Transmembrane 6 superfamily member 2 (
TM6SF2
) is located on chromosome 19 (19p12) and encodes for a protein of undetermined function. Genetic studies have reported the association between a nonsynonymous variant in
TM6SF2
(E167K, rs58542926) with hepatic triglyceride content and its impact on the cardiovascular system. Clinical and epidemiological studies have confirmed the role of
TM6SF2
in the development of nonalcoholic fatty liver disease (NAFLD). Recently,
TM6SF2
was also shown to play an important role in promoting hepatic fibrosis and hepatocellular cancer in mouse models. This review aims to capture the physiological role of
TM6SF2
in the regulation of lipid metabolism and its involvement in cardiometabolic diseases.