The TREM2 paradox in fibrosis: a unified mechanism for opposite outcomes across organs - Takeaways - 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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  • 1

    TREM2 is a receptor on macrophages that regulates inflammation, tissue repair, and fibrosis through its signaling pathways.

  • 2

    The dual role of TREM2 in fibrosis varies by organ, influencing macrophage behavior and extracellular matrix remodeling.

  • 3

    In liver fibrosis, TREM2 has antifibrotic effects by enhancing macrophage collagen-degrading capabilities.

  • 4

    In pulmonary fibrosis, increased TREM2 expression correlates with fibrosis severity, complicating its functional understanding.

  • 5

    The review integrates evidence from multiple organs to elucidate TREM2's role in fibrosis and its potential as a biomarker.

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