Triggering Receptor Expressed on Myeloid Cells (TREM)-2 Impairs Host Defense in Experimental Melioidosis

Tassili A F Weehuizen1,2, Tijmen J Hommes1,2, Jacqueline M Lankelma1,2

  • 1Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, the Netherlands.

Abstract

Insights

Triggering receptor expressed on myeloid cells (TREM)-2 deficiency improves host defense against Burkholderia pseudomallei. This study shows TREM-2, not TREM-1, detrimentally impacts melioidosis outcomes in mice.

Area of Science:

  • Immunology
  • Microbiology
  • Pathogen Defense

Background:

  • Triggering receptor expressed on myeloid cells (TREM)-1 and TREM-2 regulate inflammatory responses and pathogen clearance.
  • Melioidosis, caused by Burkholderia pseudomallei, is a significant cause of sepsis in Southeast Asia.
  • TREM-1 is a potential biomarker for sepsis and melioidosis.

Purpose of the Study:

  • To investigate the expression and function of TREM-1 and TREM-2 in experimental melioidosis.
  • To determine the role of TREM-1 and TREM-2 in host defense against Burkholderia pseudomallei.

Main Methods:

  • Intranasal infection of wild-type, TREM-1/3 deficient, and TREM-2 deficient mice with B. pseudomallei.
  • Analysis of survival, bacterial load, inflammation, and organ injury.
  • Assessment of cellular responsiveness, phagocytosis, and intracellular killing by isolated macrophages.

Main Results:

  • TREM-1 and TREM-2 expression increased in the lungs and livers of infected mice.
  • TREM-2 deficient mice showed significantly improved survival, reduced bacterial loads, less inflammation, and decreased organ injury compared to wild-type mice.
  • Cellular responsiveness of TREM-2 deficient macrophages was diminished, but phagocytosis and intracellular killing were TREM-1 and TREM-2 independent.

Conclusions:

  • TREM-2 plays a detrimental role in host defense against B. pseudomallei.
  • TREM-2 deficiency restricts inflammation, leading to reduced organ damage and mortality in melioidosis.
  • TREM-1 has a lesser, though still detrimental, role in this infection model.

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