (<xref ref-type="fig" rid="fig7">Figure 7A</xref>). This assay revealed a deficit of chemotaxis in TREM2 KO microglia (<xref ref-type="fig" rid="fig7">Figure 7A</xref>), mirroring reports that TREM2 KO microglia are unable to migrate toward amyloid plaques in AD (<xref ref-type="bibr" rid="bib10">Cheng-Hathaway et al., 2018</xref>; <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>; <xref ref-type="bibr" rid="bib52">Meilandt et al., 2020</xref>). Given that ADP hypersensitivity in TREM2 KO cells is driven by increased expression of P2Y receptors, we examined the effects of dampening P2Y signaling to WT levels. Treatment with the P2Y<sub>12</sub> receptor antagonist, PSB 0739, reduced Ca<sup>2+</sup> responses in TREM2 KO cells and rescued the migration deficit in the chemotaxis assay (<xref ref-type="fig" rid="fig7">Figure 7B and C</xref>). These results link the increased Ca<sup>2+</sup> signals and altered motility characteristics evoked by ADP in TREM2 KO cells to microglial chemotaxis toward areas of tissue damage, a vital functional response in microglia.</p><fig-group><fig id="fig7" position="float"><label>Figure 7.</label><caption><title>Migration deficits in TREM2 knockout (KO) microglia are rescued by inhibition of purinergic signaling.</title><p>(<bold>A</bold>) Migration toward ADP in a two-chamber microfluidic device. Representative images of RFP-expressing microglia that migrated into the central chamber 3 days after 100 ng/mL ADP addition. Dotted circle delineates separation of inner and outer chambers. Scale bar = 500 μm. Quantification of microglial migration (right panel). Migrated cell counts are normalized to wild type (WT) cells treated with ADP (n = 3–4 experiments; one-way ANOVA with multiple comparisons). (<bold>B</bold>) Baseline-subtracted peak ratiometric Ca<sup>2+</sup> signal in response to 2.5 μM ADP in 1 mM extracellular Ca<sup>2+</sup>, and in the presence or absence of 10 μM PSB 0739 (44 cells, WT; 39–43 cells, KO; representative of three independent experiments; one-way ANOVA with multiple comparisons). (<bold>C</bold>) Two-chamber migration to 100 ng/mL ADP with or without 10 μM PSB 0739. Values are normalized to WT cells with ADP (n = 3–4 experiments; one-way ANOVA with multiple comparisons). Representative images shown on the left. Scale bar = 500 μm. Data shown as mean ± SEM. p-Values indicated by ns, nonsignificant, *p&lt;0.05, **p&lt;0.01, and ****p&lt;0.0001.</p><p><supplementary-material id="fig7sdata1"><label>Figure 7—source data 1.</label><caption><title>Migration deficits in TREM2 knockout (KO) microglia are rescued by inhibition of purinergic signaling.</title><p>In this dataset, the results of directional migration and inhibition of purinergic receptor activity are included.</p></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-73021-fig7-data1-v3.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig7-v3.tif"/></fig><fig id="fig7s1" position="float" specific-use="child-fig"><label>Figure 7—figure supplement 1.</label><caption><title>TREM2 wild type (WT) and knockout (KO) close scratch wound at similar rates.</title><p>Scratch closure over 24 hr in WT (gray) and TREM2 KO (green) induced pluripotent stem cell (iPSC)-microglia with (filled symbols) or without (empty symbols) pre-stimulation of iPSC-microglia with ADP (10 μM, 30 min). N = 2 wells, two images per well. Data shown as mean ± SEM.</p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-73021-fig7-figsupp1-v3.tif"/></fig></fig-group></sec></sec><sec id="s3" sec-type="discussion"><title>Discussion</title><p>This study focuses on two aims: understanding the roles of purinergic signaling in regulating human microglial motility behavior and elucidating the impact of TREM2 loss of function on this Ca<sup>2+</sup> signaling pathway. We find that sustained Ca<sup>2+</sup> influx in response to ADP regulates microglial process extension, motility speed, and turning behavior. A key observation in our study is that microglia lacking TREM2 are highly sensitive to ADP-mediated signaling and show exaggerated cytoplasmic Ca<sup>2+</sup> responses. Using novel iPSC-microglia lines that express a ratiometric, genetically encoded Ca<sup>2+</sup> probe, Salsa6f, we found that the motility characteristics of human WT and TREM2 KO microglia are differentially tuned by Ca<sup>2+</sup> signaling. Informed by these discoveries, we were able to rescue chemotactic deficiencies in TREM2 KO microglia by dampening purinergic receptor signaling.</p><p>We provide several lines of evidence to show that hyper-responsiveness to purinergic ADP signaling in TREM2 KO microglia is driven primarily by increased purinergic P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor expression: (1) Ca<sup>2+</sup> response is completely abrogated in the presence of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor inhibitors; (2) RNA-sequencing data shows significant increase in expression of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor transcripts but minimal fold change in other regulators of Ca<sup>2+</sup> signaling (IP3R, STIM, Orai, SERCA, and PMCA); and (3) labeling of surface P2Y<sub>12</sub> receptors shows greater PM expression in the TREM2 KOs. Furthermore, functional assays rule out any role for Ca<sup>2+</sup> clearance mechanisms or any difference in maximal IP<sub>3</sub> and SOCE activity as a cause of increased sustained Ca<sup>2+</sup> signal in TREM2 KO cells. Mechanistically, this increase in Ca<sup>2+</sup> signals is driven by enhanced IP<sub>3</sub>-mediated ER store release coupled to SOCE. Indeed, based on the dose–response curves for peak ADP-Ca<sup>2+</sup> responses in Ca<sup>2+</sup>-free buffer, TREM2 KO cells have an EC<sub>50</sub> at least 10-fold lower than WT cells. As a functional consequence, TREM2 KO microglia exhibit a defect in turning behavior and show greater displacement over time despite moving with similar speeds as the WT cells. The increased frequency in turning in WT microglia (relative to TREM KO cells) reflects greater canceling of the velocity vectors, which take the direction of motility into account. This restricts cell motility to more confined regions, potentially allowing for more frequent path correction. It is important to note that these motility differences with ADP are observed after acute treatment and in the absence of any gradient.</p><p>Interestingly, deletion of TREM2 had no significant impact on scratch wound closure rates, over a time scale of 24 hr in the presence of a constant concentration of ADP (<xref ref-type="bibr" rid="bib31">Ilina and Friedl, 2009</xref>). However, we find in a directional chemotaxis assay toward a gradient of ADP concentration that TREM2 KO cells are unable to migrate as efficiently as WT cells, concordant with previous studies showing reduced migration of TREM2 KO cells toward Aβ plaques (<xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>). Enhanced ADP signaling likely abolishes the ability of TREM2 KO cells to distinguish gradations of the agonist, and this loss of gradient sensing results in an inability to perform directed migration. We speculate that increased ADP Ca<sup>2+</sup> signaling in TREM2 KO cells may result in Ca<sup>2+</sup> signaling domains that are no longer restricted to the cell region near to the highest ADP concentrations and disrupt the polarity of key signaling molecules that drive directed cell motility.</p><p>The amplitude and duration of Ca<sup>2+</sup> signals shape specificity of downstream cellular responses. Our experiments with ADP in Ca<sup>2+</sup>-free medium revealed that a transient Ca<sup>2+</sup> signal is insufficient to induce microglial motility in either WT or TREM2 KO cells. Previous studies have shown that mouse microglia with genetic deletion of STIM1 or Orai1 also show defects in cell migration to ATP (<xref ref-type="bibr" rid="bib53">Michaelis et al., 2015</xref>; <xref ref-type="bibr" rid="bib42">Lim et al., 2017</xref>), likely because diminished SOCE renders them unable to sustain Ca<sup>2+</sup> signals in response to ATP. The dependence of motility on prolonged purinergic Ca<sup>2+</sup> signals may thus be a general feature of microglia. In contrast, a Ca<sup>2+</sup> transient can initiate some process extension in TREM2 KO but not in WT microglia, suggesting a threshold for ADP signaling that is reached in KO but not WT cells, and highlighting subtle differences in the Ca<sup>2+</sup> requirement for motility and process extension in TREM2 KO microglia.</p><p>To directly monitor Ca<sup>2+</sup> signaling and motility simultaneously in individual cells, we developed a novel iPSC-microglia cell line expressing a genetically encoded, ratiometric Ca<sup>2+</sup> indicator Salsa6f, a GCaMP6f-tdTomato fusion protein. Because Salsa6f allows simultaneous measurement of Ca<sup>2+</sup> signal and tracking of processes, this Salsa6f iPSC line is likely to be a useful tool to dissect the relationship between Ca<sup>2+</sup> signaling and the function of various iPSC-derived human cell types, including neurons, astrocytes, and microglia. In addition, this line may be readily xenotransplanted for use with human/microglia chimeric models to examine functional Ca<sup>2+</sup> responses to injury and pathology in vivo. Using Salsa6f-expressing microglia, we uncovered critical differences in how Ca<sup>2+</sup> levels tune motility in WT and TREM2 KO microglia. By tracking instantaneous velocity at the same time as Salsa6f Ca<sup>2+</sup> ratios in individual cells, we found that TREM2 KO cell motility showed a greater sensitivity to changes in cytosolic Ca<sup>2+</sup> levels with significantly higher speeds than WT cells at lower Ca<sup>2+</sup> and a more dramatic reduction in cell speed at high Ca<sup>2+</sup> levels. It is possible that high cytosolic Ca<sup>2+</sup> serves as a temporary STOP signal in microglia similar to its effects on T cells (<xref ref-type="bibr" rid="bib58">Negulescu et al., 1996</xref>); we further speculate that TREM2 KO cells may be more subject to this effect with ADP, given the higher expression of P2RY<sub>12</sub> and P2Y<sub>13</sub> receptors. Accordingly, reducing cytosolic Ca<sup>2+</sup>, resulted in increased mean speed, displacement, and straighter paths for TREM2 KO iPSC-microglia, but had no effect on these motility metrics in WT cells, suggesting that TREM2 KO cells may display a greater dynamic range in regulating their motility in response to sustained Ca<sup>2+</sup> elevations. Consistent with this observation, chemotaxis in TREM2 KO cells was restored by partially inhibiting P2Y<sub>12</sub> receptors. In response to neurodegenerative disease, microglia downregulate P2Y<sub>12</sub> receptors (<xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib65">Sala Frigerio et al., 2019</xref>; <xref ref-type="bibr" rid="bib45">Lou et al., 2016</xref>). Active regulation of purinergic receptor expression is critical for sensing ADP gradients and decreasing motility near the chemotactic source. In vivo studies (<xref ref-type="bibr" rid="bib28">Hasselmann et al., 2019</xref>; <xref ref-type="bibr" rid="bib39">Krasemann et al., 2017</xref>; <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>) suggest that TREM2 KO microglia are unable to downregulate P2Y receptor expression upon activation, which may lead to the known chemotactic deficits in these cells.</p><p>The studies presented here provide evidence that reducing purinergic receptor activity may be clinically applicable in Alzheimer’s patients with TREM2 loss-of-function mutations (<xref ref-type="bibr" rid="bib10">Cheng-Hathaway et al., 2018</xref>; <xref ref-type="bibr" rid="bib62">Piers et al., 2020</xref>; <xref ref-type="bibr" rid="bib60">Parhizkar et al., 2019</xref>). Pharmacologically targeting P2Y<sub>12</sub> receptors to dampen both the Ca<sup>2+</sup>-dependent (PLC) and -independent (DAG) arms of the GPCR signaling pathway may be useful to control microglial activation and motility. However, our results suggest that altering downstream Ca<sup>2+</sup> flux may be sufficient, and thus, CRAC (Orai1) channel blockers that would specifically inhibit the sustained Ca<sup>2+</sup> signals without affecting the initial Ca<sup>2+</sup> transient or the activation of DAG may provide a more targeted approach.</p><p>Currently, TREM2 activating antibodies are being examined in early stage clinical trials for AD (<xref ref-type="bibr" rid="bib2">Alector Inc, 2021</xref>; <xref ref-type="bibr" rid="bib70">Wang et al., 2020</xref>), making it critically important to understand the broad consequences of TREM2 signaling. Therefore, an understanding of how TREM2 influences responses to purinergic signals and regulates cytosolic Ca<sup>2+</sup> in human iPSC-microglia is critical. Beyond TREM2, we have found that protective variants in MS4A6A and PLCG2 gene expression also decrease P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor expression (unpublished data), suggesting that this mechanism of microglial activation could be common across several microglial AD risk loci.</p><p>In summary, deletion of TREM2 renders iPSC-microglia highly sensitive to ADP, leading to prolonged Ca<sup>2+</sup> influx, which increases cell displacement by decreasing cell turning. Despite this, TREM2 KO microglia show a defect in chemotaxis that is likely due to their inability to sense ADP gradients and make appropriate course corrections. Decreasing purinergic signaling in TREM2 KO microglia rescues directional chemotactic migration. We suggest that purinergic modulation or direct modulation of Ca<sup>2+</sup> signaling could provide novel therapeutic strategies in many AD patient populations, not solely those with reduced TREM2 function.</p></sec><sec id="s4" sec-type="materials|methods"><title>Materials and methods</title><table-wrap id="keyresource" position="anchor"><label>Key resources table</label><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="bottom">Reagent type (species) or resource</th><th align="left" valign="bottom">Designation</th><th align="left" valign="bottom">Source or reference</th><th align="left" valign="bottom">Identifiers</th><th align="left" valign="bottom">Additional information</th></tr></thead><tbody><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">WT iPSC-microglia</td><td align="left" valign="bottom">UCI ADRC iPSC Core</td><td align="left" valign="bottom">ADRC5;orgin: Blurton-Jones lab</td><td align="left" valign="bottom">iPSC-derived microglial line</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">TREM2 KO iPSC microglia</td><td align="left" valign="bottom">Blurton-Jones lab</td><td align="left" valign="bottom">ADRC5 Clone 28-18;orgin: Blurton-Jones lab</td><td align="left" valign="bottom">CRISPR-mediated knockout of TREM2 on the WT iPSC line</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">WT GFP-expressing iPSC-microglia</td><td align="left" valign="bottom">Coriell</td><td align="left" valign="bottom">AICS-0036;RRID<bold>:<ext-link ext-link-type="uri" xlink:href="https://identifiers.org/RRID/RRID:CVCL_JM19">CVCL_JM19</ext-link></bold></td><td align="left" valign="bottom">iPSC-line with GFP tagged to αtubulinOriginally developed by Dr. Bruce Conklin</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">TREM2 KO GFP-expressing iPSC-microglia</td><td align="left" valign="bottom">Blurton-Jones lab</td><td align="left" valign="bottom">GFP Clone 1from above RRID</td><td align="left" valign="bottom">CRISPR-mediated knockout of TREM2 on the WT GFP<sup>+</sup> iPSC line</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">WT RFP-expressing iPSC-microglia</td><td align="left" valign="bottom">Coriell</td><td align="left" valign="bottom">AICS-0031-035;RRID<bold>:<ext-link ext-link-type="uri" xlink:href="https://identifiers.org/RRID/RRID:CVCL_LK44">CVCL_LK44</ext-link></bold></td><td align="left" valign="bottom">iPSC-line with RFP tagged to αtubulinOriginally developed by Dr. Bruce Conklin</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">TREM2 KO RFP-expressing iPSC-microglia</td><td align="left" valign="bottom">Blurton-Jones lab</td><td align="left" valign="bottom">RFP Clone 6from above RRID</td><td align="left" valign="bottom">CRISPR-mediated knockout of TREM2 on the WT RFP<sup>+</sup> iPSC line</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">WT Salsa6f-expressing iPSC-microglia</td><td align="left" valign="bottom">UCI ADRC iPSC Core</td><td align="left" valign="bottom">ADRC76 Clone 8;orgin: Blurton-Jones lab</td><td align="left" valign="bottom">iPSC-line expressing a GCaMP6f-tdTomato fusion construct (Salsa6f)</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">TREM2 KO Salsa6f-expressing iPSC microglia</td><td align="left" valign="bottom">Blurton-Jones lab</td><td align="left" valign="bottom">ADRC76 Clone 8, Clone 98;orgin: Blurton-Jones lab</td><td align="left" valign="bottom">CRISPR-mediated knockout of TREM2 on the WT Salsa6f<sup>+</sup> iPSC line</td></tr><tr><td align="left" valign="bottom">Cell line (human)</td><td align="left" valign="bottom">Orai1 KO iPSC microglia</td><td align="left" valign="bottom">Blurton-Jones lab</td><td align="left" valign="bottom">ADRC76;orgin: Blurton-Jones lab</td><td align="left" valign="bottom">CRISPR-mediated knockout of Orai1 on the WT ADRC76 iPSC line</td></tr><tr><td align="left" valign="bottom">Transfected construct (transgene)</td><td align="left" valign="bottom">Salsa6f</td><td align="left" valign="bottom">Addgene</td><td align="left" valign="bottom">Plasmid# 140188;RRID<bold>:<ext-link ext-link-type="uri" xlink:href="https://identifiers.org/RRID/RRID:Addgene_140188">Addgene_140188</ext-link></bold></td><td align="left" valign="bottom">A genetically encoded calcium indicator with tdTomato linked to GCaMP6f by a V5 epitope tag.</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">DMEM/F12, HEPES, no Phenol red</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="char" char="." valign="bottom">11038021</td><td align="left" valign="bottom">Microglia differentiation cell culture medium</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">TeSR-E8</td><td align="left" valign="bottom">STEMCELL Technologies</td><td align="char" char="." valign="bottom">05990</td><td align="left" valign="bottom">Stem cell culture medium</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">StemDiff Hematopoietic kit</td><td align="left" valign="bottom">STEMCELL Technologies</td><td align="char" char="." valign="bottom">05310</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">Nonessential amino acids</td><td align="left" valign="bottom">Gibco</td><td align="char" char="." valign="bottom">11140035</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">GlutaMAX</td><td align="left" valign="bottom">Gibco</td><td align="char" char="." valign="bottom">35050061</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein (human)</td><td align="left" valign="bottom">Insulin</td><td align="left" valign="bottom">Sigma</td><td align="left" valign="bottom">I2643</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">B27</td><td align="left" valign="bottom">Gibco</td><td align="char" char="." valign="bottom">17504044</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">N2</td><td align="left" valign="bottom">Gibco</td><td align="left" valign="bottom">A1370701</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">Insulin-transferrin-selenite</td><td align="left" valign="bottom">Gibco</td><td align="char" char="." valign="bottom">41400045</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">IL-34</td><td align="left" valign="bottom">PeproTech</td><td align="char" char="ndash" valign="bottom">200-34</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">TGFβ1</td><td align="left" valign="bottom">PeproTech</td><td align="char" char="ndash" valign="bottom">100-21</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">M-CSF</td><td align="left" valign="bottom">PeproTech</td><td align="char" char="ndash" valign="bottom">300-25</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">CX3CL1</td><td align="left" valign="bottom">PeproTech</td><td align="char" char="ndash" valign="bottom">300-31</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">CD200</td><td align="left" valign="bottom">Novoprotein</td><td align="left" valign="bottom">C311</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Peptide, recombinant protein</td><td align="left" valign="bottom">Fibronectin</td><td align="left" valign="bottom">STEMCELL Technologies</td><td align="char" char="." valign="bottom">07159</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Matrigel</td><td align="left" valign="bottom">Corning</td><td align="char" char="." valign="bottom">356231</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">ReLeSR</td><td align="left" valign="bottom">STEMCELL Technologies</td><td align="char" char="." valign="bottom">5872</td><td align="left" valign="bottom">Human pluripotent stem cell selection and passing reagent</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Goat serum</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="char" char="." valign="bottom">10,000C</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Fluorescent beta-amyloid 1–42 (647)</td><td align="left" valign="bottom">AnaSpec</td><td align="left" valign="bottom">AS64161</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">pHrodo tagged zymosan A beads</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="left" valign="bottom">P35364</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">pHrodo tagged <italic>S. aureus</italic></td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="left" valign="bottom">A10010</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Human Stem Cell Nucleofector kit 2</td><td align="left" valign="bottom">Lonza</td><td align="left" valign="bottom">VPH-5022</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Alt-R CRISPR-Cas9 tracrRNA</td><td align="left" valign="bottom">IDTDNA</td><td align="char" char="." valign="bottom">107253</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Alt-R HiFi Cas9 Nuclease</td><td align="left" valign="bottom">IDTDNA</td><td align="char" char="." valign="bottom">1081061</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Antibody</td><td align="left" valign="bottom">Anti-human IBA1(rabbit monoclonal)</td><td align="left" valign="bottom">Wako</td><td align="left" valign="bottom">019-19741;RRID<bold>:<ext-link ext-link-type="uri" xlink:href="https://identifiers.org/RRID/RRID:AB_839504">AB_839504</ext-link></bold></td><td align="char" char="." valign="bottom">(1:200)</td></tr><tr><td align="left" valign="bottom">Antibody</td><td align="left" valign="bottom">Goat anti-rabbit 555(secondary antibody)</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="left" valign="bottom">A21429;RRID<bold>:<ext-link ext-link-type="uri" xlink:href="https://identifiers.org/RRID/RRID:AB_2535850">AB_2535850</ext-link></bold></td><td align="char" char="." valign="bottom">(1:400)</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Human TruStain FcX</td><td align="left" valign="bottom">BioLegend</td><td align="left" valign="bottom">Cat# 422301</td><td align="left" valign="bottom">Fc blocking solution5 μL per test</td></tr><tr><td align="left" valign="bottom">Antibody</td><td align="left" valign="bottom">Brilliant Violet 421 anti-human P2RY12Primary antibody(mouse monoclonal)</td><td align="left" valign="bottom">BioLegend</td><td align="left" valign="bottom">392105;clone 16001E;RRID<bold>:<ext-link ext-link-type="uri" xlink:href="https://identifiers.org/RRID/RRID:AB_2783290">AB_2783290</ext-link></bold></td><td align="left" valign="bottom">(5 μL) per test</td></tr><tr><td align="left" valign="bottom">Antibody</td><td align="left" valign="bottom">Brilliant Violet 421 mouse IgG2aκ Isotype control mouse</td><td align="left" valign="bottom">BioLegend</td><td align="left" valign="bottom">407117;clone MOPC-173;RRID<bold>:<ext-link ext-link-type="uri" xlink:href="https://identifiers.org/RRID/RRID:AB_2687343">AB_2687343</ext-link></bold></td><td align="left" valign="bottom">(5 μL) per test</td></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Fluo-4 AM</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="left" valign="bottom">F14201</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Fura-red AM</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="left" valign="bottom">F3021</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Pluronic F-127</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="left" valign="bottom">P3000MP</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Cal-520 AM</td><td align="left" valign="bottom">AAT Bioquest</td><td align="char" char="." valign="bottom">21130</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Cal-590 AM</td><td align="left" valign="bottom">AAT Bioquest</td><td align="char" char="." valign="bottom">20510</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">ci-IP3/PM</td><td align="left" valign="bottom">SiChem</td><td align="char" char="." valign="bottom">6210</td><td align="left" valign="bottom">Caged-inositol triphosphate analog</td></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Hoeschst</td><td align="left" valign="bottom">Thermo Fisher Scientific</td><td align="left" valign="bottom">R37165</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">ADP</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">A2754</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">ATP</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">A9187</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">UTP</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">U1006</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">PSB 0739</td><td align="left" valign="bottom">Tocris</td><td align="char" char="." valign="bottom">3983</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">MRS 2211</td><td align="left" valign="bottom">Tocris</td><td align="char" char="." valign="bottom">2402</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Synta66</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">SML1949</td><td align="left" valign="bottom">Orai channel inhibitor</td></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="char" char="hyphen" valign="bottom">2-APB</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">D9754</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Gadolinium</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">G7532</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">EGTA</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">E8145</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">1-Thioglycerol</td><td align="left" valign="bottom">Sigma-Aldrich</td><td align="left" valign="bottom">M6145</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">CloneR</td><td align="left" valign="bottom">STEMCELL Technologies</td><td align="char" char="." valign="bottom">05888</td><td align="left" valign="bottom">Defined supplement for single-cell cloning of human iPS cells</td></tr><tr><td align="left" valign="bottom">Chemical compound, drug</td><td align="left" valign="bottom">Thiazovivin</td><td align="left" valign="bottom">STEMCELL Technologies</td><td align="char" char="." valign="bottom">72252</td><td align="left" valign="bottom">ROCK inhibitor</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">35 mm glass-bottom dish</td><td align="left" valign="bottom">MatTek</td><td align="left" valign="bottom">P35G-1.5-14C</td><td align="left" valign="bottom">1.5 coverslip, 14 mm glass diameter</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Incubation perfusion Lid for 35 mm dishes</td><td align="left" valign="bottom">Tokai Hit</td><td align="left" valign="bottom">LV200-D35FME</td><td align="left" valign="bottom">Perfusion lid with inlet and outlet</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Laser Scanning Confocal Microscope</td><td align="left" valign="bottom">Olympus</td><td align="left" valign="bottom">FV3000</td><td align="left" valign="bottom">Equipped with Resonant Scanner, IX3-ZDC2 Z-drift compensator, 40× silicone oil objective, 20× air objective</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Stage Top Incubation System</td><td align="left" valign="bottom">Tokai Hit</td><td align="left" valign="bottom">STXG</td><td align="left" valign="bottom">Temperature and humidity control for FV3000 microscope stage</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Nikon Eclipse T<italic>i</italic> microscope system</td><td align="left" valign="bottom">Nikon</td><td align="left" valign="bottom"/><td align="left" valign="bottom">Equipped with a 40× oil immersion objective (NA 1.3; Nikon) and an Orca Flash 4.0LT CMOS camera (Hamamatsu)</td></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Chemotaxis Assay Chamber</td><td align="left" valign="bottom">Hansang Cho Lab</td><td align="left" valign="bottom"/><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">IncuCyte S3 Live-Cell Analysis System</td><td align="left" valign="bottom">Sartorius</td><td align="left" valign="bottom"/><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Other</td><td align="left" valign="bottom">Essen Incucyte WoundMaker</td><td align="left" valign="bottom">Sartorius</td><td align="char" char="." valign="bottom">4493</td><td align="left" valign="bottom"/></tr><tr><td align="left" valign="bottom">Software, algorithm</td><td align="left" valign="bottom">GraphPad Prism 9.1.0</td><td align="left" valign="bottom"> </td><td align="left" valign="bottom"/><td align="left" valign="bottom">Data analysis, statistical analysis</td></tr><tr><td align="left" valign="bottom">Software, algorithm</td><td align="left" valign="bottom">Fiji (ImageJ)</td><td align="left" valign="bottom"> </td><td align="left" valign="bottom"/><td align="left" valign="bottom">Image analysis</td></tr><tr><td align="left" valign="bottom">Software, algorithm</td><td align="left" valign="bottom">Incucyte 2020C</td><td align="left" valign="bottom"> </td><td align="left" valign="bottom"/><td align="left" valign="bottom">Image acquisition and analysis</td></tr><tr><td align="left" valign="bottom">Software, algorithm</td><td align="left" valign="bottom">Imaris 9.7.0</td><td align="left" valign="bottom"> </td><td align="left" valign="bottom"/><td align="left" valign="bottom">Cell tracking and image analysis</td></tr><tr><td align="left" valign="bottom">Software, algorithm</td><td align="left" valign="bottom">Flika</td><td align="left" valign="bottom"> </td><td align="left" valign="bottom"/><td align="left" valign="bottom">Image analysis</td></tr><tr><td align="left" valign="bottom">Software, algorithm</td><td align="left" valign="bottom">DiPer Excel Macros</td><td align="left" valign="bottom"> </td><td align="left" valign="bottom">PMID:<ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/25033209/">25033209</ext-link></td><td align="left" valign="bottom">Data analysis, directional persistence</td></tr></tbody></table></table-wrap><sec id="s4-1"><title>Generation of iPSCs from human fibroblasts</title><p>Human iPSC lines were generated by the University of California, Irvine Alzheimer’s Disease Research Center (UCI ADRC) Induced Pluripotent Stem Cell Core from subject fibroblasts under approved Institutional Review Boards (IRB) and human Stem Cell Research Oversight (hSCRO) committee protocols. Informed consent was received from all participants who donated fibroblasts. Reprogramming was performed with nonintegrating Sendai virus in order to avoid integration effects. To validate the karyotype and identity of iPSC lines, cells were examined via Microarray-based Comparative Genomic Hybridization (aCGH, Cell Line Genetics). Sterility and confirmation of mycoplasma negativity was examined every 10 passages and proceeding experimentation via MycoAlert (Lonza). Pluripotency was verified by Pluritest Array Analysis and trilineage in vitro differentiation. Additional GFP- and RFP-αtubulin-expressing iPSC lines (AICS-0036 and AICS-0031-035) were purchased from Coriell and originally generated by Dr. Bruce Conklin. Each Coriell line is provided with a corresponding certificate of analysis that verifies the correct reporter sequence insertion site, lack of plasmid integration, growth rate, expression of pluripotency markers, normal karyotype, sterility including mycoplasma negative, and identity of line via short tandem repeat (STR). See <ext-link ext-link-type="uri" xlink:href="https://www.coriell.org/0/PDF/Allen/ipsc/AICS-0036-006_CofA.pdf">here</ext-link> and <ext-link ext-link-type="uri" xlink:href="https://www.coriell.org/0/PDF/Allen/ipsc/AICS-0031-035_CofApdf">here</ext-link>.</p></sec><sec id="s4-2"><title>CRISPR-mediated knockout of TREM2 and ORAI1</title><p>Genome editing to delete TREM2 was performed as in <xref ref-type="bibr" rid="bib51">McQuade and Blurton-Jones, 2021</xref>. Briefly, iPSCs were nucleofected with ribonucleoprotein complex targeting the second exon of TREM2 and allowed to recover overnight. Transfected cells were dissociated with pre-warmed Accutase then mechanically plated to 96-well plates for clonal expansion. Genomic DNA from each colony was amplified and sequenced at the cut site. The amplification from promising clones was transformed via TOPO cloning for allelic sequencing. Knockout of TREM2 was validated by Western blotting (AF1828, R&amp;D) and HTRF (Cisbio) (<xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>). A similar strategy was used to delete ORAI1 using an RNP complex of Cas9 protein coupled with a guide RNA (5′ <named-content content-type="sequence">cgctgaccacgactacccac</named-content>) targeting the second exon of ORAI1. The resulting ORAI1 clones were then validated to exhibit a normal for karyotype, identity, pluripotency, and sterility via Microarray-based Comparative Genomic Hybridization (aCGH, Cell Line Genetics), tri-lineage differentiation, and MycoAlert mycoplasma testing.</p></sec><sec id="s4-3"><title>iPSC-microglia differentiation</title><p>iPSC-microglia were generated as described in <xref ref-type="bibr" rid="bib48">McQuade et al., 2018</xref> and <xref ref-type="bibr" rid="bib51">McQuade and Blurton-Jones, 2021</xref>. Briefly, iPSCs were directed down a hematopoietic lineage using the STEMdiff Hematopoietic kit (STEMCELL Technologies). After 10–12 days in culture, CD43+ hematopoietic progenitor cells were transferred into a microglia differentiation medium containing DMEM/F12, 2× insulin-transferrin-selenite, 2× B27, 0.5× N2, 1× GlutaMAX, 1× nonessential amino acids, 400  μM monothioglycerol, and 5  μg/mL human insulin. Media was added to cultures every other day and supplemented with 100  ng/mL IL-34, 50  ng/mL TGF-β1, and 25 ng/mL M-CSF (PeproTech) for 28 days. In the final 3 days of differentiation, 100  ng/mL CD200 (Novoprotein) and 100  ng/mL CX3CL1 (PeproTech) were added to culture.</p></sec><sec id="s4-4"><title>Confocal laser scanning microscopy</title><p>Unless otherwise stated, cells were imaged on an Olympus FV3000 confocal laser scanning inverted microscope equipped with high-speed resonance scanner, IX3-ZDC2 Z-drift compensator, 40× silicone oil objective (NA 1.25), and a Tokai-HIT stage top incubation chamber (STXG) to maintain cells at 37°C. To visualize Salsa6f, 488 nm and 561 nm diode lasers were used for sequential excitation of GCaMP6f (0.3% laser power, 450 V channel voltage, 494–544 nm detector width) and TdTomato (0.05% laser power, 450 V channel voltage, 580–680 nm detector width), respectively. Fluo-4 and Fura-red were both excited using a 488 nm diode laser (0.07% laser power, 500 V channel voltage, 494–544 nm detector width for Fluo-4; 0.07% laser power, 550 V channel voltage, 580–680 nm detector for Fura-red). Two high-sensitivity cooled GaAsP PMTs were used for detection in the green and red channels, respectively. GFP was excited using the same settings as GCaMP6f. Other image acquisition parameters unique to Ca<sup>2+</sup> imaging, microglia process, and cell motility analysis are indicated in the respective sections.</p></sec><sec id="s4-5"><title>Measurement of intracellular Ca<sup>2+</sup></title><sec id="s4-5-1"><title>Cell preparation</title><p>iPSC-microglia were plated on fibronectin-coated (5 μg/mL) glass-bottom 35 mm dishes (MatTek, P35G-1.5-14C) overnight at 60% confluence. Ratiometric Ca<sup>2+</sup> imaging was done using Fluo-4 AM and Fura-red AM dyes as described previously (<xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>). Briefly, cells were loaded in microglia differentiation medium with 3 μM Fluo-4 AM and 3 μM Fura-red AM (Molecular Probes) in the presence of Pluronic Acid F-127 (Molecular Probes) for 30 min at room temperature (RT). Cells were washed with medium to remove excess dye, and 1 mM Ca<sup>2+</sup> Ringer’s solution was added to the 35 mm dish before being mounted on the microscope for live-cell imaging. We note that iPSC-microglia are sensitive to shear forces and produce brief Ca<sup>2+</sup> signals in response to solution exchange that are dependent on extracellular Ca<sup>2+</sup>, and that these are more prominent at 37°C. To minimize these confounding effects, cells were imaged at RT and perfusion was performed gently. Salsa6f-expressing iPSC-microglia were prepared for Ca<sup>2+</sup> imaging in the same way as conventional microglia, but without the dye loading steps. The following buffers were used for Ca<sup>2+</sup> imaging: (1) 1 or 2 mM Ca<sup>2+</sup> Ringer’s solution comprising 155 mM NaCl, 4.5 mM KCl, 1 mM CaCl<sub>2</sub>, 0.5 mM MgCl<sub>2</sub>, 10 mM glucose, and 10 mM HEPES (pH adjusted to 7.4 with NaOH); (2) Ca<sup>2+</sup>-free Ringer’s solution containing 155 mM NaCl, 4.5 mM KCl, 1.5 mM MgCl<sub>2</sub>, 10 mM glucose, 1 mM EGTA, 10 mM HEPES, pH 7.4. Live-cell imaging was performed as described earlier. Cells were treated with ADP as indicated in the ‘Results’ section.</p></sec><sec id="s4-5-2"><title>Data acquisition</title><p>Time-lapse images were acquired in a single Z-plane at 512 × 512 pixels (X = 318.2 μm and Y = 318.2 μm) and at 2–3 s time intervals using Olympus FV3000 software. Images were time averaged over three frames to generate a rolling average and saved as .OIR files.</p></sec><sec id="s4-5-3"><title>Data analysis</title><p>Time-lapse videos were exported to Fiji-(ImageJ; <ext-link ext-link-type="uri" xlink:href="https://imagej.net/Fiji">https://imagej.net/Fiji</ext-link>), converted to TIFF files (16-bit), and background-subtracted. Single-cell analysis was performed by drawing ROIs around individual cells in the field, and average pixel intensities in the green and red channels were calculated for each ROI at each time point. GCaMP6f/ TdTomato (G/R Ratio) and Fluo-4/Fura-red ratio was then obtained to further generate traces showing single-cell and average changes in cytosolic Ca<sup>2+</sup> over time. Single-cell ratio values were used to calculate peak Ca<sup>2+</sup> signal and responses at specific time points after agonist application as previously reported (<xref ref-type="bibr" rid="bib33">Jairaman and Cahalan, 2021</xref>). Peak Ca<sup>2+</sup> signal for each cell was baseline-subtracted, which was calculated as an average of 10 minimum ratio values before application of agonist. SOCE rate was calculated as Δ(ratio)/Δt(s<sup>–1</sup>) over a 10 s time frame of maximum initial rise after Ca<sup>2+</sup> addback. Area under the curve (AUC) was calculated using the AUC function in GraphPad Prism.</p></sec></sec><sec id="s4-6"><title>Microglia process extension analysis</title><sec id="s4-6-1"><title>Data acquisition</title><p>GFP-expressing iPSC-microglia were plated overnight on 35 mm glass-bottom dishes at 40–50% confluence. Cells were imaged by excitation of GFP on the confocal microscope at 37°C as described earlier. To study process extension in response to ADP, two sets of GFP images were obtained for each field of view across multiple dishes: before addition of ADP (baseline) and 30 min after application of ADP. Images were acquired as a Z-stack using the Galvo scanner at Nyquist sampling. Adjacent fields of view were combined using the Stitching function of the Olympus FV3000 Software and saved as .OIR files.</p></sec><sec id="s4-6-2"><title>Process analysis</title><p>The basic workflow for microglia process analysis was adapted from <xref ref-type="bibr" rid="bib56">Morrison et al., 2017</xref>. Image stacks (.OIR files) were exported to Fiji (ImageJ) and converted into 16-bit TIFF files using the Olympus Viewer Plugin (<ext-link ext-link-type="uri" xlink:href="https://imagej.net/OlympusImageJPlugin">https://imagej.net/OlympusImageJPlugin</ext-link>). Maximum intensity projection (MIP) image from each Z-stack was used for further processing and analysis. MIP images were converted to 8-bit grayscale images, to which a threshold was applied to obtain 8-bit binary images. The same threshold was used for all sets of images, both before and after ADP application. Noise reduction was performed on the binary images using the Process -&gt; Noise -&gt; Unspeckle function. Outlier pixels were eliminated using Process -&gt; Noise -&gt; Outliers function. The binary images were then skeletonized using the Skeletonize2D/3D Plugin for ImageJ (<ext-link ext-link-type="uri" xlink:href="https://imagej.net/plugins/skeletonize3d">https://imagej.net/plugins/skeletonize3d</ext-link>). Sparingly, manual segmentation was used to separate a single skeleton that was part of two cells touching each other. The Analyze Skeleton Plugin (<ext-link ext-link-type="uri" xlink:href="https://imagej.net/plugins/analyze-skeleton/">https://imagej.net/plugins/analyze-skeleton/</ext-link>) was then applied to the skeletonized images to obtain parameters related to process length and number of branches for each cell in the imaging field. Processes were considered to be skeletons &gt; 8 μm. The data was summarized as average process length and number of branches, before and after ADP application for a specific imaging field, normalized to the number of cells in the field that allowed for pairwise comparison. Additionally, single-cell data across all experiments were also compared in some instances.</p></sec></sec><sec id="s4-7"><title>IP<sub>3</sub> uncaging</title><p>Whole-field uncaging of i-IP<sub>3</sub>, a poorly metabolized IP<sub>3</sub> analog, was performed as previously described (<xref ref-type="bibr" rid="bib43">Lock et al., 2016</xref>) with minor modifications. Briefly, iPSC-microglia were loaded for 20 min at 37°C with either Cal520 AM or Cal590 AM (5 μM, AAT Bioquest), and the cell-permeable, caged i-IP<sub>3</sub> analog ci-IP<sub>3</sub>/PM (1 μM, SiChem) plus 0.1% Pluronic F-127 in Microglia Basal Medium. Cells were washed and incubated in the dark for further 30 min in a HEPES-buffered salt solution (HBSS) whose composition was (in mM) 135 NaCl, 5.4 KCl, 1.0 MgCl2, 10 HEPES, 10 glucose, 2.0 CaCl<sub>2</sub>, and pH 7.4. Intracellular Ca<sup>2+</sup> ([Ca<sup>2+</sup>]<sub>i</sub>) changes were imaged by employing a Nikon Eclipse T<italic>i</italic> microscope system (Nikon) equipped with a 40× oil immersion objective (NA 1.3; Nikon) and an Orca Flash 4.0LT CMOS camera (Hamamatsu). Cal520 or Cal590 were excited by a 488 or a 560 nm laser light source (Vortran Laser Technologies), respectively. i-IP3 uncaging was achieved by uniformly exposing the imaged cells to a single flash of ultraviolet (UV) light (350–400 nm) from a xenon arc lamp. UV flash duration, and thus the amount of released i-IP<sub>3</sub> was set by an electronically controlled shutter.</p><p>Image acquisition was performed by using Nikon NIS (Nikon) software. After conversion to stack TIFF files, image sequences were analyzed with Flika, a custom-written Python-based imaging analysis software (<ext-link ext-link-type="uri" xlink:href="https://flika-org.github.io/">https://flika-org.github.io/</ext-link>; <xref ref-type="bibr" rid="bib20">Ellefsen et al., 2014</xref>). After background subtraction, either Cal520 or Cal590 fluorescence changes of each cell were expressed as ∆F/F<sub>0</sub>, where F<sub>0</sub> is the basal fluorescence intensity and ∆F the relative fluorescence change (F<sub>x</sub> – F<sub>0</sub>). Data are reported as superplots (<xref ref-type="bibr" rid="bib44">Lord et al., 2020</xref>) of at least three independent replicates. Experiments were reproduced with two independent lines. Comparisons were performed by unpaired nonparametric <italic>t</italic>-test.</p></sec><sec id="s4-8"><title>Immunocytochemistry</title><p>Cells were fixed with 4% paraformaldehyde for 7 min and washed 3× with 1× PBS. Blocking was performed at RT for 1 hr in 5% goat serum, 0.1% Triton5 X-100. Primary antibodies were added at 1:200 overnight 4°C (IBA1, 019-19741, FUJIFILM Wako). Plates were washed 3× before addition of secondary antibodies (goat anti-rabbit 555, Thermo Fisher Scientific) and Hoechst (Thermo Fisher Scientific). Images were captured on an Olympus FV3000RS confocal microscope with identical laser and detection settings. Images were analyzed with Imaris 9.7.0 software. We note that our attempt to verify Orai1 expression at the protein level was unsuccessful as the antibody used (Alomone, Cat# ALM-025, clone# 3F11/D10/B9) did not stain WT microglia in either immunostaining or western blot experiments.</p><sec id="s4-8-1"><title>Flow cytometry</title><p>iPSC-derived microglia were seeded on fibronectin-coated 12-well plates at 200,000 cells/well. Cells were harvested and centrifuged in FACS tubes at 300 × <italic>g</italic> for 5 min at 4°C. The cell pellet was subsequently resuspended in FACS buffer (1× PBS + 0.5% FBS). Fc receptors were blocked with a blocking buffer (BioLegend TruStain FcX in 1× PBS + 10% FCS). Cells were then incubated with Brilliant Violet 421-labeled anti-human P2Y<sub>12</sub> receptor antibody (clone S16001E, BioLegend, Cat# 392106) or with IgG2a isotype control antibody (clone MOPC-173, BioLegend, Cat# 400260) for 30 min at 4°C. Cells were washed, pelleted, and then resuspended in FACS buffer. Clone S16001E binds to the extracellular domain of the P2Y<sub>12</sub> and permits labeling of PM P2Y<sub>12</sub> receptors. Data were acquired using Novocyte Quanteon flow cytometer (Agilent) and analyzed using FlowJo analysis software (FlowJo v10.8.1 LLC Ashland, OR).</p></sec></sec><sec id="s4-9"><title>Scratch wound assay</title><p>Nondirectional motility was analyzed using Essen Incucyte WoundMaker. iPSC-microglia were plated on fibronectin (STEMCELL Technologies) at 90% confluence. Scratches were repeated 4× to remove all cells from the wound area. Scratch wound confluency was imaged every hour until scratch wound was closed (15 hr). Confluence of cells within the original wound ROI was calculated using IncuCyte 2020C software.</p></sec><sec id="s4-10"><title>Imaris cell tracking</title><p>For motility assays, iPSC-microglia were tracked using a combination of manual and automatic tracking in Imaris 9.7.0 software. For videos of GFP lines, cells were tracked using spot identification. For videos of Salsa6f lines, surface tracking was used to determine ratiometric Ca<sup>2+</sup> fluorescence and motility per cell. In both conditions, tracks were defined by Brownian motion with the maximum distance jump of 4 µm and 10 frame disturbance with no gap filling. Tracks shorter than 3 min in length were eliminated from analysis. After automated track formation, tracks underwent manual quality control to eliminate extraneous tracks, merge falsely distinct tracks, and add missed tracks. After export, data was plotted in Prism 9.1.0 or analyzed in Excel using DiPer Macros for Plot_At_Origin (translation of each trajectory to the origin) and MSD(t) = 4D(t-P(1-e^(-t/P))), where D is the diffusion coefficient, t is time, and P represents directional persistence time (time to cross from persistent directionality to random walk) (<xref ref-type="bibr" rid="bib24">Gorelik and Gautreau, 2014</xref>). From Imaris, speed was calculated as instantaneous speed of the object (μm/s) as the scalar equivalent to object velocity. These values were transformed to μm /min as this time scale is more relevant for the changes we observed. Mean track speed represents the mean of all instantaneous speeds over the total time of tracking. 10 min displacement is calculated by (600) * (TDL/TD), where TDL is the track displacement length (distance between the first and last cell position) represented as TDL = p(n) - p(1) for all axes, where the vector p is the distance between the first and last object position along the selected axis, and TD is the track duration represented as TD = T(n) - T(1), where T is the time point of the first and final time point within the track. Frame-to-frame displacement is calculated as p(n) – p(n-1) for all the different frames in a cell track. Track straightness is defined as TDL/TL, where TDL is the track displacement as described above and TL is the track length representing the total length of displacements within the track TL = sum from t = 2 to n of |p(t)-p(t-1)|.</p></sec><sec id="s4-11"><title>Generation of Salsa6f-expressing iPSC lines</title><p>iPSCs were collected following Accutase enzymatic digestion for 3 min at 37°C. 20,000 cells were resuspended in 100 μL nucleofection buffer from Human Stem Cell Nucleofector Kit 2 (Lonza). Salsa6f-AAVS1 SHL plasmid template (2 μg; Vector Builder) and RNP complex formed by incubating Alt-R S.p. HiFi Cas9 Nuclease V3 (50 μg; IDTDNA) was fused with crRNA:tracrRNA (IDTDNA) duplex for 15 min at 23°C. This complex was combined with the cellular suspension and nucleofected using the Amaxa Nucleofector program B-016. To recover, cells were plated in TeSR-E8 (STEMCELL Technologies) media with 0.25 μM thiazovivin (STEMCELL Technologies) and CloneR (STEMCELL Technologies) overnight. The following day, cells were mechanically replated to 96-well plates in TeSR-E8 media with 0.25 μM thiazovivin and CloneR supplement for clonal isolation and expansion. Plates were screened visually with a fluorescence microscope to identify TdTomato<sup>+</sup> clones. Genomic DNA was extracted from positive clones using Extracta DNA prep for PCR (Quantabio) and amplified using Taq PCR Master Mix (Thermo Fisher Scientific) to confirm diallelic integration of the Salsa6f cassette. A clone confirmed with diallelic Salsa6f integration in the AAVS1 SHL was then retargeted as previously described (<xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>) to knock out Trem2.</p></sec><sec id="s4-12"><title>Phagocytosis assay</title><p>Phagocytosis of transgenic iPSC-microglia was validated using IncuCyte S3 Live-Cell Analysis System (Sartorius) as in <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>. Microglia were plated at 50% confluency 24 hr before substrates were added. Cells were treated with 50  μg/mL pHrodo tagged human AD synaptosomes (isolated as described in <xref ref-type="bibr" rid="bib50">McQuade et al., 2020</xref>), 100  ng/mL pHrodo tagged zymosan A beads (Thermo Fisher Scientific), 100 ng/mL pHrodo tagged <italic>Staphylococcus aureus</italic> (Thermo Fisher Scientific), or 2  μg/mL fluorescent beta-amyloid (AnaSpec). Image masks for fluorescence area and phase were generated using IncuCyte 2020C software.</p></sec><sec id="s4-13"><title>Chemotaxis assay</title><p>iPSC-microglia were loaded into the angular chamber (2–5K cells/device) to test activation and chemotaxis toward the central chamber containing either ADP (100 ng/mL or 234 nM) or vehicle. When noted, PSB 0739 (10 μM) was added to both the central and angular chamber to inhibit P2Y<sub>12</sub> receptors. To characterize motility, we monitored the number of recruited microglia in the central chamber for 4 days under the fully automated Nikon TiE microscope (10× magnification; Micro Device Instruments, Avon, MA).</p></sec><sec id="s4-14"><title>Statistical analysis</title><p>GraphPad Prism (versions 6.01 and 8.2.0) was used to perform statistical tests and generate p-values. We used standard designation of p-values throughout the figures (ns, not significant or p≥0.05; *p&lt;0.05; **p&lt;0.01; ***p&lt;0.001; ****p&lt;0.0001). Traces depicting average changes in cytosolic Ca<sup>2+</sup> over time are shown as mean ± standard error of the mean (SEM). Accompanying bar graphs with bars depicting mean ± SEM provide a summary of relevant parameters (amplitude of Ca<sup>2+</sup> response, degree of store release, rate of Ca<sup>2+</sup> influx, etc.) as indicated. Details of the number of replicates and the specific statistical test used are provided in the individual figure legends.</p></sec></sec></body><back><sec id="s5" sec-type="additional-information"><title>Additional information</title><fn-group content-type="competing-interest"><title>Competing interests</title><fn fn-type="COI-statement" id="conf1"><p>No competing interests declared</p></fn><fn fn-type="COI-statement" id="conf2"><p>No competing interests declared</p></fn><fn fn-type="COI-statement" id="conf3"><p>is a co-founders of NovoGlia Inc</p></fn><fn fn-type="COI-statement" id="conf4"><p>is a co-inventor of patent application WO/2018/160496, related to the differentiation of pluripotent stem cells into microglia. Is a co-founders of NovoGlia Inc</p></fn></fn-group><fn-group content-type="author-contribution"><title>Author contributions</title><fn fn-type="con" id="con1"><p>Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review and editing</p></fn><fn fn-type="con" id="con2"><p>Conceptualization, Formal analysis, Funding acquisition, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review and editing, This author is a co-first author</p></fn><fn fn-type="con" id="con3"><p>Formal analysis, Investigation, Methodology, Writing – review and editing</p></fn><fn fn-type="con" id="con4"><p>Formal analysis, Investigation, Methodology, Writing – review and editing</p></fn><fn fn-type="con" id="con5"><p>Investigation, Methodology</p></fn><fn fn-type="con" id="con6"><p>Funding acquisition, Resources, Supervision, Writing – review and editing</p></fn><fn fn-type="con" id="con7"><p>Methodology, Resources, Writing – review and editing</p></fn><fn fn-type="con" id="con8"><p>Formal analysis, Investigation, Writing – review and editing</p></fn><fn fn-type="con" id="con9"><p>Formal analysis, Funding acquisition, Investigation, Methodology, Resources, Supervision, Writing – review and editing</p></fn><fn fn-type="con" id="con10"><p>Funding acquisition, Methodology, Resources, Supervision</p></fn><fn fn-type="con" id="con11"><p>Conceptualization, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Writing – original draft, Writing – review and editing</p></fn><fn fn-type="con" id="con12"><p>Conceptualization, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Writing – original draft, Writing – review and editing</p></fn><fn fn-type="con" id="con13"><p>Conceptualization, Funding acquisition, Methodology, Project administration, Resources, Supervision, Writing – original draft, Writing – review and editing</p></fn></fn-group><fn-group content-type="ethics-information"><title>Ethics</title><fn fn-type="other"><p>Human subjects: Human iPSC lines were generated by the University of California Alzheimer's Disease Research Center (UCI ADRC) stem cell core. Subject fibroblasts were collected under approved Institutional Review Boards (IRB) and human Stem Cell Research Oversight (hSCRO) committee protocols. Informed consent was received for all participants.</p></fn></fn-group></sec><sec id="s6" sec-type="supplementary-material"><title>Additional files</title><supplementary-material id="transrepform"><label>Transparent reporting form</label><media mime-subtype="pdf" mimetype="application" xlink:href="elife-73021-transrepform1-v3.pdf"/></supplementary-material></sec><sec id="s7" sec-type="data-availability"><title>Data availability</title><p>RNA sequencing data referenced in Figure 1- figure supplement 2 is available through Gene Expression Omnibus: GSE157652.</p><p>The following dataset was generated:</p><p><element-citation id="dataset1" publication-type="data" specific-use="isSupplementedBy"><person-group person-group-type="author"><name><surname>McQuade</surname><given-names>A</given-names></name></person-group><year iso-8601-date="2020">2020</year><data-title>Transcriptomic and functional deficits in human TREM2-/- microglia impair response to Alzheimer's pathology in vivo [RNA-seq]</data-title><source>NCBI Gene Expression Omnibus</source><pub-id pub-id-type="accession" xlink:href="http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE157652">GSE157652</pub-id></element-citation></p></sec><ack id="ack"><title>Acknowledgements</title><p>We thank Dr. Andy Yeromin for the development of Excel macros to analyze Imaris cell tracking. We would also like to thank Morgan Coburn for sharing Python scripts that aided in the organization of Imaris output files. This work was supported by T32 NS082174 and ARCS foundation (AM); the European Union’s Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement iMIND – no. 84166 (AG); NIH R01 NS14609 and AI121945 (MDC); NIH U01 AI160397 (SO); NRF 2020R1A2C2010285, 2020 M3C7A1023941, and NIH AG059236-01A1 (HC); NIH AG048099, AG056303, and AG055524 (MBJ); RF1DA048813 (MBJ and SG); UCI Sue &amp; Bill Gross Stem Cell Research Center Seed Grant (SG); and a generous gift from the Susan Scott Foundation (MBJ). iPSC lines were generated by the UCI-ADRC iPS cell core funded by NIH AG066519. Experiments using the GFP-expressing iPSC line AICS-0036 were made possible through the Allen Cell Collection, available from the Coriell Institute for Medical Research.</p></ack><ref-list><title>References</title><ref id="bib1"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abud</surname><given-names>EM</given-names></name><name><surname>Ramirez</surname><given-names>RN</given-names></name><name><surname>Martinez</surname><given-names>ES</given-names></name><name><surname>Healy</surname><given-names>LM</given-names></name><name><surname>Nguyen</surname><given-names>CHH</given-names></name><name><surname>Newman</surname><given-names>SA</given-names></name><name><surname>Yeromin</surname><given-names>AV</given-names></name><name><surname>Scarfone</surname><given-names>VM</given-names></name><name><surname>Marsh</surname><given-names>SE</given-names></name><name><surname>Fimbres</surname><given-names>C</given-names></name><name><surname>Caraway</surname><given-names>CA</given-names></name><name><surname>Fote</surname><given-names>GM</given-names></name><name><surname>Madany</surname><given-names>AM</given-names></name><name><surname>Agrawal</surname><given-names>A</given-names></name><name><surname>Kayed</surname><given-names>R</given-names></name><name><surname>Gylys</surname><given-names>KH</given-names></name><name><surname>Cahalan</surname><given-names>MD</given-names></name><name><surname>Cummings</surname><given-names>BJ</given-names></name><name><surname>Antel</surname><given-names>JP</given-names></name><name><surname>Mortazavi</surname><given-names>A</given-names></name><name><surname>Carson</surname><given-names>MJ</given-names></name><name><surname>Poon</surname><given-names>WW</given-names></name><name><surname>Blurton-Jones</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>iPSC-Derived Human Microglia-like Cells to Study Neurological Diseases</article-title><source>Neuron</source><volume>94</volume><fpage>278</fpage><lpage>293</lpage><pub-id pub-id-type="doi">10.1016/j.neuron.2017.03.042</pub-id><pub-id pub-id-type="pmid">28426964</pub-id></element-citation></ref><ref id="bib2"><element-citation publication-type="web"><person-group person-group-type="author"><collab>Alector Inc</collab></person-group><year iso-8601-date="2021">2021</year><article-title>A Phase 2 Study to Evaluate Efficacy and Safety of AL002 in Participants With Early Alzheimer’s Disease (INVOKE-2)</article-title><ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT04592874">https://clinicaltrials.gov/ct2/show/NCT04592874</ext-link><date-in-citation iso-8601-date="2021-03-08">March 8, 2021</date-in-citation></element-citation></ref><ref id="bib3"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Andersen</surname><given-names>MS</given-names></name><name><surname>Bandres-Ciga</surname><given-names>S</given-names></name><name><surname>Reynolds</surname><given-names>RH</given-names></name><name><surname>Hardy</surname><given-names>J</given-names></name><name><surname>Ryten</surname><given-names>M</given-names></name><name><surname>Krohn</surname><given-names>L</given-names></name><name><surname>Gan-Or</surname><given-names>Z</given-names></name><name><surname>Holtman</surname><given-names>IR</given-names></name><name><surname>Pihlstrøm</surname><given-names>L</given-names></name><collab>International Parkinson’s Disease Genomics Consortium</collab></person-group><year iso-8601-date="2021">2021</year><article-title>Heritability Enrichment Implicates Microglia in Parkinson’s Disease Pathogenesis</article-title><source>Annals of Neurology</source><volume>89</volume><fpage>942</fpage><lpage>951</lpage><pub-id pub-id-type="doi">10.1002/ana.26032</pub-id><pub-id pub-id-type="pmid">33502028</pub-id></element-citation></ref><ref id="bib4"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Andreone</surname><given-names>BJ</given-names></name><name><surname>Przybyla</surname><given-names>L</given-names></name><name><surname>Llapashtica</surname><given-names>C</given-names></name><name><surname>Rana</surname><given-names>A</given-names></name><name><surname>Davis</surname><given-names>SS</given-names></name><name><surname>van Lengerich</surname><given-names>B</given-names></name><name><surname>Lin</surname><given-names>K</given-names></name><name><surname>Shi</surname><given-names>J</given-names></name><name><surname>Mei</surname><given-names>Y</given-names></name><name><surname>Astarita</surname><given-names>G</given-names></name><name><surname>Di Paolo</surname><given-names>G</given-names></name><name><surname>Sandmann</surname><given-names>T</given-names></name><name><surname>Monroe</surname><given-names>KM</given-names></name><name><surname>Lewcock</surname><given-names>JW</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Alzheimer’s-associated PLCγ2 is a signaling node required for both TREM2 function and the inflammatory response in human microglia</article-title><source>Nature Neuroscience</source><volume>23</volume><fpage>927</fpage><lpage>938</lpage><pub-id pub-id-type="doi">10.1038/s41593-020-0650-6</pub-id><pub-id pub-id-type="pmid">32514138</pub-id></element-citation></ref><ref id="bib5"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Andrews</surname><given-names>SJ</given-names></name><name><surname>Fulton-Howard</surname><given-names>B</given-names></name><name><surname>Goate</surname><given-names>A</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Interpretation of risk loci from genome-wide association studies of Alzheimer’s disease</article-title><source>The Lancet. Neurology</source><volume>19</volume><fpage>326</fpage><lpage>335</lpage><pub-id pub-id-type="doi">10.1016/S1474-4422(19)30435-1</pub-id><pub-id pub-id-type="pmid">31986256</pub-id></element-citation></ref><ref id="bib6"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bisht</surname><given-names>K</given-names></name><name><surname>Okojie</surname><given-names>KA</given-names></name><name><surname>Sharma</surname><given-names>K</given-names></name><name><surname>Lentferink</surname><given-names>DH</given-names></name><name><surname>Sun</surname><given-names>YY</given-names></name><name><surname>Chen</surname><given-names>HR</given-names></name><name><surname>Uweru</surname><given-names>JO</given-names></name><name><surname>Amancherla</surname><given-names>S</given-names></name><name><surname>Calcuttawala</surname><given-names>Z</given-names></name><name><surname>Campos-Salazar</surname><given-names>AB</given-names></name><name><surname>Corliss</surname><given-names>B</given-names></name><name><surname>Jabbour</surname><given-names>L</given-names></name><name><surname>Benderoth</surname><given-names>J</given-names></name><name><surname>Friestad</surname><given-names>B</given-names></name><name><surname>Mills</surname><given-names>WA</given-names></name><name><surname>Isakson</surname><given-names>BE</given-names></name><name><surname>Tremblay</surname><given-names>MÈ</given-names></name><name><surname>Kuan</surname><given-names>CY</given-names></name><name><surname>Eyo</surname><given-names>UB</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Capillary-associated microglia regulate vascular structure and function through PANX1-P2RY12 coupling in mice</article-title><source>Nature Communications</source><volume>12</volume><elocation-id>5289</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-021-25590-8</pub-id><pub-id pub-id-type="pmid">34489419</pub-id></element-citation></ref><ref id="bib7"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Borges</surname><given-names>PA</given-names></name><name><surname>Waclawiak</surname><given-names>I</given-names></name><name><surname>Georgii</surname><given-names>JL</given-names></name><name><surname>Fraga-Junior</surname><given-names>V</given-names></name><name><surname>Barros</surname><given-names>JF</given-names></name><name><surname>Lemos</surname><given-names>FS</given-names></name><name><surname>Russo-Abrahão</surname><given-names>T</given-names></name><name><surname>Saraiva</surname><given-names>EM</given-names></name><name><surname>Takiya</surname><given-names>CM</given-names></name><name><surname>Coutinho-Silva</surname><given-names>R</given-names></name><name><surname>Penido</surname><given-names>C</given-names></name><name><surname>Mermelstein</surname><given-names>C</given-names></name><name><surname>Meyer-Fernandes</surname><given-names>JR</given-names></name><name><surname>Canto</surname><given-names>FB</given-names></name><name><surname>Neves</surname><given-names>JS</given-names></name><name><surname>Melo</surname><given-names>PA</given-names></name><name><surname>Canetti</surname><given-names>C</given-names></name><name><surname>Benjamim</surname><given-names>CF</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Adenosine Diphosphate Improves Wound Healing in Diabetic Mice Through P2Y<sub>12</sub> Receptor Activation</article-title><source>Frontiers in Immunology</source><volume>12</volume><elocation-id>651740</elocation-id><pub-id pub-id-type="doi">10.3389/fimmu.2021.651740</pub-id><pub-id pub-id-type="pmid">33828561</pub-id></element-citation></ref><ref id="bib8"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brawek</surname><given-names>B</given-names></name><name><surname>Schwendele</surname><given-names>B</given-names></name><name><surname>Riester</surname><given-names>K</given-names></name><name><surname>Kohsaka</surname><given-names>S</given-names></name><name><surname>Lerdkrai</surname><given-names>C</given-names></name><name><surname>Liang</surname><given-names>Y</given-names></name><name><surname>Garaschuk</surname><given-names>O</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Impairment of in vivo calcium signaling in amyloid plaque-associated microglia</article-title><source>Acta Neuropathologica</source><volume>127</volume><fpage>495</fpage><lpage>505</lpage><pub-id pub-id-type="doi">10.1007/s00401-013-1242-2</pub-id><pub-id pub-id-type="pmid">24407428</pub-id></element-citation></ref><ref id="bib9"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname><given-names>Q</given-names></name><name><surname>Danao</surname><given-names>J</given-names></name><name><surname>Talreja</surname><given-names>S</given-names></name><name><surname>Wen</surname><given-names>P</given-names></name><name><surname>Yin</surname><given-names>J</given-names></name><name><surname>Sun</surname><given-names>N</given-names></name><name><surname>Li</surname><given-names>CM</given-names></name><name><surname>Chui</surname><given-names>D</given-names></name><name><surname>Tran</surname><given-names>D</given-names></name><name><surname>Koirala</surname><given-names>S</given-names></name><name><surname>Chen</surname><given-names>H</given-names></name><name><surname>Foltz</surname><given-names>IN</given-names></name><name><surname>Wang</surname><given-names>S</given-names></name><name><surname>Sambashivan</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>TREM2-activating antibodies abrogate the negative pleiotropic effects of the Alzheimer’s disease variant <italic>TREM2</italic><sup>R47H</sup> on murine myeloid cell function</article-title><source>The Journal of Biological Chemistry</source><volume>293</volume><fpage>12620</fpage><lpage>12633</lpage><pub-id pub-id-type="doi">10.1074/jbc.RA118.001848</pub-id><pub-id pub-id-type="pmid">29599291</pub-id></element-citation></ref><ref id="bib10"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheng-Hathaway</surname><given-names>PJ</given-names></name><name><surname>Reed-Geaghan</surname><given-names>EG</given-names></name><name><surname>Jay</surname><given-names>TR</given-names></name><name><surname>Casali</surname><given-names>BT</given-names></name><name><surname>Bemiller</surname><given-names>SM</given-names></name><name><surname>Puntambekar</surname><given-names>SS</given-names></name><name><surname>von Saucken</surname><given-names>VE</given-names></name><name><surname>Williams</surname><given-names>RY</given-names></name><name><surname>Karlo</surname><given-names>JC</given-names></name><name><surname>Moutinho</surname><given-names>M</given-names></name><name><surname>Xu</surname><given-names>G</given-names></name><name><surname>Ransohoff</surname><given-names>RM</given-names></name><name><surname>Lamb</surname><given-names>BT</given-names></name><name><surname>Landreth</surname><given-names>GE</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>The Trem2 R47H variant confers loss-of-function-like phenotypes in Alzheimer’s disease</article-title><source>Molecular Neurodegeneration</source><volume>13</volume><elocation-id>29</elocation-id><pub-id pub-id-type="doi">10.1186/s13024-018-0262-8</pub-id><pub-id pub-id-type="pmid">29859094</pub-id></element-citation></ref><ref id="bib11"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cosker</surname><given-names>K</given-names></name><name><surname>Mallach</surname><given-names>A</given-names></name><name><surname>Limaye</surname><given-names>J</given-names></name><name><surname>Piers</surname><given-names>TM</given-names></name><name><surname>Staddon</surname><given-names>J</given-names></name><name><surname>Neame</surname><given-names>SJ</given-names></name><name><surname>Hardy</surname><given-names>J</given-names></name><name><surname>Pocock</surname><given-names>JM</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Microglial signalling pathway deficits associated with the patient derived R47H TREM2 variants linked to AD indicate inability to activate inflammasome</article-title><source>Scientific Reports</source><volume>11</volume><elocation-id>13316</elocation-id><pub-id pub-id-type="doi">10.1038/s41598-021-91207-1</pub-id><pub-id pub-id-type="pmid">34172778</pub-id></element-citation></ref><ref id="bib12"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Crotti</surname><given-names>A</given-names></name><name><surname>Benner</surname><given-names>C</given-names></name><name><surname>Kerman</surname><given-names>BE</given-names></name><name><surname>Gosselin</surname><given-names>D</given-names></name><name><surname>Lagier-Tourenne</surname><given-names>C</given-names></name><name><surname>Zuccato</surname><given-names>C</given-names></name><name><surname>Cattaneo</surname><given-names>E</given-names></name><name><surname>Gage</surname><given-names>FH</given-names></name><name><surname>Cleveland</surname><given-names>DW</given-names></name><name><surname>Glass</surname><given-names>CK</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Mutant Huntingtin promotes autonomous microglia activation via myeloid lineage-determining factors</article-title><source>Nature Neuroscience</source><volume>17</volume><fpage>513</fpage><lpage>521</lpage><pub-id pub-id-type="doi">10.1038/nn.3668</pub-id><pub-id pub-id-type="pmid">24584051</pub-id></element-citation></ref><ref id="bib13"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cserép</surname><given-names>C</given-names></name><name><surname>Pósfai</surname><given-names>B</given-names></name><name><surname>Lénárt</surname><given-names>N</given-names></name><name><surname>Fekete</surname><given-names>R</given-names></name><name><surname>László</surname><given-names>ZI</given-names></name><name><surname>Lele</surname><given-names>Z</given-names></name><name><surname>Orsolits</surname><given-names>B</given-names></name><name><surname>Molnár</surname><given-names>G</given-names></name><name><surname>Heindl</surname><given-names>S</given-names></name><name><surname>Schwarcz</surname><given-names>AD</given-names></name><name><surname>Ujvári</surname><given-names>K</given-names></name><name><surname>Környei</surname><given-names>Z</given-names></name><name><surname>Tóth</surname><given-names>K</given-names></name><name><surname>Szabadits</surname><given-names>E</given-names></name><name><surname>Sperlágh</surname><given-names>B</given-names></name><name><surname>Baranyi</surname><given-names>M</given-names></name><name><surname>Csiba</surname><given-names>L</given-names></name><name><surname>Hortobágyi</surname><given-names>T</given-names></name><name><surname>Maglóczky</surname><given-names>Z</given-names></name><name><surname>Martinecz</surname><given-names>B</given-names></name><name><surname>Szabó</surname><given-names>G</given-names></name><name><surname>Erdélyi</surname><given-names>F</given-names></name><name><surname>Szipőcs</surname><given-names>R</given-names></name><name><surname>Tamkun</surname><given-names>MM</given-names></name><name><surname>Gesierich</surname><given-names>B</given-names></name><name><surname>Duering</surname><given-names>M</given-names></name><name><surname>Katona</surname><given-names>I</given-names></name><name><surname>Liesz</surname><given-names>A</given-names></name><name><surname>Tamás</surname><given-names>G</given-names></name><name><surname>Dénes</surname><given-names>Á</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Microglia monitor and protect neuronal function through specialized somatic purinergic junctions</article-title><source>Science (New York, N.Y.)</source><volume>367</volume><fpage>528</fpage><lpage>537</lpage><pub-id pub-id-type="doi">10.1126/science.aax6752</pub-id><pub-id pub-id-type="pmid">31831638</pub-id></element-citation></ref><ref id="bib14"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Davalos</surname><given-names>D</given-names></name><name><surname>Grutzendler</surname><given-names>J</given-names></name><name><surname>Yang</surname><given-names>G</given-names></name><name><surname>Kim</surname><given-names>JV</given-names></name><name><surname>Zuo</surname><given-names>Y</given-names></name><name><surname>Jung</surname><given-names>S</given-names></name><name><surname>Littman</surname><given-names>DR</given-names></name><name><surname>Dustin</surname><given-names>ML</given-names></name><name><surname>Gan</surname><given-names>W-B</given-names></name></person-group><year iso-8601-date="2005">2005</year><article-title>ATP mediates rapid microglial response to local brain injury in vivo</article-title><source>Nature Neuroscience</source><volume>8</volume><fpage>752</fpage><lpage>758</lpage><pub-id pub-id-type="doi">10.1038/nn1472</pub-id><pub-id pub-id-type="pmid">15895084</pub-id></element-citation></ref><ref id="bib15"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>De Simone</surname><given-names>R</given-names></name><name><surname>Niturad</surname><given-names>CE</given-names></name><name><surname>De Nuccio</surname><given-names>C</given-names></name><name><surname>Ajmone-Cat</surname><given-names>MA</given-names></name><name><surname>Visentin</surname><given-names>S</given-names></name><name><surname>Minghetti</surname><given-names>L</given-names></name></person-group><year iso-8601-date="2010">2010</year><article-title>TGF-β and LPS modulate ADP-induced migration of microglial cells through P2Y1 and P2Y12 receptor expression</article-title><source>Journal of Neurochemistry</source><volume>115</volume><fpage>450</fpage><lpage>459</lpage><pub-id pub-id-type="doi">10.1111/j.1471-4159.2010.06937.x</pub-id><pub-id pub-id-type="pmid">20681951</pub-id></element-citation></ref><ref id="bib16"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Demuro</surname><given-names>A</given-names></name><name><surname>Parker</surname><given-names>I</given-names></name><name><surname>Stutzmann</surname><given-names>GE</given-names></name></person-group><year iso-8601-date="2010">2010</year><article-title>Calcium signaling and amyloid toxicity in Alzheimer disease</article-title><source>The Journal of Biological Chemistry</source><volume>285</volume><fpage>12463</fpage><lpage>12468</lpage><pub-id pub-id-type="doi">10.1074/jbc.R109.080895</pub-id><pub-id pub-id-type="pmid">20212036</pub-id></element-citation></ref><ref id="bib17"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dissing-Olesen</surname><given-names>L</given-names></name><name><surname>LeDue</surname><given-names>JM</given-names></name><name><surname>Rungta</surname><given-names>RL</given-names></name><name><surname>Hefendehl</surname><given-names>JK</given-names></name><name><surname>Choi</surname><given-names>HB</given-names></name><name><surname>MacVicar</surname><given-names>BA</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Activation of neuronal NMDA receptors triggers transient ATP-mediated microglial process outgrowth</article-title><source>The Journal of Neuroscience</source><volume>34</volume><fpage>10511</fpage><lpage>10527</lpage><pub-id pub-id-type="doi">10.1523/JNEUROSCI.0405-14.2014</pub-id><pub-id pub-id-type="pmid">25100586</pub-id></element-citation></ref><ref id="bib18"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname><given-names>TX</given-names></name><name><surname>Othy</surname><given-names>S</given-names></name><name><surname>Jairaman</surname><given-names>A</given-names></name><name><surname>Skupsky</surname><given-names>J</given-names></name><name><surname>Zavala</surname><given-names>A</given-names></name><name><surname>Parker</surname><given-names>I</given-names></name><name><surname>Dynes</surname><given-names>JL</given-names></name><name><surname>Cahalan</surname><given-names>MD</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>T-cell calcium dynamics visualized in a ratiometric tdTomato-GCaMP6f transgenic reporter mouse</article-title><source>eLife</source><volume>6</volume><elocation-id>e32417</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.32417</pub-id><pub-id pub-id-type="pmid">29239725</pub-id></element-citation></ref><ref id="bib19"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eichhoff</surname><given-names>G</given-names></name><name><surname>Brawek</surname><given-names>B</given-names></name><name><surname>Garaschuk</surname><given-names>O</given-names></name></person-group><year iso-8601-date="2011">2011</year><article-title>Microglial calcium signal acts as a rapid sensor of single neuron damage in vivo</article-title><source>Biochimica et Biophysica Acta</source><volume>1813</volume><fpage>1014</fpage><lpage>1024</lpage><pub-id pub-id-type="doi">10.1016/j.bbamcr.2010.10.018</pub-id><pub-id pub-id-type="pmid">21056596</pub-id></element-citation></ref><ref id="bib20"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ellefsen</surname><given-names>KL</given-names></name><name><surname>Settle</surname><given-names>B</given-names></name><name><surname>Parker</surname><given-names>I</given-names></name><name><surname>Smith</surname><given-names>IF</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>An algorithm for automated detection, localization and measurement of local calcium signals from camera-based imaging</article-title><source>Cell Calcium</source><volume>56</volume><fpage>147</fpage><lpage>156</lpage><pub-id pub-id-type="doi">10.1016/j.ceca.2014.06.003</pub-id><pub-id pub-id-type="pmid">25047761</pub-id></element-citation></ref><ref id="bib21"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eyo</surname><given-names>UB</given-names></name><name><surname>Peng</surname><given-names>J</given-names></name><name><surname>Swiatkowski</surname><given-names>P</given-names></name><name><surname>Mukherjee</surname><given-names>A</given-names></name><name><surname>Bispo</surname><given-names>A</given-names></name><name><surname>Wu</surname><given-names>L-J</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Neuronal hyperactivity recruits microglial processes via neuronal NMDA receptors and microglial P2Y12 receptors after status epilepticus</article-title><source>The Journal of Neuroscience</source><volume>34</volume><fpage>10528</fpage><lpage>10540</lpage><pub-id pub-id-type="doi">10.1523/JNEUROSCI.0416-14.2014</pub-id><pub-id pub-id-type="pmid">25100587</pub-id></element-citation></ref><ref id="bib22"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fahira</surname><given-names>A</given-names></name><name><surname>Li</surname><given-names>Z</given-names></name><name><surname>Liu</surname><given-names>N</given-names></name><name><surname>Shi</surname><given-names>Y</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Prediction of causal genes and gene expression analysis of attention-deficit hyperactivity disorder in the different brain region, a comprehensive integrative analysis of ADHD</article-title><source>Behavioural Brain Research</source><volume>364</volume><fpage>183</fpage><lpage>192</lpage><pub-id pub-id-type="doi">10.1016/j.bbr.2019.02.010</pub-id><pub-id pub-id-type="pmid">30738099</pub-id></element-citation></ref><ref id="bib23"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gilbert</surname><given-names>DF</given-names></name><name><surname>Stebbing</surname><given-names>MJ</given-names></name><name><surname>Kuenzel</surname><given-names>K</given-names></name><name><surname>Murphy</surname><given-names>RM</given-names></name><name><surname>Zacharewicz</surname><given-names>E</given-names></name><name><surname>Buttgereit</surname><given-names>A</given-names></name><name><surname>Stokes</surname><given-names>L</given-names></name><name><surname>Adams</surname><given-names>DJ</given-names></name><name><surname>Friedrich</surname><given-names>O</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Store-Operated Ca<sup>2+</sup> Entry (SOCE) and Purinergic Receptor-Mediated Ca<sup>2+</sup> Homeostasis in Murine bv2 Microglia Cells: Early Cellular Responses to ATP-Mediated Microglia Activation</article-title><source>Frontiers in Molecular Neuroscience</source><volume>9</volume><elocation-id>111</elocation-id><pub-id pub-id-type="doi">10.3389/fnmol.2016.00111</pub-id><pub-id pub-id-type="pmid">27840602</pub-id></element-citation></ref><ref id="bib24"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gorelik</surname><given-names>R</given-names></name><name><surname>Gautreau</surname><given-names>A</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Quantitative and unbiased analysis of directional persistence in cell migration</article-title><source>Nature Protocols</source><volume>9</volume><fpage>1931</fpage><lpage>1943</lpage><pub-id pub-id-type="doi">10.1038/nprot.2014.131</pub-id><pub-id pub-id-type="pmid">25033209</pub-id></element-citation></ref><ref id="bib25"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Götzl</surname><given-names>JK</given-names></name><name><surname>Brendel</surname><given-names>M</given-names></name><name><surname>Werner</surname><given-names>G</given-names></name><name><surname>Parhizkar</surname><given-names>S</given-names></name><name><surname>Sebastian Monasor</surname><given-names>L</given-names></name><name><surname>Kleinberger</surname><given-names>G</given-names></name><name><surname>Colombo</surname><given-names>A-V</given-names></name><name><surname>Deussing</surname><given-names>M</given-names></name><name><surname>Wagner</surname><given-names>M</given-names></name><name><surname>Winkelmann</surname><given-names>J</given-names></name><name><surname>Diehl-Schmid</surname><given-names>J</given-names></name><name><surname>Levin</surname><given-names>J</given-names></name><name><surname>Fellerer</surname><given-names>K</given-names></name><name><surname>Reifschneider</surname><given-names>A</given-names></name><name><surname>Bultmann</surname><given-names>S</given-names></name><name><surname>Bartenstein</surname><given-names>P</given-names></name><name><surname>Rominger</surname><given-names>A</given-names></name><name><surname>Tahirovic</surname><given-names>S</given-names></name><name><surname>Smith</surname><given-names>ST</given-names></name><name><surname>Madore</surname><given-names>C</given-names></name><name><surname>Butovsky</surname><given-names>O</given-names></name><name><surname>Capell</surname><given-names>A</given-names></name><name><surname>Haass</surname><given-names>C</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Opposite microglial activation stages upon loss of PGRN or TREM2 result in reduced cerebral glucose metabolism</article-title><source>EMBO Molecular Medicine</source><volume>11</volume><elocation-id>e9711</elocation-id><pub-id pub-id-type="doi">10.15252/emmm.201809711</pub-id><pub-id pub-id-type="pmid">31122931</pub-id></element-citation></ref><ref id="bib26"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gratuze</surname><given-names>M</given-names></name><name><surname>Leyns</surname><given-names>CE</given-names></name><name><surname>Sauerbeck</surname><given-names>AD</given-names></name><name><surname>St-Pierre</surname><given-names>M-K</given-names></name><name><surname>Xiong</surname><given-names>M</given-names></name><name><surname>Kim</surname><given-names>N</given-names></name><name><surname>Serrano</surname><given-names>JR</given-names></name><name><surname>Tremblay</surname><given-names>M-È</given-names></name><name><surname>Kummer</surname><given-names>TT</given-names></name><name><surname>Colonna</surname><given-names>M</given-names></name><name><surname>Ulrich</surname><given-names>JD</given-names></name><name><surname>Holtzman</surname><given-names>DM</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Impact of TREM2R47H variant on tau pathology-induced gliosis and neurodegeneration</article-title><source>The Journal of Clinical Investigation</source><volume>130</volume><fpage>4954</fpage><lpage>4968</lpage><pub-id pub-id-type="doi">10.1172/JCI138179</pub-id><pub-id pub-id-type="pmid">32544086</pub-id></element-citation></ref><ref id="bib27"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Griciuc</surname><given-names>A</given-names></name><name><surname>Patel</surname><given-names>S</given-names></name><name><surname>Federico</surname><given-names>AN</given-names></name><name><surname>Choi</surname><given-names>SH</given-names></name><name><surname>Innes</surname><given-names>BJ</given-names></name><name><surname>Oram</surname><given-names>MK</given-names></name><name><surname>Cereghetti</surname><given-names>G</given-names></name><name><surname>McGinty</surname><given-names>D</given-names></name><name><surname>Anselmo</surname><given-names>A</given-names></name><name><surname>Sadreyev</surname><given-names>RI</given-names></name><name><surname>Hickman</surname><given-names>SE</given-names></name><name><surname>El Khoury</surname><given-names>J</given-names></name><name><surname>Colonna</surname><given-names>M</given-names></name><name><surname>Tanzi</surname><given-names>RE</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>TREM2 Acts Downstream of CD33 in Modulating Microglial Pathology in Alzheimer’s Disease</article-title><source>Neuron</source><volume>103</volume><fpage>820</fpage><lpage>835</lpage><pub-id pub-id-type="doi">10.1016/j.neuron.2019.06.010</pub-id><pub-id pub-id-type="pmid">31301936</pub-id></element-citation></ref><ref id="bib28"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hasselmann</surname><given-names>J</given-names></name><name><surname>Coburn</surname><given-names>MA</given-names></name><name><surname>England</surname><given-names>W</given-names></name><name><surname>Figueroa Velez</surname><given-names>DX</given-names></name><name><surname>Kiani Shabestari</surname><given-names>S</given-names></name><name><surname>Tu</surname><given-names>CH</given-names></name><name><surname>McQuade</surname><given-names>A</given-names></name><name><surname>Kolahdouzan</surname><given-names>M</given-names></name><name><surname>Echeverria</surname><given-names>K</given-names></name><name><surname>Claes</surname><given-names>C</given-names></name><name><surname>Nakayama</surname><given-names>T</given-names></name><name><surname>Azevedo</surname><given-names>R</given-names></name><name><surname>Coufal</surname><given-names>NG</given-names></name><name><surname>Han</surname><given-names>CZ</given-names></name><name><surname>Cummings</surname><given-names>BJ</given-names></name><name><surname>Davtyan</surname><given-names>H</given-names></name><name><surname>Glass</surname><given-names>CK</given-names></name><name><surname>Healy</surname><given-names>LM</given-names></name><name><surname>Gandhi</surname><given-names>SP</given-names></name><name><surname>Spitale</surname><given-names>RC</given-names></name><name><surname>Blurton-Jones</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Development of a Chimeric Model to Study and Manipulate Human Microglia In Vivo</article-title><source>Neuron</source><volume>103</volume><fpage>1016</fpage><lpage>1033</lpage><pub-id pub-id-type="doi">10.1016/j.neuron.2019.07.002</pub-id><pub-id pub-id-type="pmid">31375314</pub-id></element-citation></ref><ref id="bib29"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Haynes</surname><given-names>SE</given-names></name><name><surname>Hollopeter</surname><given-names>G</given-names></name><name><surname>Yang</surname><given-names>G</given-names></name><name><surname>Kurpius</surname><given-names>D</given-names></name><name><surname>Dailey</surname><given-names>ME</given-names></name><name><surname>Gan</surname><given-names>W-B</given-names></name><name><surname>Julius</surname><given-names>D</given-names></name></person-group><year iso-8601-date="2006">2006</year><article-title>The P2Y12 receptor regulates microglial activation by extracellular nucleotides</article-title><source>Nature Neuroscience</source><volume>9</volume><fpage>1512</fpage><lpage>1519</lpage><pub-id pub-id-type="doi">10.1038/nn1805</pub-id><pub-id pub-id-type="pmid">17115040</pub-id></element-citation></ref><ref id="bib30"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Honda</surname><given-names>S</given-names></name><name><surname>Sasaki</surname><given-names>Y</given-names></name><name><surname>Ohsawa</surname><given-names>K</given-names></name><name><surname>Imai</surname><given-names>Y</given-names></name><name><surname>Nakamura</surname><given-names>Y</given-names></name><name><surname>Inoue</surname><given-names>K</given-names></name><name><surname>Kohsaka</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2001">2001</year><article-title>Extracellular ATP or ADP induce chemotaxis of cultured microglia through Gi/o-coupled P2Y receptors</article-title><source>The Journal of Neuroscience</source><volume>21</volume><fpage>1975</fpage><lpage>1982</lpage><pub-id pub-id-type="pmid">11245682</pub-id></element-citation></ref><ref id="bib31"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ilina</surname><given-names>O</given-names></name><name><surname>Friedl</surname><given-names>P</given-names></name></person-group><year iso-8601-date="2009">2009</year><article-title>Mechanisms of collective cell migration at a glance</article-title><source>Journal of Cell Science</source><volume>122</volume><fpage>3203</fpage><lpage>3208</lpage><pub-id pub-id-type="doi">10.1242/jcs.036525</pub-id><pub-id pub-id-type="pmid">19726629</pub-id></element-citation></ref><ref id="bib32"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Irino</surname><given-names>Y</given-names></name><name><surname>Nakamura</surname><given-names>Y</given-names></name><name><surname>Inoue</surname><given-names>K</given-names></name><name><surname>Kohsaka</surname><given-names>S</given-names></name><name><surname>Ohsawa</surname><given-names>K</given-names></name></person-group><year iso-8601-date="2008">2008</year><article-title>Akt activation is involved in P2Y12 receptor-mediated chemotaxis of microglia</article-title><source>Journal of Neuroscience Research</source><volume>86</volume><fpage>1511</fpage><lpage>1519</lpage><pub-id pub-id-type="doi">10.1002/jnr.21610</pub-id><pub-id pub-id-type="pmid">18183622</pub-id></element-citation></ref><ref id="bib33"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jairaman</surname><given-names>A</given-names></name><name><surname>Cahalan</surname><given-names>MD</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Calcium Imaging in T Lymphocytes: a Protocol for Use with Genetically Encoded or Chemical Ca<sup>2+</sup> Indicators</article-title><source>Bio-Protocol</source><volume>11</volume><elocation-id>e4170</elocation-id><pub-id pub-id-type="doi">10.21769/BioProtoc.4170</pub-id><pub-id pub-id-type="pmid">34722817</pub-id></element-citation></ref><ref id="bib34"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jansen</surname><given-names>IE</given-names></name><name><surname>Savage</surname><given-names>JE</given-names></name><name><surname>Watanabe</surname><given-names>K</given-names></name><name><surname>Bryois</surname><given-names>J</given-names></name><name><surname>Williams</surname><given-names>DM</given-names></name><name><surname>Steinberg</surname><given-names>S</given-names></name><name><surname>Sealock</surname><given-names>J</given-names></name><name><surname>Karlsson</surname><given-names>IK</given-names></name><name><surname>Hägg</surname><given-names>S</given-names></name><name><surname>Athanasiu</surname><given-names>L</given-names></name><name><surname>Voyle</surname><given-names>N</given-names></name><name><surname>Proitsi</surname><given-names>P</given-names></name><name><surname>Witoelar</surname><given-names>A</given-names></name><name><surname>Stringer</surname><given-names>S</given-names></name><name><surname>Aarsland</surname><given-names>D</given-names></name><name><surname>Almdahl</surname><given-names>IS</given-names></name><name><surname>Andersen</surname><given-names>F</given-names></name><name><surname>Bergh</surname><given-names>S</given-names></name><name><surname>Bettella</surname><given-names>F</given-names></name><name><surname>Bjornsson</surname><given-names>S</given-names></name><name><surname>Brækhus</surname><given-names>A</given-names></name><name><surname>Bråthen</surname><given-names>G</given-names></name><name><surname>de Leeuw</surname><given-names>C</given-names></name><name><surname>Desikan</surname><given-names>RS</given-names></name><name><surname>Djurovic</surname><given-names>S</given-names></name><name><surname>Dumitrescu</surname><given-names>L</given-names></name><name><surname>Fladby</surname><given-names>T</given-names></name><name><surname>Hohman</surname><given-names>TJ</given-names></name><name><surname>Jonsson</surname><given-names>PV</given-names></name><name><surname>Kiddle</surname><given-names>SJ</given-names></name><name><surname>Rongve</surname><given-names>A</given-names></name><name><surname>Saltvedt</surname><given-names>I</given-names></name><name><surname>Sando</surname><given-names>SB</given-names></name><name><surname>Selbæk</surname><given-names>G</given-names></name><name><surname>Shoai</surname><given-names>M</given-names></name><name><surname>Skene</surname><given-names>NG</given-names></name><name><surname>Snaedal</surname><given-names>J</given-names></name><name><surname>Stordal</surname><given-names>E</given-names></name><name><surname>Ulstein</surname><given-names>ID</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>White</surname><given-names>LR</given-names></name><name><surname>Hardy</surname><given-names>J</given-names></name><name><surname>Hjerling-Leffler</surname><given-names>J</given-names></name><name><surname>Sullivan</surname><given-names>PF</given-names></name><name><surname>van der Flier</surname><given-names>WM</given-names></name><name><surname>Dobson</surname><given-names>R</given-names></name><name><surname>Davis</surname><given-names>LK</given-names></name><name><surname>Stefansson</surname><given-names>H</given-names></name><name><surname>Stefansson</surname><given-names>K</given-names></name><name><surname>Pedersen</surname><given-names>NL</given-names></name><name><surname>Ripke</surname><given-names>S</given-names></name><name><surname>Andreassen</surname><given-names>OA</given-names></name><name><surname>Posthuma</surname><given-names>D</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Genome-wide meta-analysis identifies new loci and functional pathways influencing Alzheimer’s disease risk</article-title><source>Nature Genetics</source><volume>51</volume><fpage>404</fpage><lpage>413</lpage><pub-id pub-id-type="doi">10.1038/s41588-018-0311-9</pub-id><pub-id pub-id-type="pmid">30617256</pub-id></element-citation></ref><ref id="bib35"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Karch</surname><given-names>CM</given-names></name><name><surname>Jeng</surname><given-names>AT</given-names></name><name><surname>Nowotny</surname><given-names>P</given-names></name><name><surname>Cady</surname><given-names>J</given-names></name><name><surname>Cruchaga</surname><given-names>C</given-names></name><name><surname>Goate</surname><given-names>AM</given-names></name></person-group><year iso-8601-date="2012">2012</year><article-title>Expression of novel Alzheimer’s disease risk genes in control and Alzheimer’s disease brains</article-title><source>PLOS ONE</source><volume>7</volume><elocation-id>e50976</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pone.0050976</pub-id><pub-id pub-id-type="pmid">23226438</pub-id></element-citation></ref><ref id="bib36"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Keren-Shaul</surname><given-names>H</given-names></name><name><surname>Spinrad</surname><given-names>A</given-names></name><name><surname>Weiner</surname><given-names>A</given-names></name><name><surname>Matcovitch-Natan</surname><given-names>O</given-names></name><name><surname>Dvir-Szternfeld</surname><given-names>R</given-names></name><name><surname>Ulland</surname><given-names>TK</given-names></name><name><surname>David</surname><given-names>E</given-names></name><name><surname>Baruch</surname><given-names>K</given-names></name><name><surname>Lara-Astaiso</surname><given-names>D</given-names></name><name><surname>Toth</surname><given-names>B</given-names></name><name><surname>Itzkovitz</surname><given-names>S</given-names></name><name><surname>Colonna</surname><given-names>M</given-names></name><name><surname>Schwartz</surname><given-names>M</given-names></name><name><surname>Amit</surname><given-names>I</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>A Unique Microglia Type Associated with Restricting Development of Alzheimer’s Disease</article-title><source>Cell</source><volume>169</volume><fpage>1276</fpage><lpage>1290</lpage><pub-id pub-id-type="doi">10.1016/j.cell.2017.05.018</pub-id><pub-id pub-id-type="pmid">28602351</pub-id></element-citation></ref><ref id="bib37"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Koizumi</surname><given-names>S</given-names></name><name><surname>Shigemoto-Mogami</surname><given-names>Y</given-names></name><name><surname>Nasu-Tada</surname><given-names>K</given-names></name><name><surname>Shinozaki</surname><given-names>Y</given-names></name><name><surname>Ohsawa</surname><given-names>K</given-names></name><name><surname>Tsuda</surname><given-names>M</given-names></name><name><surname>Joshi</surname><given-names>BV</given-names></name><name><surname>Jacobson</surname><given-names>KA</given-names></name><name><surname>Kohsaka</surname><given-names>S</given-names></name><name><surname>Inoue</surname><given-names>K</given-names></name></person-group><year iso-8601-date="2007">2007</year><article-title>UDP acting at P2Y6 receptors is a mediator of microglial phagocytosis</article-title><source>Nature</source><volume>446</volume><fpage>1091</fpage><lpage>1095</lpage><pub-id pub-id-type="doi">10.1038/nature05704</pub-id><pub-id pub-id-type="pmid">17410128</pub-id></element-citation></ref><ref id="bib38"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Konttinen</surname><given-names>H</given-names></name><name><surname>Cabral-da-Silva</surname><given-names>MEC</given-names></name><name><surname>Ohtonen</surname><given-names>S</given-names></name><name><surname>Wojciechowski</surname><given-names>S</given-names></name><name><surname>Shakirzyanova</surname><given-names>A</given-names></name><name><surname>Caligola</surname><given-names>S</given-names></name><name><surname>Giugno</surname><given-names>R</given-names></name><name><surname>Ishchenko</surname><given-names>Y</given-names></name><name><surname>Hernández</surname><given-names>D</given-names></name><name><surname>Fazaludeen</surname><given-names>MF</given-names></name><name><surname>Eamen</surname><given-names>S</given-names></name><name><surname>Budia</surname><given-names>MG</given-names></name><name><surname>Fagerlund</surname><given-names>I</given-names></name><name><surname>Scoyni</surname><given-names>F</given-names></name><name><surname>Korhonen</surname><given-names>P</given-names></name><name><surname>Huber</surname><given-names>N</given-names></name><name><surname>Haapasalo</surname><given-names>A</given-names></name><name><surname>Hewitt</surname><given-names>AW</given-names></name><name><surname>Vickers</surname><given-names>J</given-names></name><name><surname>Smith</surname><given-names>GC</given-names></name><name><surname>Oksanen</surname><given-names>M</given-names></name><name><surname>Graff</surname><given-names>C</given-names></name><name><surname>Kanninen</surname><given-names>KM</given-names></name><name><surname>Lehtonen</surname><given-names>S</given-names></name><name><surname>Propson</surname><given-names>N</given-names></name><name><surname>Schwartz</surname><given-names>MP</given-names></name><name><surname>Pébay</surname><given-names>A</given-names></name><name><surname>Koistinaho</surname><given-names>J</given-names></name><name><surname>Ooi</surname><given-names>L</given-names></name><name><surname>Malm</surname><given-names>T</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>PSEN1ΔE9, APPswe, and APOE4 Confer Disparate Phenotypes in Human iPSC-Derived Microglia</article-title><source>Stem Cell Reports</source><volume>13</volume><fpage>669</fpage><lpage>683</lpage><pub-id pub-id-type="doi">10.1016/j.stemcr.2019.08.004</pub-id><pub-id pub-id-type="pmid">31522977</pub-id></element-citation></ref><ref id="bib39"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Krasemann</surname><given-names>S</given-names></name><name><surname>Madore</surname><given-names>C</given-names></name><name><surname>Cialic</surname><given-names>R</given-names></name><name><surname>Baufeld</surname><given-names>C</given-names></name><name><surname>Calcagno</surname><given-names>N</given-names></name><name><surname>El Fatimy</surname><given-names>R</given-names></name><name><surname>Beckers</surname><given-names>L</given-names></name><name><surname>O’Loughlin</surname><given-names>E</given-names></name><name><surname>Xu</surname><given-names>Y</given-names></name><name><surname>Fanek</surname><given-names>Z</given-names></name><name><surname>Greco</surname><given-names>DJ</given-names></name><name><surname>Smith</surname><given-names>ST</given-names></name><name><surname>Tweet</surname><given-names>G</given-names></name><name><surname>Humulock</surname><given-names>Z</given-names></name><name><surname>Zrzavy</surname><given-names>T</given-names></name><name><surname>Conde-Sanroman</surname><given-names>P</given-names></name><name><surname>Gacias</surname><given-names>M</given-names></name><name><surname>Weng</surname><given-names>Z</given-names></name><name><surname>Chen</surname><given-names>H</given-names></name><name><surname>Tjon</surname><given-names>E</given-names></name><name><surname>Mazaheri</surname><given-names>F</given-names></name><name><surname>Hartmann</surname><given-names>K</given-names></name><name><surname>Madi</surname><given-names>A</given-names></name><name><surname>Ulrich</surname><given-names>JD</given-names></name><name><surname>Glatzel</surname><given-names>M</given-names></name><name><surname>Worthmann</surname><given-names>A</given-names></name><name><surname>Heeren</surname><given-names>J</given-names></name><name><surname>Budnik</surname><given-names>B</given-names></name><name><surname>Lemere</surname><given-names>C</given-names></name><name><surname>Ikezu</surname><given-names>T</given-names></name><name><surname>Heppner</surname><given-names>FL</given-names></name><name><surname>Litvak</surname><given-names>V</given-names></name><name><surname>Holtzman</surname><given-names>DM</given-names></name><name><surname>Lassmann</surname><given-names>H</given-names></name><name><surname>Weiner</surname><given-names>HL</given-names></name><name><surname>Ochando</surname><given-names>J</given-names></name><name><surname>Haass</surname><given-names>C</given-names></name><name><surname>Butovsky</surname><given-names>O</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>The TREM2-APOE Pathway Drives the Transcriptional Phenotype of Dysfunctional Microglia in Neurodegenerative Diseases</article-title><source>Immunity</source><volume>47</volume><fpage>566</fpage><lpage>581</lpage><pub-id pub-id-type="doi">10.1016/j.immuni.2017.08.008</pub-id><pub-id pub-id-type="pmid">28930663</pub-id></element-citation></ref><ref id="bib40"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leissring</surname><given-names>MA</given-names></name><name><surname>Akbari</surname><given-names>Y</given-names></name><name><surname>Fanger</surname><given-names>CM</given-names></name><name><surname>Cahalan</surname><given-names>MD</given-names></name><name><surname>Mattson</surname><given-names>MP</given-names></name><name><surname>LaFerla</surname><given-names>FM</given-names></name></person-group><year iso-8601-date="2000">2000</year><article-title>Capacitative calcium entry deficits and elevated luminal calcium content in mutant presenilin-1 knockin mice</article-title><source>The Journal of Cell Biology</source><volume>149</volume><fpage>793</fpage><lpage>798</lpage><pub-id pub-id-type="doi">10.1083/jcb.149.4.793</pub-id><pub-id pub-id-type="pmid">10811821</pub-id></element-citation></ref><ref id="bib41"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liang</surname><given-names>CC</given-names></name><name><surname>Park</surname><given-names>AY</given-names></name><name><surname>Guan</surname><given-names>JL</given-names></name></person-group><year iso-8601-date="2007">2007</year><article-title>In vitro scratch assay: a convenient and inexpensive method for analysis of cell migration in vitro</article-title><source>Nature Protocols</source><volume>2</volume><fpage>329</fpage><lpage>333</lpage><pub-id pub-id-type="doi">10.1038/nprot.2007.30</pub-id><pub-id pub-id-type="pmid">17406593</pub-id></element-citation></ref><ref id="bib42"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lim</surname><given-names>HM</given-names></name><name><surname>Woon</surname><given-names>H</given-names></name><name><surname>Han</surname><given-names>JW</given-names></name><name><surname>Baba</surname><given-names>Y</given-names></name><name><surname>Kurosaki</surname><given-names>T</given-names></name><name><surname>Lee</surname><given-names>MG</given-names></name><name><surname>Kim</surname><given-names>JY</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>UDP-Induced Phagocytosis and ATP-Stimulated Chemotactic Migration Are Impaired in STIM1<sup>-/-</sup> Microglia In Vitro and In Vivo</article-title><source>Mediators of Inflammation</source><volume>2017</volume><elocation-id>8158514</elocation-id><pub-id pub-id-type="doi">10.1155/2017/8158514</pub-id><pub-id pub-id-type="pmid">28293066</pub-id></element-citation></ref><ref id="bib43"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lock</surname><given-names>JT</given-names></name><name><surname>Parker</surname><given-names>I</given-names></name><name><surname>Smith</surname><given-names>IF</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Communication of Ca(2+) signals via tunneling membrane nanotubes is mediated by transmission of inositol trisphosphate through gap junctions</article-title><source>Cell Calcium</source><volume>60</volume><fpage>266</fpage><lpage>272</lpage><pub-id pub-id-type="doi">10.1016/j.ceca.2016.06.004</pub-id><pub-id pub-id-type="pmid">27388952</pub-id></element-citation></ref><ref id="bib44"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lord</surname><given-names>SJ</given-names></name><name><surname>Velle</surname><given-names>KB</given-names></name><name><surname>Mullins</surname><given-names>RD</given-names></name><name><surname>Fritz-Laylin</surname><given-names>LK</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>SuperPlots: Communicating reproducibility and variability in cell biology</article-title><source>The Journal of Cell Biology</source><volume>219</volume><elocation-id>e202001064</elocation-id><pub-id pub-id-type="doi">10.1083/jcb.202001064</pub-id><pub-id pub-id-type="pmid">32346721</pub-id></element-citation></ref><ref id="bib45"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lou</surname><given-names>N</given-names></name><name><surname>Takano</surname><given-names>T</given-names></name><name><surname>Pei</surname><given-names>Y</given-names></name><name><surname>Xavier</surname><given-names>AL</given-names></name><name><surname>Goldman</surname><given-names>SA</given-names></name><name><surname>Nedergaard</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Purinergic receptor P2RY12-dependent microglial closure of the injured blood-brain barrier</article-title><source>PNAS</source><volume>113</volume><fpage>1074</fpage><lpage>1079</lpage><pub-id pub-id-type="doi">10.1073/pnas.1520398113</pub-id><pub-id pub-id-type="pmid">26755608</pub-id></element-citation></ref><ref id="bib46"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Madry</surname><given-names>C</given-names></name><name><surname>Attwell</surname><given-names>D</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>Receptors, ion channels, and signaling mechanisms underlying microglial dynamics</article-title><source>The Journal of Biological Chemistry</source><volume>290</volume><fpage>12443</fpage><lpage>12450</lpage><pub-id pub-id-type="doi">10.1074/jbc.R115.637157</pub-id><pub-id pub-id-type="pmid">25855789</pub-id></element-citation></ref><ref id="bib47"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McLarnon</surname><given-names>JG</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Microglial Store-operated Calcium Signaling in Health and in Alzheimer’s Disease</article-title><source>Current Alzheimer Research</source><volume>17</volume><fpage>1057</fpage><lpage>1064</lpage><pub-id pub-id-type="doi">10.2174/1567205018666210119143817</pub-id><pub-id pub-id-type="pmid">33463465</pub-id></element-citation></ref><ref id="bib48"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McQuade</surname><given-names>A</given-names></name><name><surname>Coburn</surname><given-names>M</given-names></name><name><surname>Tu</surname><given-names>CH</given-names></name><name><surname>Hasselmann</surname><given-names>J</given-names></name><name><surname>Davtyan</surname><given-names>H</given-names></name><name><surname>Blurton-Jones</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Development and validation of a simplified method to generate human microglia from pluripotent stem cells</article-title><source>Molecular Neurodegeneration</source><volume>13</volume><elocation-id>67</elocation-id><pub-id pub-id-type="doi">10.1186/s13024-018-0297-x</pub-id><pub-id pub-id-type="pmid">30577865</pub-id></element-citation></ref><ref id="bib49"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McQuade</surname><given-names>A</given-names></name><name><surname>Blurton-Jones</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Microglia in Alzheimer’s Disease: Exploring How Genetics and Phenotype Influence Risk</article-title><source>Journal of Molecular Biology</source><volume>431</volume><fpage>1805</fpage><lpage>1817</lpage><pub-id pub-id-type="doi">10.1016/j.jmb.2019.01.045</pub-id><pub-id pub-id-type="pmid">30738892</pub-id></element-citation></ref><ref id="bib50"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McQuade</surname><given-names>A</given-names></name><name><surname>Kang</surname><given-names>YJ</given-names></name><name><surname>Hasselmann</surname><given-names>J</given-names></name><name><surname>Jairaman</surname><given-names>A</given-names></name><name><surname>Sotelo</surname><given-names>A</given-names></name><name><surname>Coburn</surname><given-names>M</given-names></name><name><surname>Shabestari</surname><given-names>SK</given-names></name><name><surname>Chadarevian</surname><given-names>JP</given-names></name><name><surname>Fote</surname><given-names>G</given-names></name><name><surname>Tu</surname><given-names>CH</given-names></name><name><surname>Danhash</surname><given-names>E</given-names></name><name><surname>Silva</surname><given-names>J</given-names></name><name><surname>Martinez</surname><given-names>E</given-names></name><name><surname>Cotman</surname><given-names>C</given-names></name><name><surname>Prieto</surname><given-names>GA</given-names></name><name><surname>Thompson</surname><given-names>LM</given-names></name><name><surname>Steffan</surname><given-names>JS</given-names></name><name><surname>Smith</surname><given-names>I</given-names></name><name><surname>Davtyan</surname><given-names>H</given-names></name><name><surname>Cahalan</surname><given-names>M</given-names></name><name><surname>Cho</surname><given-names>H</given-names></name><name><surname>Blurton-Jones</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Gene expression and functional deficits underlie TREM2-knockout microglia responses in human models of Alzheimer’s disease</article-title><source>Nature Communications</source><volume>11</volume><elocation-id>5370</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-020-19227-5</pub-id><pub-id pub-id-type="pmid">33097708</pub-id></element-citation></ref><ref id="bib51"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McQuade</surname><given-names>A</given-names></name><name><surname>Blurton-Jones</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Human Induced Pluripotent Stem Cell-Derived Microglia (hiPSC-Microglia)</article-title><source>Methods in Molecular Biology</source><volume>13</volume><elocation-id>429</elocation-id><pub-id pub-id-type="doi">10.1007/7651_2021_429</pub-id><pub-id pub-id-type="pmid">34773245</pub-id></element-citation></ref><ref id="bib52"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meilandt</surname><given-names>WJ</given-names></name><name><surname>Ngu</surname><given-names>H</given-names></name><name><surname>Gogineni</surname><given-names>A</given-names></name><name><surname>Lalehzadeh</surname><given-names>G</given-names></name><name><surname>Lee</surname><given-names>S-H</given-names></name><name><surname>Srinivasan</surname><given-names>K</given-names></name><name><surname>Imperio</surname><given-names>J</given-names></name><name><surname>Wu</surname><given-names>T</given-names></name><name><surname>Weber</surname><given-names>M</given-names></name><name><surname>Kruse</surname><given-names>AJ</given-names></name><name><surname>Stark</surname><given-names>KL</given-names></name><name><surname>Chan</surname><given-names>P</given-names></name><name><surname>Kwong</surname><given-names>M</given-names></name><name><surname>Modrusan</surname><given-names>Z</given-names></name><name><surname>Friedman</surname><given-names>BA</given-names></name><name><surname>Elstrott</surname><given-names>J</given-names></name><name><surname>Foreman</surname><given-names>O</given-names></name><name><surname>Easton</surname><given-names>A</given-names></name><name><surname>Sheng</surname><given-names>M</given-names></name><name><surname>Hansen</surname><given-names>DV</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Trem2 Deletion Reduces Late-Stage Amyloid Plaque Accumulation, Elevates the Aβ42:Aβ40 Ratio, and Exacerbates Axonal Dystrophy and Dendritic Spine Loss in the PS2APP Alzheimer’s Mouse Model</article-title><source>The Journal of Neuroscience</source><volume>40</volume><fpage>1956</fpage><lpage>1974</lpage><pub-id pub-id-type="doi">10.1523/JNEUROSCI.1871-19.2019</pub-id><pub-id pub-id-type="pmid">31980586</pub-id></element-citation></ref><ref id="bib53"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Michaelis</surname><given-names>M</given-names></name><name><surname>Nieswandt</surname><given-names>B</given-names></name><name><surname>Stegner</surname><given-names>D</given-names></name><name><surname>Eilers</surname><given-names>J</given-names></name><name><surname>Kraft</surname><given-names>R</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>STIM1, STIM2, and Orai1 regulate store-operated calcium entry and purinergic activation of microglia</article-title><source>Glia</source><volume>63</volume><fpage>652</fpage><lpage>663</lpage><pub-id pub-id-type="doi">10.1002/glia.22775</pub-id><pub-id pub-id-type="pmid">25471906</pub-id></element-citation></ref><ref id="bib54"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Milior</surname><given-names>G</given-names></name><name><surname>Morin-Brureau</surname><given-names>M</given-names></name><name><surname>Chali</surname><given-names>F</given-names></name><name><surname>Le Duigou</surname><given-names>C</given-names></name><name><surname>Savary</surname><given-names>E</given-names></name><name><surname>Huberfeld</surname><given-names>G</given-names></name><name><surname>Rouach</surname><given-names>N</given-names></name><name><surname>Pallud</surname><given-names>J</given-names></name><name><surname>Capelle</surname><given-names>L</given-names></name><name><surname>Navarro</surname><given-names>V</given-names></name><name><surname>Mathon</surname><given-names>B</given-names></name><name><surname>Clemenceau</surname><given-names>S</given-names></name><name><surname>Miles</surname><given-names>R</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Distinct P2Y Receptors Mediate Extension and Retraction of Microglial Processes in Epileptic and Peritumoral Human Tissue</article-title><source>The Journal of Neuroscience</source><volume>40</volume><fpage>1373</fpage><lpage>1388</lpage><pub-id pub-id-type="doi">10.1523/JNEUROSCI.0218-19.2019</pub-id><pub-id pub-id-type="pmid">31896671</pub-id></element-citation></ref><ref id="bib55"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mizuma</surname><given-names>A</given-names></name><name><surname>Kim</surname><given-names>JY</given-names></name><name><surname>Kacimi</surname><given-names>R</given-names></name><name><surname>Stauderman</surname><given-names>K</given-names></name><name><surname>Dunn</surname><given-names>M</given-names></name><name><surname>Hebbar</surname><given-names>S</given-names></name><name><surname>Yenari</surname><given-names>MA</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Microglial Calcium Release-Activated Calcium Channel Inhibition Improves Outcome from Experimental Traumatic Brain Injury and Microglia-Induced Neuronal Death</article-title><source>Journal of Neurotrauma</source><volume>36</volume><fpage>996</fpage><lpage>1007</lpage><pub-id pub-id-type="doi">10.1089/neu.2018.5856</pub-id><pub-id pub-id-type="pmid">30351197</pub-id></element-citation></ref><ref id="bib56"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morrison</surname><given-names>H</given-names></name><name><surname>Young</surname><given-names>K</given-names></name><name><surname>Qureshi</surname><given-names>M</given-names></name><name><surname>Rowe</surname><given-names>RK</given-names></name><name><surname>Lifshitz</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>Quantitative microglia analyses reveal diverse morphologic responses in the rat cortex after diffuse brain injury</article-title><source>Scientific Reports</source><volume>7</volume><elocation-id>13211</elocation-id><pub-id pub-id-type="doi">10.1038/s41598-017-13581-z</pub-id><pub-id pub-id-type="pmid">29038483</pub-id></element-citation></ref><ref id="bib57"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mustaly-Kalimi</surname><given-names>S</given-names></name><name><surname>Littlefield</surname><given-names>AM</given-names></name><name><surname>Stutzmann</surname><given-names>GE</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Calcium Signaling Deficits in Glia and Autophagic Pathways Contributing to Neurodegenerative Disease</article-title><source>Antioxidants &amp; Redox Signaling</source><volume>29</volume><fpage>1158</fpage><lpage>1175</lpage><pub-id pub-id-type="doi">10.1089/ars.2017.7266</pub-id><pub-id pub-id-type="pmid">29634342</pub-id></element-citation></ref><ref id="bib58"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Negulescu</surname><given-names>PA</given-names></name><name><surname>Krasieva</surname><given-names>TB</given-names></name><name><surname>Khan</surname><given-names>A</given-names></name><name><surname>Kerschbaum</surname><given-names>HH</given-names></name><name><surname>Cahalan</surname><given-names>MD</given-names></name></person-group><year iso-8601-date="1996">1996</year><article-title>Polarity of T cell shape, motility, and sensitivity to antigen</article-title><source>Immunity</source><volume>4</volume><fpage>421</fpage><lpage>430</lpage><pub-id pub-id-type="doi">10.1016/s1074-7613(00)80409-4</pub-id><pub-id pub-id-type="pmid">8630728</pub-id></element-citation></ref><ref id="bib59"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Olah</surname><given-names>M</given-names></name><name><surname>Menon</surname><given-names>V</given-names></name><name><surname>Habib</surname><given-names>N</given-names></name><name><surname>Taga</surname><given-names>MF</given-names></name><name><surname>Ma</surname><given-names>Y</given-names></name><name><surname>Yung</surname><given-names>CJ</given-names></name><name><surname>Cimpean</surname><given-names>M</given-names></name><name><surname>Khairallah</surname><given-names>A</given-names></name><name><surname>Coronas-Samano</surname><given-names>G</given-names></name><name><surname>Sankowski</surname><given-names>R</given-names></name><name><surname>Grün</surname><given-names>D</given-names></name><name><surname>Kroshilina</surname><given-names>AA</given-names></name><name><surname>Dionne</surname><given-names>D</given-names></name><name><surname>Sarkis</surname><given-names>RA</given-names></name><name><surname>Cosgrove</surname><given-names>GR</given-names></name><name><surname>Helgager</surname><given-names>J</given-names></name><name><surname>Golden</surname><given-names>JA</given-names></name><name><surname>Pennell</surname><given-names>PB</given-names></name><name><surname>Prinz</surname><given-names>M</given-names></name><name><surname>Vonsattel</surname><given-names>JPG</given-names></name><name><surname>Teich</surname><given-names>AF</given-names></name><name><surname>Schneider</surname><given-names>JA</given-names></name><name><surname>Bennett</surname><given-names>DA</given-names></name><name><surname>Regev</surname><given-names>A</given-names></name><name><surname>Elyaman</surname><given-names>W</given-names></name><name><surname>Bradshaw</surname><given-names>EM</given-names></name><name><surname>De Jager</surname><given-names>PL</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Single cell RNA sequencing of human microglia uncovers a subset associated with Alzheimer’s disease</article-title><source>Nature Communications</source><volume>11</volume><elocation-id>6129</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-020-19737-2</pub-id><pub-id pub-id-type="pmid">33257666</pub-id></element-citation></ref><ref id="bib60"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Parhizkar</surname><given-names>S</given-names></name><name><surname>Arzberger</surname><given-names>T</given-names></name><name><surname>Brendel</surname><given-names>M</given-names></name><name><surname>Kleinberger</surname><given-names>G</given-names></name><name><surname>Deussing</surname><given-names>M</given-names></name><name><surname>Focke</surname><given-names>C</given-names></name><name><surname>Nuscher</surname><given-names>B</given-names></name><name><surname>Xiong</surname><given-names>M</given-names></name><name><surname>Ghasemigharagoz</surname><given-names>A</given-names></name><name><surname>Katzmarski</surname><given-names>N</given-names></name><name><surname>Krasemann</surname><given-names>S</given-names></name><name><surname>Lichtenthaler</surname><given-names>SF</given-names></name><name><surname>Müller</surname><given-names>SA</given-names></name><name><surname>Colombo</surname><given-names>A</given-names></name><name><surname>Monasor</surname><given-names>LS</given-names></name><name><surname>Tahirovic</surname><given-names>S</given-names></name><name><surname>Herms</surname><given-names>J</given-names></name><name><surname>Willem</surname><given-names>M</given-names></name><name><surname>Pettkus</surname><given-names>N</given-names></name><name><surname>Butovsky</surname><given-names>O</given-names></name><name><surname>Bartenstein</surname><given-names>P</given-names></name><name><surname>Edbauer</surname><given-names>D</given-names></name><name><surname>Rominger</surname><given-names>A</given-names></name><name><surname>Ertürk</surname><given-names>A</given-names></name><name><surname>Grathwohl</surname><given-names>SA</given-names></name><name><surname>Neher</surname><given-names>JJ</given-names></name><name><surname>Holtzman</surname><given-names>DM</given-names></name><name><surname>Meyer-Luehmann</surname><given-names>M</given-names></name><name><surname>Haass</surname><given-names>C</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Loss of TREM2 function increases amyloid seeding but reduces plaque-associated ApoE</article-title><source>Nature Neuroscience</source><volume>22</volume><fpage>191</fpage><lpage>204</lpage><pub-id pub-id-type="doi">10.1038/s41593-018-0296-9</pub-id><pub-id pub-id-type="pmid">30617257</pub-id></element-citation></ref><ref id="bib61"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>J</given-names></name><name><surname>Wetzel</surname><given-names>I</given-names></name><name><surname>Marriott</surname><given-names>I</given-names></name><name><surname>Dréau</surname><given-names>D</given-names></name><name><surname>D’Avanzo</surname><given-names>C</given-names></name><name><surname>Kim</surname><given-names>DY</given-names></name><name><surname>Tanzi</surname><given-names>RE</given-names></name><name><surname>Cho</surname><given-names>H</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>A 3D human triculture system modeling neurodegeneration and neuroinflammation in Alzheimer’s disease</article-title><source>Nature Neuroscience</source><volume>21</volume><fpage>941</fpage><lpage>951</lpage><pub-id pub-id-type="doi">10.1038/s41593-018-0175-4</pub-id><pub-id pub-id-type="pmid">29950669</pub-id></element-citation></ref><ref id="bib62"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Piers</surname><given-names>TM</given-names></name><name><surname>Cosker</surname><given-names>K</given-names></name><name><surname>Mallach</surname><given-names>A</given-names></name><name><surname>Johnson</surname><given-names>GT</given-names></name><name><surname>Guerreiro</surname><given-names>R</given-names></name><name><surname>Hardy</surname><given-names>J</given-names></name><name><surname>Pocock</surname><given-names>JM</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>A locked immunometabolic switch underlies TREM2 R47H loss of function in human iPSC-derived microglia</article-title><source>FASEB Journal</source><volume>34</volume><fpage>2436</fpage><lpage>2450</lpage><pub-id pub-id-type="doi">10.1096/fj.201902447R</pub-id><pub-id pub-id-type="pmid">31907987</pub-id></element-citation></ref><ref id="bib63"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pimenova</surname><given-names>AA</given-names></name><name><surname>Herbinet</surname><given-names>M</given-names></name><name><surname>Gupta</surname><given-names>I</given-names></name><name><surname>Machlovi</surname><given-names>SI</given-names></name><name><surname>Bowles</surname><given-names>KR</given-names></name><name><surname>Marcora</surname><given-names>E</given-names></name><name><surname>Goate</surname><given-names>AM</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Alzheimer’s-associated PU.1 expression levels regulate microglial inflammatory response</article-title><source>Neurobiology of Disease</source><volume>148</volume><elocation-id>105217</elocation-id><pub-id pub-id-type="doi">10.1016/j.nbd.2020.105217</pub-id><pub-id pub-id-type="pmid">33301878</pub-id></element-citation></ref><ref id="bib64"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Prakriya</surname><given-names>M</given-names></name><name><surname>Lewis</surname><given-names>RS</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>Store-Operated Calcium Channels</article-title><source>Physiological Reviews</source><volume>95</volume><fpage>1383</fpage><lpage>1436</lpage><pub-id pub-id-type="doi">10.1152/physrev.00020.2014</pub-id><pub-id pub-id-type="pmid">26400989</pub-id></element-citation></ref><ref id="bib65"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sala Frigerio</surname><given-names>C</given-names></name><name><surname>Wolfs</surname><given-names>L</given-names></name><name><surname>Fattorelli</surname><given-names>N</given-names></name><name><surname>Thrupp</surname><given-names>N</given-names></name><name><surname>Voytyuk</surname><given-names>I</given-names></name><name><surname>Schmidt</surname><given-names>I</given-names></name><name><surname>Mancuso</surname><given-names>R</given-names></name><name><surname>Chen</surname><given-names>WT</given-names></name><name><surname>Woodbury</surname><given-names>ME</given-names></name><name><surname>Srivastava</surname><given-names>G</given-names></name><name><surname>Möller</surname><given-names>T</given-names></name><name><surname>Hudry</surname><given-names>E</given-names></name><name><surname>Das</surname><given-names>S</given-names></name><name><surname>Saido</surname><given-names>T</given-names></name><name><surname>Karran</surname><given-names>E</given-names></name><name><surname>Hyman</surname><given-names>B</given-names></name><name><surname>Perry</surname><given-names>VH</given-names></name><name><surname>Fiers</surname><given-names>M</given-names></name><name><surname>De Strooper</surname><given-names>B</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>The Major Risk Factors for Alzheimer’s Disease: Age, Sex, and Genes Modulate the Microglia Response to Aβ Plaques</article-title><source>Cell Reports</source><volume>27</volume><fpage>1293</fpage><lpage>1306</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2019.03.099</pub-id><pub-id pub-id-type="pmid">31018141</pub-id></element-citation></ref><ref id="bib66"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Suzuki</surname><given-names>T</given-names></name><name><surname>Kohyama</surname><given-names>K</given-names></name><name><surname>Moriyama</surname><given-names>K</given-names></name><name><surname>Ozaki</surname><given-names>M</given-names></name><name><surname>Hasegawa</surname><given-names>S</given-names></name><name><surname>Ueno</surname><given-names>T</given-names></name><name><surname>Saitoe</surname><given-names>M</given-names></name><name><surname>Morio</surname><given-names>T</given-names></name><name><surname>Hayashi</surname><given-names>M</given-names></name><name><surname>Sakuma</surname><given-names>H</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Extracellular ADP augments microglial inflammasome and NF-κB activation via the P2Y12 receptor</article-title><source>European Journal of Immunology</source><volume>50</volume><fpage>205</fpage><lpage>219</lpage><pub-id pub-id-type="doi">10.1002/eji.201848013</pub-id><pub-id pub-id-type="pmid">31549730</pub-id></element-citation></ref><ref id="bib67"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tan</surname><given-names>L</given-names></name><name><surname>Yu</surname><given-names>J-T</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Wu</surname><given-names>Z-C</given-names></name><name><surname>Zhang</surname><given-names>Q</given-names></name><name><surname>Liu</surname><given-names>Q-Y</given-names></name><name><surname>Wang</surname><given-names>W</given-names></name><name><surname>Wang</surname><given-names>H-F</given-names></name><name><surname>Ma</surname><given-names>X-Y</given-names></name><name><surname>Cui</surname><given-names>W-Z</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>Association of GWAS-linked loci with late-onset Alzheimer’s disease in a northern Han Chinese population</article-title><source>Alzheimer’s &amp; Dementia</source><volume>9</volume><fpage>546</fpage><lpage>553</lpage><pub-id pub-id-type="doi">10.1016/j.jalz.2012.08.007</pub-id><pub-id pub-id-type="pmid">23232270</pub-id></element-citation></ref><ref id="bib68"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ulrich</surname><given-names>JD</given-names></name><name><surname>Finn</surname><given-names>MB</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Shen</surname><given-names>A</given-names></name><name><surname>Mahan</surname><given-names>TE</given-names></name><name><surname>Jiang</surname><given-names>H</given-names></name><name><surname>Stewart</surname><given-names>FR</given-names></name><name><surname>Piccio</surname><given-names>L</given-names></name><name><surname>Colonna</surname><given-names>M</given-names></name><name><surname>Holtzman</surname><given-names>DM</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Altered microglial response to Aβ plaques in APPPS1-21 mice heterozygous for TREM2</article-title><source>Molecular Neurodegeneration</source><volume>9</volume><elocation-id>20</elocation-id><pub-id pub-id-type="doi">10.1186/1750-1326-9-20</pub-id><pub-id pub-id-type="pmid">24893973</pub-id></element-citation></ref><ref id="bib69"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Visentin</surname><given-names>S</given-names></name><name><surname>Nuccio</surname><given-names>CD</given-names></name><name><surname>Bellenchi</surname><given-names>GC</given-names></name></person-group><year iso-8601-date="2006">2006</year><article-title>Different patterns of Ca²⁺ signals are induced by low compared to high concentrations of P2Y agonists in microglia</article-title><source>Purinergic Signalling</source><volume>2</volume><fpage>605</fpage><lpage>617</lpage><pub-id pub-id-type="doi">10.1007/s11302-006-9023-1</pub-id><pub-id pub-id-type="pmid">18404463</pub-id></element-citation></ref><ref id="bib70"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>S</given-names></name><name><surname>Mustafa</surname><given-names>M</given-names></name><name><surname>Yuede</surname><given-names>CM</given-names></name><name><surname>Salazar</surname><given-names>SV</given-names></name><name><surname>Kong</surname><given-names>P</given-names></name><name><surname>Long</surname><given-names>H</given-names></name><name><surname>Ward</surname><given-names>M</given-names></name><name><surname>Siddiqui</surname><given-names>O</given-names></name><name><surname>Paul</surname><given-names>R</given-names></name><name><surname>Gilfillan</surname><given-names>S</given-names></name><name><surname>Ibrahim</surname><given-names>A</given-names></name><name><surname>Rhinn</surname><given-names>H</given-names></name><name><surname>Tassi</surname><given-names>I</given-names></name><name><surname>Rosenthal</surname><given-names>A</given-names></name><name><surname>Schwabe</surname><given-names>T</given-names></name><name><surname>Colonna</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Anti-human TREM2 induces microglia proliferation and reduces pathology in an Alzheimer’s disease model</article-title><source>The Journal of Experimental Medicine</source><volume>217</volume><elocation-id>e20200785</elocation-id><pub-id pub-id-type="doi">10.1084/jem.20200785</pub-id><pub-id pub-id-type="pmid">32579671</pub-id></element-citation></ref><ref id="bib71"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weisman</surname><given-names>GA</given-names></name><name><surname>Woods</surname><given-names>LT</given-names></name><name><surname>Erb</surname><given-names>L</given-names></name><name><surname>Seye</surname><given-names>CI</given-names></name></person-group><year iso-8601-date="2012">2012</year><article-title>P2Y receptors in the mammalian nervous system: pharmacology, ligands and therapeutic potential</article-title><source>CNS &amp; Neurological Disorders Drug Targets</source><volume>11</volume><fpage>722</fpage><lpage>738</lpage><pub-id pub-id-type="doi">10.2174/187152712803581047</pub-id><pub-id pub-id-type="pmid">22963441</pub-id></element-citation></ref><ref id="bib72"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Ren</surname><given-names>S</given-names></name><name><surname>Li</surname><given-names>K</given-names></name><name><surname>Ning</surname><given-names>Q</given-names></name><name><surname>Jiang</surname><given-names>X</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Aberrant expression of long noncoding RNAs in the serum and myocardium of spontaneous hypertensive rats</article-title><source>Molecular Biology Reports</source><volume>46</volume><fpage>6399</fpage><lpage>6404</lpage><pub-id pub-id-type="doi">10.1007/s11033-019-05086-x</pub-id><pub-id pub-id-type="pmid">31549370</pub-id></element-citation></ref><ref id="bib73"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yegutkin</surname><given-names>GG</given-names></name></person-group><year iso-8601-date="2008">2008</year><article-title>Nucleotide- and nucleoside-converting ectoenzymes: Important modulators of purinergic signalling cascade</article-title><source>Biochimica et Biophysica Acta</source><volume>1783</volume><fpage>673</fpage><lpage>694</lpage><pub-id pub-id-type="doi">10.1016/j.bbamcr.2008.01.024</pub-id><pub-id pub-id-type="pmid">18302942</pub-id></element-citation></ref><ref id="bib74"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>You</surname><given-names>Y</given-names></name><name><surname>Muraoka</surname><given-names>S</given-names></name><name><surname>Jedrychowski</surname><given-names>MP</given-names></name><name><surname>Hu</surname><given-names>J</given-names></name><name><surname>McQuade</surname><given-names>AK</given-names></name><name><surname>Young-Pearse</surname><given-names>T</given-names></name><name><surname>Aslebagh</surname><given-names>R</given-names></name><name><surname>Shaffer</surname><given-names>SA</given-names></name><name><surname>Gygi</surname><given-names>SP</given-names></name><name><surname>Blurton-Jones</surname><given-names>M</given-names></name><name><surname>Poon</surname><given-names>WW</given-names></name><name><surname>Ikezu</surname><given-names>T</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Human neural cell type-specific extracellular vesicle proteome defines disease-related molecules associated with activated astrocytes in Alzheimer’s disease brain</article-title><source>Journal of Extracellular Vesicles</source><volume>11</volume><elocation-id>e12183</elocation-id><pub-id pub-id-type="doi">10.1002/jev2.12183</pub-id><pub-id pub-id-type="pmid">35029059</pub-id></element-citation></ref><ref id="bib75"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>K</given-names></name><name><surname>Sloan</surname><given-names>SA</given-names></name><name><surname>Bennett</surname><given-names>ML</given-names></name><name><surname>Scholze</surname><given-names>AR</given-names></name><name><surname>O’Keeffe</surname><given-names>S</given-names></name><name><surname>Phatnani</surname><given-names>HP</given-names></name><name><surname>Guarnieri</surname><given-names>P</given-names></name><name><surname>Caneda</surname><given-names>C</given-names></name><name><surname>Ruderisch</surname><given-names>N</given-names></name><name><surname>Deng</surname><given-names>S</given-names></name><name><surname>Liddelow</surname><given-names>SA</given-names></name><name><surname>Zhang</surname><given-names>C</given-names></name><name><surname>Daneman</surname><given-names>R</given-names></name><name><surname>Maniatis</surname><given-names>T</given-names></name><name><surname>Barres</surname><given-names>BA</given-names></name><name><surname>Wu</surname><given-names>JQ</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>An RNA-sequencing transcriptome and splicing database of glia, neurons, and vascular cells of the cerebral cortex</article-title><source>The Journal of Neuroscience</source><volume>34</volume><fpage>11929</fpage><lpage>11947</lpage><pub-id pub-id-type="doi">10.1523/JNEUROSCI.1860-14.2014</pub-id><pub-id pub-id-type="pmid">25186741</pub-id></element-citation></ref></ref-list></back><sub-article article-type="editor-report" id="sa0"><front-stub><article-id pub-id-type="doi">10.7554/eLife.73021.sa0</article-id><title-group><article-title>Editor's evaluation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Prakriya</surname><given-names>Murali</given-names></name><role specific-use="editor">Reviewing Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/000e0be47</institution-id><institution>Northwestern University</institution></institution-wrap><country>United States</country></aff></contrib></contrib-group><related-object id="sa0ro1" link-type="continued-by" object-id="10.1101/2021.08.24.457491" object-id-type="id" xlink:href="https://sciety.org/articles/activity/10.1101/2021.08.24.457491"/></front-stub><body><p>Overall, this is a significant advance in the field of microglial regulation by calcium signaling.</p></body></sub-article><sub-article article-type="decision-letter" id="sa1"><front-stub><article-id pub-id-type="doi">10.7554/eLife.73021.sa1</article-id><title-group><article-title>Decision letter</article-title></title-group><contrib-group content-type="section"><contrib contrib-type="editor"><name><surname>Prakriya</surname><given-names>Murali</given-names></name><role>Reviewing Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/000e0be47</institution-id><institution>Northwestern University</institution></institution-wrap><country>United States</country></aff></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Trebak</surname><given-names>Mohamed</given-names></name><role>Reviewer</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/01an3r305</institution-id><institution>University of Pittsburgh</institution></institution-wrap><country>United States</country></aff></contrib></contrib-group></front-stub><body><boxed-text id="box1"><p>Our editorial process produces two outputs: i) <ext-link ext-link-type="uri" xlink:href="https://sciety.org/articles/activity/10.1101/2021.08.24.457491">public reviews</ext-link> designed to be posted alongside <ext-link ext-link-type="uri" xlink:href="https://www.biorxiv.org/content/10.1101/2021.08.24.457491v1">the preprint</ext-link> for the benefit of readers; ii) feedback on the manuscript for the authors, including requests for revisions, shown below. We also include an acceptance summary that explains what the editors found interesting or important about the work.</p></boxed-text><p><bold>Decision letter after peer review:</bold></p><p>Thank you for submitting your article &quot;TREM2 regulates purinergic receptor-mediated calcium signaling and motility in human iPSC-derived microglia&quot; for consideration by <italic>eLife</italic>. Your article has been reviewed by 3 peer reviewers, one of whom is a member of our Board of Reviewing Editors, and the evaluation has been overseen by Richard Aldrich as the Senior Editor. The following individual involved in review of your submission has agreed to reveal their identity: Mohamed Trebak (Reviewer #2).</p><p>The reviewers have discussed their reviews with one another, and the Reviewing Editor has drafted this to help you prepare a revised submission. Reviewers had concerns on two broad aspects of the paper: the calcium signaling studies, and the results relating to cell motility. In addition, other concerns were raised which are described in the individual reviewer comments.</p><p>Essential revisions:</p><p>1) A more rigorous examination of protein expression should be performed with antibody validation to determine if there are compensatory changes at the protein level of other relevant Ca<sup>2+</sup> signaling proteins (Figure 1 Suppl2) that could affect the results. Westerns should be performed for STIM1 and STIM2, Orai1 and IP3R 1/2/3, for which there are reliable Abs. Although the IF as performed for Orai1 is acceptable, the authors do not show positive and negative controls and a thorough validation of this Orai1Ab in IF. This is strongly recommended given the poor quality of Orai1 Abs in general. Likewise, staining for P2YR12 appears internal and the Ab should be validated. A WB on P2YR12 and P2RY13 in addition would help.</p><p>2) Important: It is clear that the TREM2 KO cells have significantly lower STIM1 expression, which would be expected to impact SOCE under conditions of physiological agonists stimulation (ADP, ATP). The conclusion based on maximal activation with thapsigargin does not address this issue. What is the impact of reduced STIM1 expression on the Ca signals and motility?</p><p>3) A Ca<sup>2+</sup> off/on protocol with ADP (Figure 1) as done for thapsigargin should be performed. In Figure 2B, ADP was applied in the absence of external Ca<sup>2+</sup>, but sadly those recordings did not subsequently replenish Ca<sup>2+</sup> to gauge Ca<sup>2+</sup> entry. Low concentrations of Gd3+ (which should not alter Ca<sup>2+</sup> release) reduce the initial Ca<sup>2+</sup> release peak, suggesting that there is a contribution of Ca<sup>2+</sup> entry to this initial response. Also, it would have been helpful to include in Figure 1 Suppl1 the control (non KO cells) in these experiments for reference.</p><p>4) The conclusion that SOCE is mediated by Orai1 should be validated with a genetic approach as 2-APB and La3+ are non-specific.</p><p>5) Conversely, it is not clear if store content is depleted to a greater extent following ADP receptor stimulation in the KO cells. Assess ER calcium content in response to ADP in WT and KO cells or with an ionomycin pulse.</p><p>6) Figure 3: The WT data in this figure don't include KO cells. How do the TREM2 KOs compare to WT in the scratch wound closure assay? The KO cells seem to be tested, but only in the absence of ADP (Figure 4 Sup 1A). Is there a difference in wound closure after ADP treatment? This point should be evaluated to assess the effects of altered ADP Ca signaling on non-directional cell movement in a physiologically relevant paradigm.</p><p>7) Terminology: The term &quot;Ca clamp&quot; in the way it has been used here could be misconstrued by readers. Cellular Ca is not clamped. It varies within each cell depending on the activity of the pumps and other clearance mechanisms in the cell. The motility measurements are simply done after extracellular Ca is restored to the cells after thapsigargin treatment, at time points where the cytosolic Ca is lower in 0.2 mM Ca compared to 2 mM Ca. This phrasing (Ca clamp) needs to be changed to eliminate confusion that cellular calcium is &quot;clamped&quot; analogous to voltage-clamp.</p><p>8) Figure 6D TREM2 KOs (but not WT) cells show differences in motility between 0.2 mM and 2 mM extracellular Ca even after thapsigargin treatment with no ADP exposure. This is strong indication that motility differences in TREM2 KO cells are due to more than just alterations in purinergic signaling. (Consistent with lack of additional ADP effects in Figure 6 Supplement 1). What is the role of these intrinsic changes in cell motility in response to cellular Ca elevations in the presence and absence of nucleotides?</p><p>9) Figure 6D: The data for WT cells should be directly compared to the KOs at each extracellular Ca concentration to dissect out differences in KO cells at each Ca condition.</p><p>10) The data in Figure 4K should be reanalyzed to compare differences in the absolute levels of branch complexity (# of branches and process length) in the two groups.</p><p>11) The apparent disconnect between the larger mean square distance travelled in the absence of nucleotides in the KO with no change in the mean speed needs to be clarified. Is this due to cancelling of speed vectors with opposite directions?</p><p><italic>Reviewer #1 (Recommendations for the authors):</italic></p><p>1) Figure 3: The WT data in this figure don't include KO cells. How do the KOs compare to the WT in the scratch wound closure assay? The KO cells seem to be tested, but only in the absence of ADP (Figure 4 Sup 1A). Is there a difference in wound closure after ADP treatment? This point should be evaluated to assess the effects of altered ADP Ca signaling on non-directional cell movement in a physiologically relevant paradigm.</p><p>2) Figure 4: This reviewer is not convinced that reduced turning accounts for the similar speed in the KO despite the larger mean square distance travelled. If turning is reduced and the mean square distance is doubled in the KO, then effectively, the average distance travelled over time (speed) should be greater in the KO than in the WT. The logic of this inference and how it explains the data (similar average speed but much greater root mean square displacement in the KO) needs to be better clarified. Since the mean square distance is so much larger, it suggests that the speed vectors with opposite directions are cancelling out in the KO cells to yield the same average velocity (which could theoretically even occur from increased, not decreased turning).</p><p>3) Figure 4K: It seems that the baseline branch complexity is low to start with in the KOs, hence the fold change from baseline seems larger. From the images shown, there appears to be no difference following ADP treatment between the two groups. This data should be reanalyzed to compare differences in the absolute levels of branch complexity (# of branches and process length) in the two groups.</p><p>4) The use of the term Ca clamp is misleading in the way it has been used here. Cellular Ca is, in fact, not clamped, but changes within each cell depending on the activity of pumps and other calcium clearance mechanisms. The motility measurements are simply done after extracellular Ca is restored to cells after thapsigargin treatment, at time points where the cytosolic Ca is lower in 0.2 mM Cacompared to 2 mM Ca. This phrasing (Ca clamp) needs to be changed to eliminate confusion that cellular Ca levels are &quot;clamped&quot; to defined values analogous to voltage clamp.</p><p>5) Figure 6D: It is noteworthy that TREM2 KOs, but not WT cells, show differences in motility between 0.2 mM and 2 mM extracellular Ca even after thapsigargin treatment with no ADP exposure. This is strong suggestion that motility differences in TREM2 KO cells are due to more than just alterations in purinergic signaling. In fact, this inference is consistent by the lack of additional effects of adding ADP in Figure 6 Supplement 1. These intrinsic changes in cell motility in response to cellular Ca elevations need further clarification.</p><p>6) Figure 6D: Related to this figure, the data for WT cells should be directly compared to the KOs at each extracellular Ca concentration to dissect out differences in KO cells at each Ca condition.</p><p>Other:</p><p>– Stim1 is expressed at different levels between the WT and TREM2 KO. It has a significant p-value (Figure 1 Sup2D). This decrease could affect multiple aspects of microglia including cell motility in the presence of physiologically relevant agonists. This needs to be addressed.</p><p>– A technical point related to Figure 4 is that figures 4C and 4G should be labelled &quot;velocity&quot; rather than speed, as it seems the only way in which the mean squared distance can be twice as large in the KO but not the velocity if the speed vectors with opposite directions are cancelling out in the KO.</p><p>– The dose of ADP used in Figure 7 is extremely high. 100ng/mL (which is 234uM by my calculation). By contrast, Figure 4 used 2.5uM. The 100 fold higher concentration in the chemotaxis assay needs to be justified. Further, it should be determined whether the ADP used diffuses into both chambers might be expected. This super high dose of ADP may have non-physiological effects that could explain the seemingly differing phenotypes in Figures 4 and 7.</p><p>– Figure 5 is a great set of experiments to show that the Salsa6f does not affect end points of the study, but may be better as a supplementary figure rather than a main figure. If the paper is about the TREM2 KO versus WT then the main figures should stick with looking at differences between the two with maybe a sub figure to show validation.</p><p><italic>Reviewer #2 (Recommendations for the authors):</italic></p><p>– A more rigorous approach could be used to document the presence or absence of compensatory changes at the protein protein level of other Ca<sup>2+</sup> signaling proteins (Figure 1 Suppl2). Preferably Westerns should be performed for STIM1 and STIM2, Orai1 and IP3R 1/2/3, for which there are reliable Abs. Although IF as performed for Orai1 is acceptable, the authors do not show positive and negative controls and a thorough validation of this Orai1Ab in IF.</p><p>– Along the same lines as comment above, Staining for P2YR12 appears internal. Has the Ab been validated? Can authors perform a WB on P2YR12 and P2RY13 in addition?</p><p>– Did the authors check on whether the expression of SECRA is altered at the protein level? Did the authors perform CRAC channel recordings in Control and TREM2 KO cells?</p><p>– It is quite surprising that the authors did not opt to use the Ca<sup>2+</sup> off/on protocol with ADP (Figure 1) as they have done with thapsigargin. In Figure 2B, ADP was applied in the absence of external Ca<sup>2+</sup>, but sadly those recordings did not subsequently replenish Ca<sup>2+</sup> to gauge Ca<sup>2+</sup> entry. One can rationalize the result of 2-APB (Figure 1 Suppl1), a non-specific channel blocker that also inhibits IP3Rs. However, the fact that low concentrations of Gd3+ (which should not alter Ca<sup>2+</sup> release) reduce the initial Ca<sup>2+</sup> release peak, suggests that there is a contribution of Ca<sup>2+</sup> entry to this initial response. Also, it would have been helpful to include in Figure 1 Suppl1 the control (non KO cells) in these experiments for reference.</p><p>Additional thoughts to the attention of the authors:</p><p>– The authors have speculated on the fact that increased cytosolic Ca<sup>2+</sup> might lead to a &quot;spill&quot; outside the restricted Ca<sup>2+</sup> nanodomain, thus disrupting polarity. Do the authors have any evidence of altered location of leading edge vs trailing edge proteins or focal adhesion proteins in TREM2 KO cells?</p><p>– Have the authors performed RNAseq on WT control and TREM2 KO cells? If so, does pathway analysis shows changes in the Cell motility genes between these two groups? This might offer some interesting clues to pursue in future studies.</p><p><italic>Reviewer #3 (Recommendations for the authors):</italic></p><p>This study by Jairaman et al. describes how iPSC-derived microglia exhibit exaggerated cytosolic Ca<sup>2+</sup> responses to ADP stimulation in TREM2KO cells, and that this leads to a defect in turning behaviour and hence no directed migration to a chemotactic signal.</p><p>Overall, the experiments are well conducted, carefully controlled and the findings are new and exciting. The authors nicely dissect out the underlying molecular basis for the exaggerated Ca<sup>2+</sup> responses to ADP and then extend their findings to cell movement and directed migration. Given the substantial body of evidence linking microglia to the pathogenesis of Alzheimer's disease, and the role for TREM2, the work by Jairaman et al. is of translational significance. As an aside, the introduction of the calcium-sensitive reporter Salsa6F is a welcome new tool in the arsenal for recording cytosolic calcium. Overall, this is an elegant, novel and important study. Nevertheless, I have a few comments/suggestions.</p><p>1. The authors argue that the increased Ca<sup>2+</sup> plateau to ADP in TREM2KO cells is due to enhanced Ca<sup>2+</sup> release from the stores ie greater store depletion. Evidence is presented that maximal SOCE is not compromised in TREM2KO cells, that store content under resting conditions is unaffected, InsP3R activities are similar. But the authors do not demonstrate that store content falls more following ADP receptor stimulation in the KO cells. This could be shown by directly measuring ER calcium to ADP in WT and KO cells or by applying ADP in Ca-free solution and then assessing store content with an ionomycin pulse. The ionomycin response should be smaller in the TREM2KO cells, after ADP exposure.</p><p>2. The authors suggest that an increase in P2Y12 and P2Y13 receptor expression in the KO cells accounts for the increased Ca<sup>2+</sup> release from the ER. However, the increase in P2Y12 protein levels is modest at best, and the increase for P2y13 is less than 2-fold. The authors' point would be strengthened by showing InsP3 levels are increased in the KO cells compared with WT ones, for the same dose of ADP. Single cell InsP3 probes are available. Alternatively, a population measurement could be carried out.</p><p>3. The evidence for an involvement of SOCE is based on two rather non-specific inhibitors (2-APB and Gd3+). P2YRs, like other GPCRs, activate TRPC proteins and these Ca<sup>2+</sup>-permeable channels could contribute to the Ca<sup>2+</sup> plateau. The authors should therefore knock down Orai1 or at least use more selective inhibitors such as Synta66 or the GSK compound.</p><p>4. The authors should include some controls to show the P2Y antibodies are indeed specific. For example, they could use a cell line that lacks P2Y12/13. In Figure 2I, J, what happens to the ADP response when both P2Y inhibitors are present at the same time? It would be important to show that the combination of P2Y12 and P2Y13 suppress ADP responses fully.</p><p>5. The authors should add a justification for the concentrations of agonists they have used (ADP, ATP, UTP). A dose-response curve is included for ADP but a comment on the doses selected would be helpful.</p><p>6. It is nicely shown that Ca<sup>2+</sup> influx in TREM2 KO cells leads to microglia motility and process extension to a greater extent than WT cells. This is attributed to the increased SOCE. If so, then one might expect raising external Ca<sup>2+</sup> in WT cells to have the same effect. Is this the case?</p><p>7. Is anything known mechanistically how the exaggerated Ca<sup>2+</sup> signal leads to a chemotaxis defect? The authors' data would suggest that chemotaxis might have a bell-shaped dependence on cytosolic Ca<sup>2+</sup>, with too little or too much impeding migration towards a cue.</p><p>8. Do the authors know whether the effects of SOCE are mediated through a local Ca<sup>2+</sup> rise or via a global cytosolic Ca elevation?</p><p>9. Perhaps I missed something but Figure 1 S2(D) seems to show a significant decrease in STIM1 levels in the KO cells.</p><p>10. The authors present SOCE as the peak signal remaining after 5 minutes. It is not clear whether the value has been subtracted from the pre-stimulation levels. In some graphs, the signal after 5 minutes looks the same as the resting level, but the bar charts show higher values.</p></body></sub-article><sub-article article-type="reply" id="sa2"><front-stub><article-id pub-id-type="doi">10.7554/eLife.73021.sa2</article-id><title-group><article-title>Author response</article-title></title-group></front-stub><body><disp-quote content-type="editor-comment"><p>Reviewers had concerns on two broad aspects of the paper: the calcium signaling studies, and the results relating to cell motility. In addition, other concerns were raised which are described in the individual reviewer comments.</p><p>Essential revisions:</p><p>1) A more rigorous examination of protein expression should be performed with antibody validation to determine if there are compensatory changes at the protein level of other relevant Ca<sup>2+</sup> signaling proteins (Figure 1 Suppl2) that could affect the results. Westerns should be performed for STIM1 and STIM2, Orai1 and IP3R 1/2/3, for which there are reliable Abs. Although the IF as performed for Orai1 is acceptable, the authors do not show positive and negative controls and a thorough validation of this Orai1Ab in IF. This is strongly recommended given the poor quality of Orai1 Abs in general. Likewise, staining for P2YR12 appears internal and the Ab should be validated. A WB on P2YR12 and P2RY13 in addition would help.</p></disp-quote><p>Our approach in this study relies on functional Ca<sup>2+</sup> imaging readouts in combination with pharmacological and genetic tools to assess P2Y receptor sensitivity to agonists and antagonists and downstream signaling events that include IP<sub>3</sub>R activation, ER store-release, and SOCE in WT and TREM2 KO microglia. Given our focus on functional data that are concordant with RNA expression results and point toward the differential expression of P2Y receptors, we did not see a strong rationale for further dissecting the expression of various STIM, Orai, IP<sub>3</sub>R or pump isoforms at the protein level. New data in the paper strengthen this conclusion. These include the ionomycin and TG-pulse experiments (Figure 3E, and Figure 3—figure supplement 2A, B) together with the ADP-Ca<sup>2+</sup> addback experiments (Figure 3D), showing that ADP depletes ER Ca<sup>2+</sup> stores to a greater extent in TREM2 KO cells. The new data reinforce the conclusion that increased expression of P2Y receptors in TREM2 KO microglia drives downstream calcium signaling events.</p><p>We concur with the reviewer that appropriate antibody controls are needed to support data related to protein expression, and we attempted to address this issue for the Orai1 antibody and P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor antibodies as described below.</p><p>In response to reviewer comments, we generated Orai1 CRISPR-knockout iPSC-microglia and further tested the Orai1 Ab (Alomone, Cat# ALM-025, Clone 3F11/D10/B9) for immunostaining in WT and Orai1 KO iPSC-microglial cell line; antibody staining was found to be nonspecific. We therefore agree with the reviewer that, because of poor quality, Orai1 antibody staining does not provide solid and quantifiable evidence for Orai1 expression or function. Accordingly, we have removed Orai1 immunofluorescence staining data (old Figure 1—figure supplement 2E) from the revised manuscript. Instead, we performed Ca<sup>2+</sup> measurements in the newly generated Orai1 KO iPSC-microglia cell-line, and with a more specific pharmacological inhibitor of Orai channels (Synta66) to unambiguously establish the role of Orai1 in mediating SOCE and in maintaining sustained Ca<sup>2+</sup> signals by ADP in microglia (new Figure 3—figure supplement 1E and F).</p><p>Concerning P2Y expression, we performed control experiments using iPSC microglia treated with siRNA against P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors to validate the P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor antibodies (P2Y<sub>12</sub> receptor Ab: Sigma, cat# HPA014518, polyclonal; P2Y<sub>13</sub> receptor Ab: Alomone, cat# APR-017, polyclonal) for immunostaining. We agree with the reviewer that there is significant non-membrane staining of the cells with the P2Y<sub>12</sub> receptor antibody making visualization of P2Y<sub>12</sub> receptors on the membrane problematic. Upon further investigation, the P2Y<sub>13</sub> receptor antibody was also found to be non-specific, in line with recent reports on the widespread lack of efficacy and specificity of available antibodies to label P2Y13 receptors in ex vivo and in vitro settings including the one used in our study (Alomone, Cat# APR-017; see PMID: 31520551; Suppl. Figure 1). We have therefore removed P2Y<sub>12</sub> and P2Y<sub>13</sub> immunofluorescence data from the paper. Instead, we now include flow cytometry data using a different antibody that targets the extracellular domain of the P2Y<sub>12</sub> receptor (clone 16001E) to show that these receptors are expressed to a greater level on the plasma membrane (PM) of TREM2 KO cells (new Figure 2G). The appropriate isotype control is included in this assay.</p><disp-quote content-type="editor-comment"><p>2) Important: It is clear that the TREM2 KO cells have significantly lower STIM1 expression, which would be expected to impact SOCE under conditions of physiological agonists stimulation (ADP, ATP). The conclusion based on maximal activation with thapsigargin does not address this issue. What is the impact of reduced STIM1 expression on the Ca signals and motility?</p></disp-quote><p>We thank the reviewer for bringing attention to this issue. The volcano plot comparing the transcriptomic expression of STIM1 in WT and TREM2 KO cells shows that STIM1 mRNA expression is below the threshold for what would be considered significant in an RNA seq experiment. In fact, this is the case for all the STIM and Orai isoforms. For RNAsequencing experiments, tens of thousands of genes are tested against the null hypothesis which has led to the use of false discovery rates (FDR) rather than traditional p-values (PMID: 12883005). However, statistical significance based on FDR alone is not enough to determine a meaningful result in RNA-sequencing experiments. Due to highly accurate sequencing, samples may show low variability leading to highly “significant” FDRs with a fold change less than 1. In many cases, this small change in expression would not yield biological differences. For these reasons, we consider only genes that reach both the FDR threshold and the fold change threshold. The data shown here were originally published in (PMID: 33097708) with cutoffs of FDR &lt; 0.05 and -1 &lt; FC &lt; 1.</p><p>Unfortunately, the bar-graph in old Figure 1—figure supplement 2D may have given the false impression that differences in STIM1 expression are quite large. We have now remade this bar-graph (Y-axis range from 0 – 1.2) and have also included relative expression of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor transcripts for comparison (new Figure 2—figure supplement 1E). STIM1 mRNA expression is modestly reduced in TREM2 KO cells which is consistent with the modestly reduced maximum functional SOCE response (measured after store-depletion with TG). To address the issue about SOCE under conditions of physiological agonist stimulation, we also measured SOCE in response to store-depletion with ADP; new Figure 3D shows that ADP produces greater store-release and therefore engages SOCE to a greater extent in TREM2 KO cells. Based on this, we conclude that the modestly reduced STIM1 expression in TREM2 KO microglia does not play a significant role in determining the differences in ADP-mediated Ca<sup>2+</sup> signals between WT and TREM2 KO cells.</p><disp-quote content-type="editor-comment"><p>3) A Ca<sup>2+</sup> off/on protocol with ADP (Figure 1) as done for thapsigargin should be performed. In Figure 2B, ADP was applied in the absence of external Ca<sup>2+</sup>, but sadly those recordings did not subsequently replenish Ca<sup>2+</sup> to gauge Ca<sup>2+</sup> entry. Low concentrations of Gd3+ (which should not alter Ca<sup>2+</sup> release) reduce the initial Ca<sup>2+</sup> release peak, suggesting that there is a contribution of Ca<sup>2+</sup> entry to this initial response. Also, it would have been helpful to include in Figure 1 Suppl1 the control (non KO cells) in these experiments for reference.</p></disp-quote><p>We thank the reviewer for three excellent suggestions (see our replies i, ii, and iii below).</p><p>3a (i) To demonstrate SOCE in response to ADP, we now include a Ca<sup>2+</sup> off/on protocol in the presence or absence of Synta66, a more specific inhibitor of Orai channels than Gd<sup>3+</sup> or 2-APB. Synta66 significantly inhibited SOCE triggered by TG and ADP in WT and TREM2 KO microglia (Figure 3A, B and Figure 3—figure supplement 1A, B). Additionally, we compared ADP-induced SOCE in WT and TREM2 KO microglia (Figure 3D). The implications of this experiment have been discussed above in Essential revision comment 1 and 2.</p><p>3a (ii) We re-examined the issue of whether Ca<sup>2+</sup> influx contributes to the initial Ca<sup>2+</sup> peak in two ways. First, we compared the height of the initial Ca<sup>2+</sup> peak after application of ADP in 1mM Ca<sup>2+</sup> and Ca<sup>2+</sup> free buffer (Figure 2—figure supplement 1C); there was no significant difference between the two conditions in either WT or TREM2 KO microglia suggesting that the initial Ca<sup>2+</sup> peak is driven primarily by store-release. We further tested this by acute addition of Gd<sup>3+</sup> or 2-APB with ADP without pre-incubation (Figure 3—figure supplement 1C, D). In this instance, we did not find an inhibition of initial Ca<sup>2+</sup> peak. We speculate that the pre-incubation of cells with Gd<sup>3+</sup> before addition of ADP in old Figure 1—figure supplement 1 might have non-specifically caused reduction of the initial Ca<sup>2+</sup> peak.</p><p>3a (iii) Given the complex effects of Gd<sup>3+</sup> and 2-APB on Ca<sup>2+</sup> signaling in microglia, we did not repeat the Gd<sup>3+</sup> and 2-APB experiments in WT microglia. Instead, we include new data as outlined above in Figure 3 and Figure 3—figure supplement 1 showing involvement of Orai channels using Synta66 and using the Orai1 KO line (Figure 3—figure supplement 1E, F).</p><disp-quote content-type="editor-comment"><p>4) The conclusion that SOCE is mediated by Orai1 should be validated with a genetic approach as 2-APB and La3+ are non-specific.</p></disp-quote><p>Thank you for the suggestion. As described above, we now include data using a more specific inhibitor (Synta66) and a newly generated Orai1 KO microglial cell line (Figure 3A, B and Figure 3—figure supplement 1A, B, E, F).</p><disp-quote content-type="editor-comment"><p>5) Conversely, it is not clear if store content is depleted to a greater extent following ADP receptor stimulation in the KO cells. Assess ER calcium content in response to ADP in WT and KO cells or with an ionomycin pulse.</p></disp-quote><p>We thank the reviewer for this suggestion. We examined the extent of ER store-depletion in response to ADP by sequentially pulsing the cells first with ADP and then with ionomycin in Ca<sup>2+</sup> free buffer. The Ca<sup>2+</sup> release peak in response to ADP was higher in the TREM2 KO cells as expected, and the subsequent ionomycin peak was significantly reduced. These results (Figure 3E and Figure 3—figure supplement 2A, B) indicate greater ER Ca<sup>2+</sup> store-release by ADP in TREM2 KO cells. As for the suggestion to directly monitor ER calcium content, transfection of iPSC-microglia shifts them from a resting to a highly activated state in which they downregulate their P2Y receptors, as reported (PMID: 17115040, 28602351, 28930663). Thus, transfection of genetically-encoded probes to measure ER Ca<sup>2+</sup> or to measure IP3 levels is problematic.</p><disp-quote content-type="editor-comment"><p>6) Figure 3: The WT data in this figure don't include KO cells. How do the TREM2 KOs compare to WT in the scratch wound closure assay? The KO cells seem to be tested, but only in the absence of ADP (Figure 4 Sup 1A). Is there a difference in wound closure after ADP treatment? This point should be evaluated to assess the effects of altered ADP Ca signaling on non-directional cell movement in a physiologically relevant paradigm.</p></disp-quote><p>As suggested by the reviewer, we performed the scratch wound assay in the presence of ADP (data now included as Figure 7—figure supplement 1, and described in lines 309-313). Interestingly, while ADP speeds up closure of scratch wounds, we found no differences in the wound closure rates between WT and TREM2 KO microglia. The differences in purinergic signaling are more decisive in shaping chemotaxis to ADP. The effects of TREM2 deletion, and the subsequent effects of increased purinergic signaling on microglial motility appear to depend on the specific physiological context, and this will require further investigation in a follow up study.</p><disp-quote content-type="editor-comment"><p>7) Terminology: The term &quot;Ca clamp&quot; in the way it has been used here could be misconstrued by readers. Cellular Ca is not clamped. It varies within each cell depending on the activity of the pumps and other clearance mechanisms in the cell. The motility measurements are simply done after extracellular Ca is restored to the cells after thapsigargin treatment, at time points where the cytosolic Ca is lower in 0.2 mM Ca compared to 2 mM Ca. This phrasing (Ca clamp) needs to be changed to eliminate confusion that cellular calcium is &quot;clamped&quot; analogous to voltage-clamp.</p></disp-quote><p>We agree with this comment, and have accordingly removed the term “Ca<sup>2+</sup> clamp” from the manuscript. Instead, we refer to this protocol as a method to investigate the effects of Ca<sup>2+</sup> elevation that bypasses purinergic receptor activation on microglial motility.</p><disp-quote content-type="editor-comment"><p>8) Figure 6D TREM2 KOs (but not WT) cells show differences in motility between 0.2 mM and 2 mM extracellular Ca even after thapsigargin treatment with no ADP exposure. This is strong indication that motility differences in TREM2 KO cells are due to more than just alterations in purinergic signaling. (Consistent with lack of additional ADP effects in Figure 6 Supplement 1). What is the role of these intrinsic changes in cell motility in response to cellular Ca elevations in the presence and absence of nucleotides?</p></disp-quote><p>We agree with the comment. The question raised has great potential for further work that is beyond the scope of this study. Purinergic stimulation produces a complex downstream response that includes activation of both Ca<sup>2+</sup>-dependent and -independent (Gβ/γ -&gt; PI3K -&gt; PIP3, Ras, cAMP etc) pathways. Experiments in Figure 6 (using a protocol to maintain different levels of cytosolic Ca<sup>2+</sup> over time using thapsigargin) were done with the goal of isolating the effects of sustained cytosolic Ca<sup>2+</sup> levels on motility. The key observation is that motility in TREM2 KO microglia responds to changes in cytoplasmic Ca<sup>2+</sup> levels to a greater extent than in WT cells, suggesting that Ca<sup>2+</sup> tunes motility differently in WT and TREM2 KO cells. Addition of ADP had no further effect, as the reviewer correctly observes (Figure 6—figure supplement 1). We speculate in the Results section (lines 291-292) that the rise in Ca<sup>2+</sup> in this assay may override the complex effects of ADP on motility; this may reflect intrinsic differences in Ca<sup>2+</sup>-dependent regulation of motility between WT and TREM2 KO cells. We note that the baseline motility characteristics are similar between WT and TREM2 KO microglia (Figure 5—figure supplement 1A).</p><disp-quote content-type="editor-comment"><p>9) Figure 6D: The data for WT cells should be directly compared to the KOs at each extracellular Ca concentration to dissect out differences in KO cells at each Ca condition.</p></disp-quote><p>Yes, this is shown in Figure 6F: instantaneous speeds of WT and TREM2 KO microglia over a range of different cytosolic Ca<sup>2+</sup> levels. Additionally, the histogram in Figure 6G compares the percent of cells with instantaneous speeds &gt; 10 µm/min as a function of cytosolic Ca<sup>2+</sup> in WT and TREM2 KO cells. This comparison reveals a unimodal relationship in TREM2 KO cells with low cell speeds at high and low cytosolic Ca<sup>2+</sup> levels and higher speeds at intermediate Ca<sup>2+</sup> levels.</p><disp-quote content-type="editor-comment"><p>10) The data in Figure 4K should be reanalyzed to compare differences in the absolute levels of branch complexity (# of branches and process length) in the two groups.</p></disp-quote><p>We fully agree with the reviewer that the lower baseline branch complexity in the KOs explains the greater fold change in the KOs after ADP application. We also agree that the absolute number and length of branches (normalized to cell number) after ADP treatment is similar between WT and KOs. Based on these comments, we made the following change in the Results section (lines 267-270<italic>),</italic> “Comparison of the absolute number of branches and process length after ADP treatment, as well as the relative fold-increase in these parameters from baseline indicated that process extension is not affected in TREM2 KO microglia”. We note that the absolute number of branches and the process length (normalized to cell number in each imaging field) was calculated and is shown in the left panels of Figure 5L and M. These results are also shown as paired plots comparing the absolute increase in the average number of branches and length of the processes after ADP treatment in the WT and KO groups per imaging field (Figure 5—figure supplement 2A and B, top row).</p><disp-quote content-type="editor-comment"><p>11) The apparent disconnect between the larger mean square distance travelled in the absence of nucleotides in the KO with no change in the mean speed needs to be clarified. Is this due to cancelling of speed vectors with opposite directions?</p></disp-quote><p>We thank the reviewer for bringing attention to this. The MSD vs time plots (Figure 5B) show that TREM2 KO cells travel farther away from the origin than WT cells after ADP treatment. This could either be because (1) KO cells move faster than WT cells or (2) because they change direction less frequently (or travel in straighter paths) than WT cells while moving at similar speed. Comparing mean track speeds and track straightness (Figure 5C) affirms the latter possibility. The mean track speed (Figure 4C-E, Figure 5C, H) is the mean of all instantaneous speeds for a given track. It is calculated without any regard to the direction of cell motility, and therefore does not have negative values. We agree with the reviewer that the velocity vectors (which take into account the direction of cell movement) cancel each other out to a greater degree in the WT cells, which is reflected in lower values of track straightness. Our data suggest that WT cells remain confined to a smaller region of random walk because they turn more frequently. We have observed analogous distinctions in motility patterns between regulatory T (Treg) cells and inflammatory Th17 cells in the spinal cord of mice, with Treg cells executing a back-n-forth motion with similar mean speeds as Th17 cells, and being confined to smaller regions of the cord while Th17 cells traverse larger regions because they change directions less frequently (PMID:32732436). We now include a sentence in the Discussion section (lines 349-350) to indicate that velocity vectors cancel each other out to a greater extent in WT cells. For clarity, we added a new paragraph in the methods section (lines 922-937) detailing how the motility parameters were calculated.</p><disp-quote content-type="editor-comment"><p>Reviewer #1 (Recommendations for the authors):</p><p>1) Figure 3: The WT data in this figure don't include KO cells. How do the KOs compare to the WT in the scratch wound closure assay? The KO cells seem to be tested, but only in the absence of ADP (Figure 4 Sup 1A). Is there a difference in wound closure after ADP treatment? This point should be evaluated to assess the effects of altered ADP Ca signaling on non-directional cell movement in a physiologically relevant paradigm.</p></disp-quote><p>We thank the reviewer for this suggestion. We have addressed this under Essential revision comment no. 5.</p><disp-quote content-type="editor-comment"><p>2) Figure 4: This reviewer is not convinced that reduced turning accounts for the similar speed in the KO despite the larger mean square distance travelled. If turning is reduced and the mean square distance is doubled in the KO, then effectively, the average distance travelled over time (speed) should be greater in the KO than in the WT. The logic of this inference and how it explains the data (similar average speed but much greater root mean square displacement in the KO) needs to be better clarified. Since the mean square distance is so much larger, it suggests that the speed vectors with opposite directions are cancelling out in the KO cells to yield the same average velocity (which could theoretically even occur from increased, not decreased turning).</p></disp-quote><p>We thank the reviewer for bringing attention to this issue. We have addressed this under Essential revision comment no. 10.</p><disp-quote content-type="editor-comment"><p>3) Figure 4K: It seems that the baseline branch complexity is low to start with in the KOs, hence the fold change from baseline seems larger. From the images shown, there appears to be no difference following ADP treatment between the two groups. This data should be reanalyzed to compare differences in the absolute levels of branch complexity (# of branches and process length) in the two groups.</p></disp-quote><p>We thank the reviewer for bringing attention to this issue. We have addressed this under Essential revision comment no. 9.</p><disp-quote content-type="editor-comment"><p>4) The use of the term Ca clamp is misleading in the way it has been used here. Cellular Ca is, in fact, not clamped, but changes within each cell depending on the activity of pumps and other calcium clearance mechanisms. The motility measurements are simply done after extracellular Ca is restored to cells after thapsigargin treatment, at time points where the cytosolic Ca is lower in 0.2 mM Cacompared to 2 mM Ca. This phrasing (Ca clamp) needs to be changed to eliminate confusion that cellular Ca levels are &quot;clamped&quot; to defined values analogous to voltage clamp.</p></disp-quote><p>We agree with this comment, and have accordingly removed the term “Ca<sup>2+</sup> clamp” from the manuscript (Essential revision comment no. 6).</p><disp-quote content-type="editor-comment"><p>5) Figure 6D: It is noteworthy that TREM2 KOs, but not WT cells, show differences in motility between 0.2 mM and 2 mM extracellular Ca even after thapsigargin treatment with no ADP exposure. This is strong suggestion that motility differences in TREM2 KO cells are due to more than just alterations in purinergic signaling. In fact, this inference is consistent by the lack of additional effects of adding ADP in Figure 6 Supplement 1. These intrinsic changes in cell motility in response to cellular Ca elevations need further clarification.</p></disp-quote><p>We have addressed this under Essential revision comment no. 7.</p><disp-quote content-type="editor-comment"><p>6) Figure 6D: Related to this figure, the data for WT cells should be directly compared to the KOs at each extracellular Ca concentration to dissect out differences in KO cells at each Ca condition.</p></disp-quote><p>We have addressed this under Essential revision comment no. 8.</p><disp-quote content-type="editor-comment"><p>Other:</p><p>– Stim1 is expressed at different levels between the WT and TREM2 KO. It has a significant p-value (Figure 1 Sup2D). This decrease could affect multiple aspects of microglia including cell motility in the presence of physiologically relevant agonists. This needs to be addressed.</p></disp-quote><p>We thank the reviewer for this comment. This point was made by other reviewers as well and needs better clarification. We have addressed this under Essential revision comment no. 2.</p><disp-quote content-type="editor-comment"><p>– A technical point related to Figure 4 is that figures 4C and 4G should be labelled &quot;velocity&quot; rather than speed, as it seems the only way in which the mean squared distance can be twice as large in the KO but not the velocity if the speed vectors with opposite directions are cancelling out in the KO.</p></disp-quote><p>These graphs (current Figure 4C-E, current Figure 5C, H) plot the mean track speed, which represents the mean of all instantaneous speeds over the total time of tracking. The instantaneous speed is calculated at each time point for a given track as the scalar equivalent to object velocity, without taking into account directionality (hence no negative values). We agree that MSD is lower in WTs; this is because WT cells turn more frequently (reflected as lower track straightness compared with TREM2 KOs), leading to greater cancellation of velocity vectors. For clarification, we now include definition of the different motility parameters in lines 922-937 of the methods section.</p><disp-quote content-type="editor-comment"><p>– The dose of ADP used in Figure 7 is extremely high. 100ng/mL (which is 234uM by my calculation). By contrast, Figure 4 used 2.5uM. The 100 fold higher concentration in the chemotaxis assay needs to be justified. Further, it should be determined whether the ADP used diffuses into both chambers might be expected. This super high dose of ADP may have non-physiological effects that could explain the seemingly differing phenotypes in Figures 4 and 7.</p></disp-quote><p>The reviewer’s calculation of concentration is incorrect. 100 ng/ml of ADP is equivalent to a concentration of 234 nM, not 234 µM. In the methods section on the chemotaxis assay (line 962), we now also report the concentration of ADP in nM. This dose of ADP is not super high.</p><disp-quote content-type="editor-comment"><p>– Figure 5 is a great set of experiments to show that the Salsa6f does not affect end points of the study, but may be better as a supplementary figure rather than a main figure. If the paper is about the TREM2 KO versus WT then the main figures should stick with looking at differences between the two with maybe a sub figure to show validation.</p></disp-quote><p>We thank the reviewer for this suggestion and are happy to comply. Because we ended up using the Salsa6f expressing lines in several additional experiments to confirm key findings in the study, the Salsa6f validation data are now presented in Figure 1 figure supplement 1.</p><disp-quote content-type="editor-comment"><p>Reviewer #2 (Recommendations for the authors):</p><p>– A more rigorous approach could be used to document the presence or absence of compensatory changes at the protein protein level of other Ca<sup>2+</sup> signaling proteins (Figure 1 Suppl2). Preferably Westerns should be performed for STIM1 and STIM2, Orai1 and IP3R 1/2/3, for which there are reliable Abs. Although IF as performed for Orai1 is acceptable, the authors do not show positive and negative controls and a thorough validation of this Orai1Ab in IF.</p></disp-quote><p>We thank the reviewer for these comments and suggestions. We have addressed this under Essential revision cmment no. 1.</p><disp-quote content-type="editor-comment"><p>– Along the same lines as comment above, Staining for P2YR12 appears internal. Has the Ab been validated? Can authors perform a WB on P2YR12 and P2RY13 in addition?</p></disp-quote><p>We have addressed this under Essential revision comment no. 1.</p><disp-quote content-type="editor-comment"><p>– Did the authors check on whether the expression of SECRA is altered at the protein level? Did the authors perform CRAC channel recordings in Control and TREM2 KO cells?</p></disp-quote><p>We have not looked at the expression of SERCA at the protein level. However, we further examined our published RNAseq data on WT and TREM2 KO iPSC-microglia (PMID: 33097708) and compared the relative read counts of PMCA and SERCA isoforms that are known to be expressed in WT and TREM2 KO microglia and found no significant differences. Data for the relative expression of relevant Ca<sup>2+</sup> signaling molecules (STIM1, Orai1, IP3R2, SERCA2 and 3, PMCA1) are now shown in Figure 2—figure supplement 1D and E. We note that among these, only P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor transcripts showed significant fold change in expression between WT and TREM2 KO cells, which prompted us to focus our efforts in that direction. Additionally, we found that Ca<sup>2+</sup> clearance rate after SOCE is similar in WT and TREM2 KO cells (Figure 3—figure supplement 2E, F). Based on this, we find it unlikely that the higher sustained Ca<sup>2+</sup> level in TREM2 KO cells is due to differences in Ca<sup>2+</sup> clearance mechanisms, including Ca<sup>2+</sup> pump activity. We did not attempt to record Icrac in iPSC microglia.</p><disp-quote content-type="editor-comment"><p>– It is quite surprising that the authors did not opt to use the Ca<sup>2+</sup> off/on protocol with ADP (Figure 1) as they have done with thapsigargin. In Figure 2B, ADP was applied in the absence of external Ca<sup>2+</sup>, but sadly those recordings did not subsequently replenish Ca<sup>2+</sup> to gauge Ca<sup>2+</sup> entry. One can rationalize the result of 2-APB (Figure 1 Suppl1), a non specific channel blocker that also inhibits IP3Rs. However, the fact that low concentrations of Gd3+ (which should not alter Ca<sup>2+</sup> release) reduce the initial Ca<sup>2+</sup> release peak, suggests that there is a contribution of Ca<sup>2+</sup> entry to this initial response. Also, it would have been helpful to include in Figure 1 Suppl1 the control (non KO cells) in these experiments for reference.</p></disp-quote><p>We thank the reviewer for these comments and suggestions. We have accordingly performed new experiments and address this under Essential revision comment no. 3a.</p><disp-quote content-type="editor-comment"><p>Additional thoughts to the attention of the authors:</p><p>– The authors have speculated on the fact that increased cytosolic Ca<sup>2+</sup> might lead to a &quot;spill&quot; outside the restricted Ca<sup>2+</sup> nanodomain, thus disrupting polarity. Do the authors have any evidence of altered location of leading-edge vs trailing edge proteins or focal adhesion proteins in TREM2 KO cells?</p></disp-quote><p>No, we did not investigate the interesting question regarding the polarity of membrane proteins or focal adhesion proteins in TREM2 KO cells. Ca<sup>2+</sup> signals play a role in generating cell polarity and regulating membrane protrusion and retraction in some migratory cell-types (PMID: 25977921). Local Ca<sup>2+</sup> pulses have been detected at the leading edge of migrating fibroblasts in response to PDGF gradients (PMID: 19118385), and in migrating sheets of endothelial cells in response to a scratch wound (PMID: 24463606). More recently, localized Ca<sup>2+</sup> signaling has been proposed to correlate with process extension in murine microglia based on intravital imaging, though it’s role in chemotaxis was not explored (PMID: 32716294). We have now rephrased the relevant sentence in the Discussion section (lines 360-363) to make it clear that we are speculating on the possible mechanism by which excessive Ca<sup>2+</sup> signaling can impede gradient sensing. Reflecting the uncertainties, we have removed Figure 8 considering it may be overly speculative.</p><disp-quote content-type="editor-comment"><p>– Have the authors performed RNAseq on WT control and TREM2 KO cells? If so, does pathway analysis shows changes in the Cell motility genes between these two groups? This might offer some interesting clues to pursue in future studies.</p></disp-quote><p>The authors have performed and previously published RNA-seq on WT and TREM2 KO cells (Figure 1 in PMID: 33097708). Using gene ontology analysis, the authors did find differences in motility including “regulations of natural killer cell chemotaxis”, “Positive regulation of cell migration”, and “regulation of smooth muscle cell migration”. Even in the more selective gene ontology of genes which change in opposite directions after TREM2 KO and TREM2 antibody stimulation, we find “positive regulation of leukocyte chemotaxis” as one of the most significant gene family suggesting differences in motility. These gene lists included P2RY<sub>12</sub> and P2RY<sub>13</sub> receptors and were part of what stimulated our work presented here. However, some other chemotactic molecules including CCL2 and CCL3 are also included in this reciprocal gene list and warrant further study.</p><disp-quote content-type="editor-comment"><p>Reviewer #3 (Recommendations for the authors):</p><p>This study by Jairaman et al. describes how iPSC-derived microglia exhibit exaggerated cytosolic Ca<sup>2+</sup> responses to ADP stimulation in TREM2KO cells, and that this leads to a defect in turning behaviour and hence no directed migration to a chemotactic signal.</p><p>Overall, the experiments are well conducted, carefully controlled and the findings are new and exciting. The authors nicely dissect out the underlying molecular basis for the exaggerated Ca<sup>2+</sup> responses to ADP and then extend their findings to cell movement and directed migration. Given the substantial body of evidence linking microglia to the pathogenesis of Alzheimer's disease, and the role for TREM2, the work by Jairaman et al. is of translational significance. As an aside, the introduction of the calcium-sensitive reporter Salsa6F is a welcome new tool in the arsenal for recording cytosolic calcium. Overall, this is an elegant, novel and important study. Nevertheless, I have a few comments/suggestions.</p></disp-quote><p>We thank the reviewer for the positive and insightful comments. We have done new experiments to address specific suggestions as outlined below.</p><disp-quote content-type="editor-comment"><p>1. The authors argue that the increased Ca<sup>2+</sup> plateau to ADP in TREM2KO cells is due to enhanced Ca<sup>2+</sup> release from the stores ie greater store depletion. Evidence is presented that maximal SOCE is not compromised in TREM2KO cells, that store content under resting conditions is unaffected, InsP3R activities are similar. But the authors do not demonstrate that store content falls more following ADP receptor stimulation in the KO cells. This could be shown by directly measuring ER calcium to ADP in WT and KO cells or by applying ADP in Ca-free solution and then assessing store content with an ionomycin pulse. The ionomycin response should be smaller in the TREM2KO cells, after ADP exposure.</p></disp-quote><p>We thank the reviewer for suggesting the ionomycin pulse experiment. We have accordingly performed new experiments, and address this under Essential revision comment# 3b.</p><disp-quote content-type="editor-comment"><p>2. The authors suggest that an increase in P2Y12 and P2Y13 receptor expression in the KO cells accounts for the increased Ca<sup>2+</sup> release from the ER. However, the increase in P2Y12 protein levels is modest at best, and the increase for P2y13 is less than 2-fold. The authors' point would be strengthened by showing InsP3 levels are increased in the KO cells compared with WT ones, for the same dose of ADP. Single cell InsP3 probes are available. Alternatively, a population measurement could be carried out.</p></disp-quote><p>While we agree that the suggested experiment with InsP3 probe would further bolster our conclusion, we have noted in essential revision comment no. 4 that transfection of iPSC-microglia shifts them from a resting to a highly activated state leading to downregulation of P2Y<sub>12</sub> receptors, which confounds our ability to accurately compare P2Y receptor activity. Although the antibodies against P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors were found to be nonspecific (see also essential revision comment No. 1), we now include flow cytometry data showing increased PM expression of P2Y<sub>12</sub> receptor in live TREM2 KO cells (Figure 2G); these data complement the functional assays and transcriptomic data (Figure 2—figure supplement 1E) showing &gt;2 fold increase in P2Y<sub>12</sub> and P2Y<sub>13</sub> receptor RNA expression in TREM2 KO microglia. These differences are likely to be biologically relevant for downstream signaling, given the positive feedback mechanisms and signal amplification associated with GPCR signaling (PMID: 29074251). Increased protein expression of P2Y<sub>12</sub> and P2Y<sub>13</sub> receptors has also been reported in <italic>Trem2<sup>-/-</sup></italic> mice and in a mouse AD model, and we now include this point in the Introduction section of the manuscript (line 87-89).</p><disp-quote content-type="editor-comment"><p>3. The evidence for an involvement of SOCE is based on two rather non-specific inhibitors (2-APB and Gd3+). P2YRs, like other GPCRs, activate TRPC proteins and these Ca<sup>2+</sup>-permeable channels could contribute to the Ca<sup>2+</sup> plateau. The authors should therefore knock down Orai1 or at least use more selective inhibitors such as Synta66 or the GSK compound.</p></disp-quote><p>We thank the reviewer for this suggestion and have performed additional pharmacological experiments and CRISPRbased Orai1 KO to address this point in Figure 3 and Figure 3—figure supplement 1. The results confirm involvement of Orai channels in SOCE activated by store-depletion with TG and ADP.</p><disp-quote content-type="editor-comment"><p>4. The authors should include some controls to show the P2Y antibodies are indeed specific. For example, they could use a cell line that lacks P2Y12/13. In Figure 2I, J, what happens to the ADP response when both P2Y inhibitors are present at the same time? It would be important to show that the combination of P2Y12 and P2Y13 suppress ADP responses fully.</p></disp-quote><p>Per reviewer suggestion, we examined Ca<sup>2+</sup> responses to ADP in the presence of both P2RY<sub>12</sub> and P2Y<sub>13</sub> inhibitors. This combination inhibited the ADP Ca<sup>2+</sup> response completely in both WT and TREM2 KO microglia (Figure 2G).</p><disp-quote content-type="editor-comment"><p>5. The authors should add a justification for the concentrations of agonists they have used (ADP, ATP, UTP). A dose-response curve is included for ADP but a comment on the doses selected would be helpful.</p></disp-quote><p>Extracellular concentration of purinergic signals range from hundreds of nanomolar to μM levels, and are shaped by a variety of factors including baseline secretion, extent of local tissue damage and the prevalence of ectonucleotidases that cleave purinergic ligands (PMID: 18302942). Studies in microglial field have often used tens of μM ADP (PMID: 17115040, 11245682) to study the biology of P2Y<sub>12</sub> receptors, but microglial cells experience a range of concentrations depending on the pathophysiological context, and depending on distance from the injury site. We now include a sentence in the Introduction (line 54) about purinergic concentrations in the brain.</p><disp-quote content-type="editor-comment"><p>6. It is nicely shown that Ca<sup>2+</sup> influx in TREM2 KO cells leads to microglia motility and process extension to a greater extent than WT cells. This is attributed to the increased SOCE. If so, then one might expect raising external Ca<sup>2+</sup> in WT cells to have the same effect. Is this the case?</p></disp-quote><p>We have not examined effects of increasing the extracellular Ca<sup>2+</sup> concentration in WTs to test whether that results in a higher magnitude of cell speed and process extension (compared to TREM2 KOs). Our data in Figure 5 and Figure 5 figure supplement 1 shows that Ca<sup>2+</sup> influx pathways are required for optimal cell motility and process dynamics in iPSC microglia in general (based on greater increases in cell track speeds, process length and branching in response to ADP in 1 mM Ca<sup>2+</sup> compared with 0 mM Ca<sup>2+</sup> extracellular solution for both WT and TREM2 KO microglia). We should also note that the effects of TREM2 deletion on process branching/ lengthening is not as drastic as its effects on cell motility. We have addressed this particular point in response to comments from reviewer No. 1 under Essential revision, comment no. 9.</p><disp-quote content-type="editor-comment"><p>7. Is anything known mechanistically how the exaggerated Ca<sup>2+</sup> signal leads to a chemotaxis defect? The authors' data would suggest that chemotaxis might have a bell-shaped dependence on cytosolic Ca<sup>2+</sup>, with too little or too much impeding migration towards a cue.</p></disp-quote><p>The fundamental issue in chemotaxis is how shallow gradients of a chemokine translates to steep polarization of signaling proteins within the cell. This is generally thought to occur downstream of the chemokine receptor and upstream of actin cytoskeleton (PMID: 33990789), but the specific role of Ca<sup>2+</sup> signals in this process remains poorly understood. Please also see our earlier response (comment No. 5 by reviewer# 2) on how excessive cytosolic Ca<sup>2+</sup> may disrupt cell polarity. The histogram in Figure 6G comparing the percent of fast-moving cells as a function of cytosolic Ca<sup>2+</sup> further indicate that there may indeed be a bell-shaped effect with regard to effects of Ca<sup>2+</sup> on instantaneous cell speeds in TREM2 KO cells. This is reflected in the chemotaxis assay in Figure 7B and C in which reducing ADP signaling in TREM2 KO cells rescues the defect in chemotaxis. It is possible that high cytosolic Ca<sup>2+</sup> serves as a temporary STOP signal in microglia similar to its effects on T cells. We note this point in the Discussion (lines 386-388) and speculate that TREM2 KO cells may be more subject to this effect with ADP, given the higher expression of P2RY<sub>12</sub> and P2Y<sub>13</sub> receptors.</p><disp-quote content-type="editor-comment"><p>8. Do the authors know whether the effects of SOCE are mediated through a local Ca<sup>2+</sup> rise or via a global cytosolic Ca elevation?</p></disp-quote><p>We have not looked at role of local vs. global Ca<sup>2+</sup> signals in regulating microglial cell motility in the current study but hope to explore this aspect of Ca<sup>2+</sup> signaling as part of a follow up study.</p><disp-quote content-type="editor-comment"><p>9. Perhaps I missed something but Figure 1 S2(D) seems to show a significant decrease in STIM1 levels in the KO cells.</p></disp-quote><p>We thank the reviewer for this comment. This point was made by other reviewers as well and needs clarification. We have addressed this under Essential revision comment no. 2.</p><disp-quote content-type="editor-comment"><p>10. The authors present SOCE as the peak signal remaining after 5 minutes. It is not clear whether the value has been subtracted from the pre-stimulation levels. In some graphs, the signal after 5 minutes looks the same as the resting level, but the bar charts show higher values.</p></disp-quote><p>We assume the reviewer is referring to the traces and bar-graphs in current Figure 1B, D, E and F showing both peak Ca<sup>2+</sup> response and Ca<sup>2+</sup> at 5 minutes. The data-points (single cell values) in the bar-graphs are all baseline subtracted, as described in the legend. The Y-axis is now labelled “Fluo-4/Fura-Red Ratio (baseline subtracted)” to make this point clear. We also note that the bar-graph summary includes data from multiple experiments, while the average traces are from a single imaging run.</p></body></sub-article></article>