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Blockade of TREM2 ameliorates pulmonary inflammation and fibrosis by modulating sphingolipid metabolism
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Abstract
Pulmonary fibrosis is a chronic interstitial lung disease involving systemic inflammation and abnormal collagen deposition. Dysregulations in lipid metabolism, such as macrophage-dependent lipid catabolism, have been recognized as critical factors for the development of pulmonary fibrosis. However, little is known about the signaling pathways involved and the key regulators. Here we found that triggering receptor expressed on myeloid cells 2 (TREM2) plays a pivotal role in regulating the lipid handling capacities of pulmonary macrophages and triggering fibrosis. By integrating analysis of single-cell and bulk RNA sequencing data from patients and mice with pulmonary fibrosis, we revealed that pulmonary macrophages consist of heterogeneous populations with distinct pro-fibrotic properties, and found that both sphingolipid metabolism and the expression of chemotaxis-related genes are elevated in fibrotic lungs. TREM2, a sensor recognizing multiple lipid species, is specifically upregulated in a subset of monocyte-derived macrophages. Blockade of TREM2 by conventional/conditional knock-out or soluble TREM2 administration can attenuate bleomycin-induced pulmonary fibrosis. By utilizing scRNA Seq and lipidomics, we found that Trem2 deficiency downregulates the synthesis of various sphingomyelins, and inhibits the expression of chemokines such as Ccl2. Together, our findings not only reveal the alterations in lipidomic profiles and the atlas of pulmonary macrophages during pulmonary fibrosis, but also suggest that targeting TREM2, the crucial regulator affecting both pulmonary sphingolipid metabolism and the chemokines secretion, can benefit pulmonary fibrosis patients in the future.
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“While conducting this study, a recently published report revealed that mice deficient in Mo-AM TREM2 were protected from bleomycin-induced lung fibrosis56.”
From TREM2 promotes lung fibrosis via controlling alveolar macrophage survival and pro-fibrotic activity (2025) · cites this paper as [56]
In the citing paper
“Although the underlying mechanism identified in that study differs from what is demonstrated here, both studies suggest that Mo-AM TREM2 represents a promising therapeutic target for lung fibrosis.”
From TREM2 promotes lung fibrosis via controlling alveolar macrophage survival and pro-fibrotic activity (2025) · cites this paper as [56]
Citations
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Lederer, D. J., & Martinez, F. J. (2018) · New England Journal of Medicine · doi:10.1056/nejmra1705751 · Cited by 2,056
Monocyte-derived alveolar macrophages drive lung fibrosis and persist in the lung over the life span
Misharin, A. V., Morales-Nebreda, L., Reyfman, P. A., Cuda, C. M., Walter, J. M., McQuattie-Pimentel, A. C., Chen, C.-I., Anekalla, K. R., Joshi, N., Williams, K. J. N., et al. (2017) · Journal of Experimental Medicine · doi:10.1084/jem.20162152 · Cited by 1,133
Chakarov, S., Lim, H. Y., Tan, L., Lim, S. Y., See, P., Lum, J., Zhang, X.-M., Foo, S., Nakamizo, S., Duan, K., et al. (2019) · Science · doi:10.1126/science.aau0964 · Cited by 1,114
TREM2 regulates microglial cholesterol metabolism upon chronic phagocytic challenge
Nugent, A. A., Lin, K., van Lengerich, B., Lianoglou, S., Przybyla, L., Davis, S. S., Llapashtica, C., Wang, J., Kim, D. J., Xia, D., et al. (2020) · Neuron · doi:10.1016/j.neuron.2019.12.007 · Cited by 745
TREM2 Modulation Remodels the Tumor Myeloid Landscape Enhancing Anti-PD-1 Immunotherapy
Molgora, M., Esaulova, E., Vermi, W., Hou, J., Chen, Y., Luo, J., Brioschi, S., Bugatti, M., Omodei, A. S., Ricci, B., et al. (2020) · Cell · doi:10.1016/j.cell.2020.07.013 · Cited by 656
Identification of a broadly fibrogenic macrophage subset induced by type 3 inflammation
Fabre, T., Barron, A. M. S., Christensen, S. M., Asano, S., Bound, K., Lech, M. P., Wadsworth, M. H., Chen, X., Wang, C., Wang, J., et al. (2023) · Science Immunology · doi:10.1126/sciimmunol.add8945 · Cited by 355
Hendrikx, T., Porsch, F., Kiss, M. G., Rajcic, D., Papac-Miličević, N., Hoebinger, C., Goederle, L., Hladik, A., Shaw, L. E., Horstmann, H., et al. (2022) · Journal of Hepatology · doi:10.1016/j.jhep.2022.06.004 · Cited by 220
PAD4 deficiency improves bleomycin-induced neutrophil extracellular traps and fibrosis in mouse lung
Suzuki, M., Ikari, J., Anazawa, R., Tanaka, N., Katsumata, Y., Shimada, A., Suzuki, E., & Tatsumi, K. (2020) · American Journal of Respiratory Cell and Molecular Biology · doi:10.1165/rcmb.2019-0433oc · Cited by 143
Research works printed but not linked: 61
- Henderson, 2020, Fibrosis: from mechanisms to medicines, Nature, 587, 555, 10.1038/s41586-020-2938-9 · DOI · Paper page
- Renzoni, 2021, Disease pathology in fibrotic interstitial lung disease: is it all about usual interstitial pneumonia?, Lancet, 398, 1437, 10.1016/S0140-6736(21)01961-9 · DOI
- Wijsenbeek, 2020, Spectrum of fibrotic lung diseases, N Engl J Med, 383, 958, 10.1056/NEJMra2005230 · DOI · Paper page
- Johannson, 2021, Treatment of fibrotic interstitial lung disease: current approaches and future directions, Lancet, 398, 1450, 10.1016/S0140-6736(21)01826-2 · DOI
- Lucarini, 2016, Role of histamine H4 receptor ligands in bleomycin-induced pulmonary fibrosis, Pharmacol Res, 111, 740, 10.1016/j.phrs.2016.07.037 · DOI
- Di Paola, 2016, Ultramicronized palmitoylethanolamide (PEA-um((R))) in the treatment of idiopathic pulmonary fibrosis, Pharmacol Res, 111, 405, 10.1016/j.phrs.2016.07.010 · DOI
- Liang, 2020, Lycorine ameliorates bleomycin-induced pulmonary fibrosis via inhibiting NLRP3 inflammasome activation and pyroptosis, Pharmacol Res, 158, 10.1016/j.phrs.2020.104884 · DOI
- Distler, 2019, Shared and distinct mechanisms of fibrosis, Nat Rev Rheumatol, 15, 705, 10.1038/s41584-019-0322-7 · DOI
- Duffield, 2013, Host responses in tissue repair and fibrosis, Annu Rev Pathol, 8, 241, 10.1146/annurev-pathol-020712-163930 · DOI
- Aran, 2019, Reference-based analysis of lung single-cell sequencing reveals a transitional profibrotic macrophage, Nat Immunol, 20, 163, 10.1038/s41590-018-0276-y · DOI · Paper page
- Joshi, 2020, A spatially restricted fibrotic niche in pulmonary fibrosis is sustained by M-CSF/M-CSFR signalling in monocyte-derived alveolar macrophages, Eur Respir J, 55, 1900646, 10.1183/13993003.00646-2019 · DOI · Paper page
- Raghu, 2018, Effect of recombinant human pentraxin 2 vs. placebo on change in forced vital capacity in patients with idiopathic pulmonary fibrosis: a randomized clinical trial, JAMA, 319, 2299, 10.1001/jama.2018.6129 · DOI
- Rajesh, 2023, Dysregulation of metabolic pathways in pulmonary fibrosis, Pharmacol Ther, 246, 10.1016/j.pharmthera.2023.108436 · DOI
- Yan, 2017, Identification of the lipid biomarkers from plasma in idiopathic pulmonary fibrosis by lipidomics, BMC Pulm Med, 17, 174, 10.1186/s12890-017-0513-4 · DOI
- Wang, 2022, Exploration study on serum metabolic profiles of Chinese male patients with artificial stone silicosis, silicosis, and coal worker's pneumoconiosis, Toxicol Lett, 356, 132, 10.1016/j.toxlet.2021.11.011 · DOI
- Hou, 2019, Lipid uptake by alveolar macrophages drives fibrotic responses to silica dust, Sci Rep, 9, 399, 10.1038/s41598-018-36875-2 · DOI
- Parks, 2013, CD36, but not G2A, modulates efferocytosis, inflammation, and fibrosis following bleomycin-induced lung injury[S], J Lipid Res, 54, 1114, 10.1194/jlr.M035352 · DOI
- Wang, 2015, TREM2 lipid sensing sustains the microglial response in an Alzheimer's disease model, Cell, 160, 1061, 10.1016/j.cell.2015.01.049 · DOI · Paper page
- Ma, 2023, Lipid dysregulation associated with progression of silica-induced pulmonary fibrosis, Toxicol Sci, 191, 296, 10.1093/toxsci/kfac124 · DOI
- He, 2021, PM2.5 aggravates NQO1-induced mucus hyper-secretion through release of neutrophil extracellular traps in an asthma model, Ecotoxicol Environ Saf, 218, 10.1016/j.ecoenv.2021.112272 · DOI
- Furusawa, 2020, Chronic hypersensitivity pneumonitis, an interstitial lung disease with distinct molecular signatures, Am J Respir Crit Care Med, 202, 1430, 10.1164/rccm.202001-0134OC · DOI
- Parimon, 2019, Syndecan-1 promotes lung fibrosis by regulating epithelial reprogramming through extracellular vesicles, JCI Insight, 5, 10.1172/jci.insight.129359 · DOI
- Morse, 2019, Proliferating SPP1/MERTK-expressing macrophages in idiopathic pulmonary fibrosis, Eur Respir J, 54, 1802441, 10.1183/13993003.02441-2018 · DOI
- Tsukui, 2020, Collagen-producing lung cell atlas identifies multiple subsets with distinct localization and relevance to fibrosis, Nat Commun, 11, 1920, 10.1038/s41467-020-15647-5 · DOI · Paper page
- Wu, 2022, Spatiotemporal immune landscape of colorectal cancer liver metastasis at single-cell level, Cancer Discov, 12, 134, 10.1158/2159-8290.CD-21-0316 · DOI
- Matyash, 2008, Lipid extraction by methyl-tert-butyl ether for high-throughput lipidomics, J Lipid Res, 49, 1137, 10.1194/jlr.D700041-JLR200 · DOI
- Conroy, 2023, Spatial metabolomics reveals glycogen as an actionable target for pulmonary fibrosis, Nat Commun, 14, 2759, 10.1038/s41467-023-38437-1 · DOI
- Venkatesan, 2014, Glycosyltransferases and glycosaminoglycans in bleomycin and transforming growth factor-β1-induced pulmonary fibrosis, Am J Respir Cell Mol Biol, 50, 583, 10.1165/rcmb.2012-0226OC · DOI
- Wang, 2022, Integrated analysis of single-cell and bulk RNA sequencing reveals pro-fibrotic PLA2G7(high) macrophages in pulmonary fibrosis, Pharmacol Res, 182, 10.1016/j.phrs.2022.106286 · DOI
- Miyake, 2024, Single-cell transcriptomics identifies the differentiation trajectory from inflammatory monocytes to pro-resolving macrophages in a mouse skin allergy model, Nat Commun, 15, 1666, 10.1038/s41467-024-46148-4 · DOI
- Ochocka, 2021, Single-cell RNA sequencing reveals functional heterogeneity of glioma-associated brain macrophages, Nat Commun, 12, 1151, 10.1038/s41467-021-21407-w · DOI
- Street, 2018, Slingshot: cell lineage and pseudotime inference for single-cell transcriptomics, BMC Genom, 19, 477, 10.1186/s12864-018-4772-0 · DOI · Paper page
- Ramachandran, 2019, Resolving the fibrotic niche of human liver cirrhosis at single-cell level, Nature, 575, 512, 10.1038/s41586-019-1631-3 · DOI · Paper page
- Yoo, 2023, A cell therapy approach to restore microglial Trem2 function in a mouse model of Alzheimer's disease, Cell Stem Cell, 30, 1043, 10.1016/j.stem.2023.07.006 · DOI · Paper page
- Tian, 2021, LRRK2 plays essential roles in maintaining lung homeostasis and preventing the development of pulmonary fibrosis, Proc Natl Acad Sci USA, 118, 10.1073/pnas.2106685118 · DOI
- Chen, 2013, Triggering receptor expressed on myeloid cells-2 protects against polymicrobial sepsis by enhancing bacterial clearance, Am J Respir Crit Care Med, 188, 201, 10.1164/rccm.201211-1967OC · DOI
- Deczkowska, 2020, The physiology, pathology, and potential therapeutic applications of the TREM2 signaling pathway, Cell, 181, 1207, 10.1016/j.cell.2020.05.003 · DOI · Paper page
- Perrot, 2023, Monocytes and macrophages: emerging mechanisms and novel therapeutic targets in pulmonary fibrosis, Am J Physiol Cell Physiol, 325, C1046, 10.1152/ajpcell.00302.2023 · DOI
- Keren-Shaul, 2017, A unique microglia type associated with restricting development of Alzheimer's disease, Cell, 169, 1276, 10.1016/j.cell.2017.05.018 · DOI · Paper page
- Yang, 2023, Platinum-based TREM2 inhibitor suppresses tumors by remodeling the immunosuppressive microenvironment, Angew Chem Int Ed Engl, 62, 10.1002/anie.202213337 · DOI
- Obradovic, 2021, Single-cell protein activity analysis identifies recurrence-associated renal tumor macrophages, Cell, 184, 2988, 10.1016/j.cell.2021.04.038 · DOI
- Krasemann, 2017, The TREM2-APOE pathway drives the transcriptional phenotype of dysfunctional microglia in neurodegenerative diseases, Immunity, 47, 566, 10.1016/j.immuni.2017.08.008 · DOI · Paper page
- Fitz, 2021, Phospholipids of APOE lipoproteins activate microglia in an isoform-specific manner in preclinical models of Alzheimer's disease, Nat Commun, 12, 3416, 10.1038/s41467-021-23762-0 · DOI · Paper page
- Jung, 2022, Spatiotemporal dynamics of macrophage heterogeneity and a potential function of Trem2(hi) macrophages in infarcted hearts, Nat Commun, 13, 4580, 10.1038/s41467-022-32284-2 · DOI
- Henn, 2021, Xenogeneic skin transplantation promotes angiogenesis and tissue regeneration through activated Trem2(+) macrophages, Sci Adv, 7, eabi4528, 10.1126/sciadv.abi4528 · DOI
- Luo, 2023, TREM2 insufficiency protects against pulmonary fibrosis by inhibiting M2 macrophage polarization, Int Immunopharmacol, 118, 10.1016/j.intimp.2023.110070 · DOI
- Do, 2022, TREM2 macrophages induced by human lipids drive inflammation in acne lesions, Sci Immunol, 7, eabo2787, 10.1126/sciimmunol.abo2787 · DOI · Paper page
- Guo, 2023, TREM2 promotes cholesterol uptake and foam cell formation in atherosclerosis, Cell Mol Life Sci, 80, 137, 10.1007/s00018-023-04786-9 · DOI
- Dhami, 2010, Acid sphingomyelinase deficiency attenuates bleomycin-induced lung inflammation and fibrosis in mice, Cell Physiol Biochem, 26, 749, 10.1159/000322342 · DOI
- Suryadevara, 2020, Lipid mediators regulate pulmonary fibrosis: potential mechanisms and signaling pathways, Int J Mol Sci, 21, 4257, 10.3390/ijms21124257 · DOI
- Summers, 2019, Metabolic messengers: ceramides, Nat Metab, 1, 1051, 10.1038/s42255-019-0134-8 · DOI
- Mayo, 2014, Regulation of astrocyte activation by glycolipids drives chronic CNS inflammation, Nat Med, 20, 1147, 10.1038/nm.3681 · DOI
- Koh, 2021, Sphingomyelin synthase 1 mediates hepatocyte pyroptosis to trigger non-alcoholic steatohepatitis, Gut, 70, 1954, 10.1136/gutjnl-2020-322509 · DOI
- Salcedo, 2000, Human endothelial cells express CCR2 and respond to MCP-1: direct role of MCP-1 in angiogenesis and tumor progression, Blood, 96, 34, 10.1182/blood.V96.1.34 · DOI
- Moore, 2006, The role of CCL12 in the recruitment of fibrocytes and lung fibrosis, Am J Respir Cell Mol Biol, 35, 175, 10.1165/rcmb.2005-0239OC · DOI
- Raghu, 2015, CC-chemokine ligand 2 inhibition in idiopathic pulmonary fibrosis: a phase 2 trial of carlumab, Eur Respir J, 46, 1740, 10.1183/13993003.01558-2014 · DOI
- Suga, 1999, Clinical significance of MCP-1 levels in BALF and serum in patients with interstitial lung diseases, Eur Respir J, 14, 376, 10.1034/j.1399-3003.1999.14b23.x · DOI
- Pulito-Cueto, 2022, Elevated VCAM-1, MCP-1 and ADMA serum levels related to pulmonary fibrosis of interstitial lung disease associated with rheumatoid arthritis, Front Mol Biosci, 9, 10.3389/fmolb.2022.1056121 · DOI
- Baran, 2007, Important roles for macrophage colony-stimulating factor, CC chemokine ligand 2, and mononuclear phagocytes in the pathogenesis of pulmonary fibrosis, Am J Respir Crit Care Med, 176, 78, 10.1164/rccm.200609-1279OC · DOI
- Moore, 2014, Following the path of CCL2 from prostaglandins to periostin in lung fibrosis, Am J Respir Cell Mol Biol, 50, 848, 10.1165/rcmb.2014-0075PS · DOI
- Bian, 2023, Lung endothelial cells regulate pulmonary fibrosis through FOXF1/R-Ras signaling, Nat Commun, 14, 2560, 10.1038/s41467-023-38177-2 · DOI
Cited by
Sorted by citations
TREM2 promotes lung fibrosis via controlling alveolar macrophage survival and pro-fibrotic activity
Cui, H., Banerjee, S., Xie, N., Hussain, M., Jaiswal, A., Liu, H., Kulkarni, T., Antony, V. B., Liu, R.-M., Colonna, M., et al. (2025) · Nature Communications · doi:10.1038/s41467-025-57024-0 · Cited by 74
Metadata
- Authors
- Gu, X., Kang, H., Cao, S., Tong, Z., & Song, N.
- Affiliations
- Capital Medical University (CN)
- Corresponding author
- Tong, Zhaohui
- Song, Nan
- Venue
- Translational Research
- Publisher
- Elsevier BV
- Published
- 2025-01
- Volume
- 275
- Pages
- 1-17
- ISSN
- 1878-1810 (ISSN-L)
- 1931-5244
- OpenAlex
- W4403837392
- Cited by
- 28
- References
- 8
- Citations by year
- 2026: 23 · 2025: 5
- FWCI
- 8.13
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Translational research (publishedVersion, cc-by-nc-nd)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed (publishedVersion)
- Funders
- Natural Science Foundation of Beijing Municipality (JQ22019)
- National Natural Science Foundation of China (82270009, 82172278, 82070005)
- National Key Research and Development Program of China (2023YFC0872500)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
- Health Sciences › Medicine › Rheumatology › Systemic Sclerosis and Related Diseases
- Keywords
- TREM2, pulmonary fibrosis, lung inflammation, sphingolipid metabolism, sphingomyelin synthesis, lung macrophages, macrophage heterogeneity, monocyte-derived macrophages, chemokines, MCP-1, bleomycin-induced fibrosis, soluble TREM2, lipidomics, chemotaxis
- MeSH terms
- Animals, Bleomycin, Humans, Male, Membrane Glycoproteins, Mice, Inbred C57BL, Pneumonia, Pulmonary Fibrosis, Receptors, Immunologic, Sphingolipids, Macrophages, Alveolar, Mice, Knockout, Lipid Metabolism, Mice
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- Gu, X., Kang, H., Cao, S., Tong, Z., & Song, N. (2025). Blockade of TREM2 ameliorates pulmonary inflammation and fibrosis by modulating sphingolipid metabolism. Translational Research. https://doi.org/10.1016/j.trsl.2024.10.002