The TREM2 paradox in fibrosis: a unified mechanism for opposite outcomes across organs - Summary - MDSpire

The TREM2 paradox in fibrosis: a unified mechanism for opposite outcomes across organs

  • By

  • Xiuping Liang

  • Yanhong Li

  • Ziyi Tang

  • Guan Wang

  • Yi Liu

  • June 16, 2026

  • 0 min

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Objective:

To explore the dual role of TREM2 in fibrosis across different organs and its implications for macrophage polarization and fibrosis progression.

Approach:
    Key Findings:
    • TREM2 regulates inflammation and tissue repair, acting as an 'inflammatory brake' in macrophages.
    • The role of TREM2 in fibrosis varies by organ; it can have effects in the liver but may promote fibrosis in the lungs.
    • TREM2 influences macrophage functional polarization, immunometabolic reprogramming, and multicellular communication in the fibrotic microenvironment.
    Interpretation:

    Limitations:
    • The review is limited to studies published in English and may not encompass all relevant literature.
    • Focus on recent studies may overlook earlier foundational research.
    Conclusion:

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