Institute of Dermatology and Venereology, Dermatology Hospital, Southern Medical University, Guangzhou 510091, China.
Department of Dermatology, Dermatology Hospital, Southern Medical University, Guangzhou 510091, China.
Theranostics. 2024 Mar 11;14(5):2232-2245. doi: 10.7150/thno.94121. eCollection 2024.
Systemic sclerosis (SSc) is a chronic and incurable autoimmune disease with high mortality rates, and skin fibrosis is one of distinguishing hallmarks in the pathogenesis. However, macrophage heterogeneity regulating skin fibrosis remain largely unknown. We established mouse disease model and performed single-cell RNA-sequencing (scRNA-seq) to resolve the dynamic and heterogenous characteristics of macrophages in skin fibrosis, and the role of TREM2-dependent macrophages in the pathological process was investigated using knockout mice and intraperitoneal transferring TREM2 macrophages combining with functional assays. We show that TREM2-expressing macrophages (TREM2 MФs) accumulate in injured skin of mice treated by bleomycin (BLM) and human SSc, and their gene signatures and functional pathways are identified in the course of disease. Genetic ablation of in mice globally accelerates and aggravates skin fibrosis, whereas transferring TREM2 macrophages improves and alleviates skin fibrosis. Amazingly, we found that disease-associated TREM2 MФs in skin fibrosis exhibit overlapping signatures with fetal skin counterparts in mice and human to maintain skin homeostasis, but each has merits in skin remodeling and development respectively. This study identifies that TREM2 acts as a functional molecule and a major signaling by which macrophage subpopulations play a protective role against fibrosis, and disease-associated TREM2 MФs in skin fibrosis might undergo a fetal-like reprogramming similar to fetal skin counterparts.
系统性硬化症 (SSc) 是一种慢性且无法治愈的自身免疫性疾病,死亡率较高,皮肤纤维化是其发病机制的特征之一。然而,调节皮肤纤维化的巨噬细胞异质性在很大程度上仍不清楚。我们建立了小鼠疾病模型,并进行了单细胞 RNA 测序 (scRNA-seq),以解析皮肤纤维化中巨噬细胞的动态和异质性特征,并使用基因敲除小鼠和腹腔内转输 TREM2 巨噬细胞结合功能测定研究了 TREM2 依赖性巨噬细胞在病理过程中的作用。我们发现,在博来霉素 (BLM) 处理的小鼠和人类 SSc 受损皮肤中积累了表达 TREM2 的巨噬细胞 (TREM2 MФs),并在疾病过程中鉴定了它们的基因特征和功能途径。在小鼠中全局敲除 基因会加速和加重皮肤纤维化,而转输 TREM2 巨噬细胞则改善和缓解皮肤纤维化。令人惊讶的是,我们发现皮肤纤维化中的疾病相关 TREM2 MФs 与小鼠和人类胎儿皮肤中的胎儿皮肤对应物具有重叠的特征,以维持皮肤稳态,但它们在皮肤重塑和发育方面各有优势。这项研究确定了 TREM2 作为一种功能性分子和主要信号分子,巨噬细胞亚群通过它发挥保护作用,防止纤维化,而皮肤纤维化中的疾病相关 TREM2 MФs 可能经历类似于胎儿皮肤对应物的胎儿样重编程。
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