TREM2-expressing macrophages in liver diseases

Xiaochen Wang1, Zhiyu Qiu2, Zhenyu Zhong3

  • 1Center of Hepato-Pancreato-Biliary Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510030, China; Department of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.

Insights

Triggering receptors expressed on myeloid cells 2 (TREM2)-expressing macrophages are key to metabolic dysfunction-associated steatotic liver disease (MASLD) progression. Understanding TREM2

Area of Science:

  • Immunology
  • Hepatology
  • Cell Biology

Background:

  • Metabolic dysfunction-associated steatotic liver disease (MASLD) affects over 30% of the global population, encompassing a range of liver conditions from simple steatosis to hepatocellular carcinoma (HCC).
  • Macrophages expressing triggering receptors expressed on myeloid cells 2 (TREM2) have emerged as critical players in MASLD pathogenesis.
  • TREM2 is involved in essential macrophage functions including efferocytosis, inflammation regulation, and fibrosis resolution.

Purpose of the Study:

  • To review the current knowledge on TREM2-expressing macrophages in MASLD.
  • To elucidate the molecular mechanisms by which TREM2 influences MASLD.
  • To guide future research and therapeutic strategies targeting TREM2 signaling in MASLD.

Main Methods:

  • Literature review of recent studies on TREM2 and MASLD.
  • Analysis of TREM2's role in macrophage functions relevant to liver disease.
  • Synthesis of current understanding of TREM2-mediated pathways in MASLD pathogenesis.

Main Results:

  • TREM2-expressing macrophages are identified as key regulators of MASLD progression.
  • TREM2 influences efferocytosis, inflammatory control, and fibrosis resolution in the context of MASLD.
  • Soluble TREM2 (sTREM2) shows potential as a noninvasive biomarker for MASLD diagnosis and monitoring.

Conclusions:

  • TREM2-expressing macrophages play a significant role in the progression of MASLD.
  • Further research into the molecular mechanisms of TREM2 in MASLD is warranted.
  • Targeting TREM2 signaling pathways offers potential for novel therapeutic interventions for MASLD.