TREM2 protects from atherosclerosis by limiting necrotic core formation

Marie Piollet, Florentina Porsch, Giuseppe Rizzo, Frederieke Kapser, Dirk J.J. Schulz, Máté G. Kiss, Kai Schlepckow, Estrella Morenas-Rodriguez, Mustafa Orkun Sen, Julius Gropper, Sourish Reddy Bandi, Sarah Schäfer, Tobias Krammer, Alexander M. Leipold, Matthias Hoke, Mária Ozsvár-Kozma, Hannah Beneš, Martin Schillinger, Erich Minar, Melanie RoeschLaura Göderle, Anastasiya Hladik, Sylvia Knapp, Marco Colonna, Rudolf Martini, Antoine Emmanuel Saliba, Christian Haass, Alma Zernecke, Christoph J. Binder, Clément Cochain

Research output: Contribution to journalLetterpeer-review

12 Scopus citations

Abstract

Atherosclerosis is a chronic disease of the vascular wall driven by lipid accumulation and inflammation in the intimal layer of arteries, and its main complications—myocardial infarction and stroke—are the leading cause of mortality worldwide1,2. Recent studies have identified triggering receptor expressed on myeloid cells 2 (TREM2), a lipid-sensing receptor regulating myeloid cell functions3, to be highly expressed in macrophage foam cells in experimental and human atherosclerosis4. However, the role of TREM2 in atherosclerosis is not fully known. Here we show that hematopoietic or global TREM2 deficiency increased, whereas TREM2 agonism decreased, necrotic core formation in early atherosclerosis. We demonstrate that TREM2 is essential for the efferocytosis capacities of macrophages and to the survival of lipid-laden macrophages, indicating a crucial role of TREM2 in maintaining the balance between foam cell death and clearance of dead cells in atherosclerotic lesions, thereby controlling plaque necrosis.

Original languageEnglish
Pages (from-to)269-282
Number of pages14
JournalNature Cardiovascular Research
Volume3
Issue number3
DOIs
StatePublished - Mar 2024

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