Xu Siting, Yang Bo, Yu Wenhua, Gao Yun, Cai Honghua, Wang Zhongqun
Department of Cardiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Department of Pathology, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Cell Biol Int. 2025 Apr;49(4):305-316. doi: 10.1002/cbin.12279. Epub 2025 Feb 1.
Atherosclerosis is driven by the expansion of cholesterol-loaded foamy macrophages in the arterial intima. Single-cell RNA sequencing has recently revealed the transcriptional landscape of macrophages in these atherosclerotic plaques and uncovered a population of foamy cell-like myeloid cells expressing triggering receptor expressed on myeloid cells-2 (TREM2)-TREM2 macrophages. Fundamental research has brought essential insight into the significance of TREM2 for foam macrophage survival and atherosclerosis progression, making TREM2 as a therapeutic target in atherosclerosis possible. This review retraces TREM2's winding route from pure knowledge to therapeutic interventions, as well as the potential feasibility of its clinical application for atherosclerosis.
动脉粥样硬化是由动脉内膜中富含胆固醇的泡沫巨噬细胞的扩张所驱动的。单细胞RNA测序最近揭示了这些动脉粥样硬化斑块中巨噬细胞的转录图谱,并发现了一群表达髓系细胞触发受体2(TREM2)的泡沫细胞样髓系细胞——TREM2巨噬细胞。基础研究已对TREM2在泡沫巨噬细胞存活和动脉粥样硬化进展中的重要性有了深入了解,使得TREM2成为动脉粥样硬化的治疗靶点成为可能。本文综述追溯了TREM2从纯知识到治疗干预的曲折历程,以及其在动脉粥样硬化临床应用中的潜在可行性。