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Triggering receptor expressed on myeloid cells-like protein 1 (TREML1)

Target
TREML1
Molecular classification
Receptor, Immunoglobulin superfamily, Type I transmembrane protein
01

Overview

Triggering receptor expressed on myeloid cells-like protein 1 (TREML1) is a type I transmembrane receptor and member of the immunoglobulin superfamily, principally expressed on platelets and megakaryocytes[1][2][6]. Its structure is characterized by a single extracellular immunoglobulin-like V-set domain and a cytoplasmic tail containing immunoreceptor tyrosine-based inhibitory motifs (ITIMs), which confer the ability to modulate intracellular signaling[1][2]. TREML1 is stored in platelet α-granules and rapidly translocated to the platelet surface upon activation, where it facilitates platelet aggregation by binding fibrinogen and modulates inflammatory and immune responses[1][2]. Additionally, a soluble form (sTLT-1) is released during platelet activation, with roles in both thrombosis and inflammation. TREML1 is genetically and functionally distinct from activating TREM family members such as TREM1 and TREM2, though it is found within the same chromosomal cluster[1][4]. Variants or altered expression of TREML1 are linked to a variety of pathological processes, including bleeding disorders, sepsis, vascular inflammation, and certain immune-mediated conditions[1][2]. There are currently no clinically approved drugs directly targeting TREML1, but its roles make it a possible future therapeutic and diagnostic target.

Other names
TREML1Trem-like transcript 1 proteinTLT-1TLT1dJ238O23.3GLTL1825PRO3438Triggering receptor expressed on myeloid cells-like protein 1
02

Mechanism of action

Modulation of platelet aggregation by binding to fibrinogen and regulating thrombin-mediated signaling; Release of soluble TLT-1, which may modulate inflammation and coagulation pathways; Interaction with signaling adaptors such as SHP-1 and SHP-2 via immunoreceptor tyrosine-based inhibition motif (ITIM)

03

Biological functions

HemostasisPlatelet aggregationRegulation of inflammationCellular activationImmune response
04

Disease associations

Thrombotic disorders (e.g., Gray platelet syndrome)InflammationSepsisAtherosclerosisAcute coronary syndromesPreeclampsiaPreterm birthTuberculosis (via modulation of platelet–monocyte aggregates)Potential links to neurodegenerative disease (e.g., gene cluster association with Alzheimer’s)
05

Safety considerations

Risk of bleeding due to interference with platelet aggregationPotential exacerbation of inflammatory responses
06

Biomarkers

Soluble TLT-1 (sTLT-1) in serum as biomarker for disseminated intravascular coagulation and platelet activationPlatelet surface TLT-1 levels (in platelet disorders or sepsis)

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