Innate training of macrophages can be beneficial for the clearance of pathogens. However, for certain chronic
conditions, innate training can have detrimental effects due to an excessive production of pro-inflammatory
cytokines. Obesity is a condition that is associated with a range of increased pro-inflammatory training stimuli
including the free fatty acid palmitate. Mesenchymal stromal cells (MSCs) are powerful immunomodulators
and known to suppress inflammatory macrophages via a range of soluble factors. We show that palmitate training of murine bone-marrow-derived macrophages and human monocyte-derived macrophages (MDMs) results
in an increased production of TNFa and IL-6 upon stimulation with lipopolysaccharide and is associated with
epigenetic remodeling. Palmitate training led to metabolic changes, however, MSCs did not alter the metabolic
profile of human MDMs. Using a transwell system, we demonstrated that human bone marrow MSCs block palmitate training in both murine and human macrophages suggesting the involvement of secreted factors. MSC
disruption of the training process occurs through more than one pathway. Suppression of palmitate-enhanced
TNFa production is associated with cyclooxygenase-2 activity in MSCs, while secretion of interleukin-1 receptor
antagonist by MSCs is required to suppress palmitate-enhanced IL-6 production in MDMs
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