TREM-1 is a transmembrane protein that is constitutively expressed on the surface of peripheral blood monocytes and neutrophils . It is also found on other cell types such as hepatic endothelial cells and gastric epithelial cells, particularly during inflammatory processes . The receptor is upregulated upon stimulation with microbial products and works synergistically with other pattern recognition receptors like Toll-like receptors (TLRs), especially TLR4 .
Upon activation, TREM-1 amplifies the immune response by triggering the production and release of proinflammatory cytokines and chemokines . This activation leads to a cascade of immune responses, including the respiratory burst, phagocytosis, and the release of interleukin-8 (IL-8) and myeloperoxidase . The receptor’s activation is crucial for the successful antimicrobial response and the resolution of inflammation .
TREM-1 has garnered significant attention for its role in sepsis, a condition characterized by a dysregulated immune response that can lead to organ failure and death . Elevated levels of the soluble form of TREM-1 (sTREM-1) have been observed in patients with sepsis and septic shock, making it a potential biomarker for these conditions . The receptor’s role in sepsis has led to the development of TREM-1 inhibitors, such as nangibotide, which have shown promising results in clinical trials .
Since its discovery, TREM-1 has been the subject of numerous studies aimed at understanding its role in the immune response and its potential as a therapeutic target . Animal models have demonstrated that blocking TREM-1 can protect against lethal endotoxic shock and microbial sepsis . Clinical trials are ongoing to evaluate the efficacy of TREM-1 inhibitors in treating sepsis and other inflammatory diseases .