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PublicationsJun 1178% confidenceConfidence 78% — the share of independent, credible sources corroborating the core facts.

TREM2 receptor identified as inhibitor of immune response to Cryptococcus neoformans infection

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Researchers have identified TREM2, a receptor expressed on myeloid immune cells, as a direct sensor of the fungal pathogen Cryptococcus neoformans that paradoxically suppresses the immune response. TREM2 signals through the adapter protein DAP12 to inhibit macrophage activation and fungal uptake, with the fungal cell wall component β-1,6-glucan mediating the binding interaction. This finding reveals a potential immune evasion mechanism exploited by C. neoformans and highlights the TREM2-DAP12 pathway as a possible therapeutic target for improving outcomes in cryptococcal infections.

A new preprint study published on bioRxiv reports that TREM2, a triggering receptor expressed on myeloid cells, is upregulated on murine monocytes and interstitial macrophages in the lungs during Cryptococcus neoformans infection and acts as an inhibitory regulator of the antifungal immune response. The researchers found that TREM2 signals through the adapter protein DAP12—previously shown by the same group to worsen mouse survival during cryptococcosis—to suppress both phagocytosis of fungal cells and M1 macrophage polarization, a pro-inflammatory state important for pathogen clearance. Using in vitro binding assays, the team demonstrated that both murine and human TREM2 can directly bind to C. neoformans, establishing it as a bona fide fungal pattern recognition receptor. Critically, disruption of β-1,6-glucan, a component of the cryptococcal cell wall, abolished this binding, identifying the likely molecular ligand. These findings suggest that C. neoformans may exploit the TREM2-DAP12 signaling axis to dampen host immunity, potentially contributing to the pathogen's ability to establish persistent infections, particularly in immunocompromised individuals.

What's missing

As a preprint, this study has not yet undergone peer review. The work is primarily conducted in murine models, and it remains unclear whether TREM2-DAP12 signaling plays an equivalent inhibitory role in human disease. The study does not address whether therapeutic blockade of TREM2 or DAP12 improves outcomes without causing off-target immunopathology, nor does it clarify whether β-1,6-glucan is the sole cryptococcal ligand for TREM2.

What different sources said

  • bioRxivCenter

    TREM2 drives monocyte-derived macrophage responses to Cryptococcus neoformans

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