Macrophage Polarization in Health and Disease

Macrophages are terminally differentiated cells of the mononuclear phagocyte system that also encompasses dendritic cells, circulating blood monocytes, and committed myeloid progenitor cells in the bone marrow. Both macrophages and their monocytic precursors can change their functional state in response to microenvironmental cues exhibiting a marked heterogeneity. However, there are still uncertainties regarding distinct expression patterns of surface markers that clearly define macrophage subsets, particularly in the case of human macrophages. In addition to their tissue distribution, macrophages can be functionally polarized into M1 (proinflammatory) and M2 (alternatively activated) as well as regulatory cells in response to both exogenous infections and solid tumors as well as by systems biology approaches

Macrophage polarization in health and disease

Macrophages are terminally differentiated cells of the mononuclear phagocyte system that also encompasses dendritic cells, circulating blood monocytes, and committed myeloid progenitor cells in the bone marrow. Both macrophages and their monocytic precursors can change their functional state in response to microenvironmental cues exhibiting a marked heterogeneity. However, there are still uncertainties regarding distinct expression patterns of surface markers that clearly define macrophage subsets, particularly in the case of human macrophages. In addition to their tissue distribution, macrophages can be functionally polarized into M1 (proinflammatory) and M2 (alternatively activated) as well as regulatory cells in response to both exogenous infections and solid tumors as well as by systems biology approaches. KEYWORDS: Macrophage, polarization, M1/M2, HIV, tumors, TAMs (tumor-associated macrophages), regulatory macrophages Correspondence should be addressed to Guido Poli, [email protected] Copyright © 2011 Luca Cassetta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Published by TheScientificWorldJOURNAL; http://www.tswj.com/ TheScientificWorldJOURNAL (2011) 11, 2391-2402 MACROPHAGE POLARIZATION: DOGMA OR REALITY? Proinflammatory, "classical Activation" of macrophages, which was delineated in early studies from the 1960s Indeed, "classically" and "alternatively" activated macrophages have been designated as "M1" and "M2" macrophages, respectively, by analogy to the Th1/Th2 division of labor of CD4 helper T cells A more flexible classification has been suggested recently by mouse studies in which macrophages are considered as part of a continuum having a range of overlapping functions and in which classically activated, wound-healing, and regulatory macrophages occupy different points of the spectrum MACROPHAGE PLASTICITY: AN OBSTACLE TO STUDY MACROPHAGE POLARIZATION? Unlike lymphocytes where phenotypic changes are largely "fixed" by chromatin modifications after exposure to polarizing cytokines, macrophages have a plastic gene expression profile that is influenced by the type, concentration, and longevity of exposure to the stimulating agents, as documented extensively There is a high number of factors contributing to diversity of macrophage function, including the synergistic or antagonistic effects of different cytokines and related signals on their differential expression, chemokines, hormones (including adrenergic and cholinergic agonists), TLR ligands, and other endogenous ligands (e.g., histamine, integrin ligands, peroxisome proliferator-activated receptor ligands, apoptotic cells); this plethora of signals underlines the fact that macrophages can display a large number of distinct, functional patterns that have not yet been completely defined. Furthermore, identical macrophages placed in different microenvironments display different functions in response to a common stimulus. Stimulation of macrophages with functionally opposite cytokines, such as IFN-γ and IL-4, initiates signal cascades that results in differential modulation (enhancement or inhibition) of different genes at the transcriptional or posttranscriptional level (e.g., stabilization or destabilization of mRNA). Unless the signal cascade triggered an apoptotic cascade, macrophages will eventually revert to their original, functional status after the cytokine signaling ceases. In vivo or in vitro treatment of macrophages with cytokines alters their functional response pattern to LPS. However, if the cytokines are washed away after incubation and macrophages are then maintained in the absence of cytokines for 1-2 days before LPS stimulation, the functional response pattern is usually identical to that of macrophages that had not been prestimulated with the cytokine. A similar reversion to basal macrophage phenotype is observed when IL-4 and granulocyte macrophage-colony-stimulating factor (GM-CSF) are removed from human monocyte-derived, immature dendritic cells (iDCs) and the cells are resuspended in a neutral environment Therefore, most Th1 and Th2 cytokines do not seem to induce a stable differentiation of macrophages into distinct subsets, but they rather promote a transient functional pattern of responses that return to basal levels in a few (3-7) days. MARKERS OF MACROPHAGE POLARIZATION: STILL AN OPEN CHASE One of the most debated issues in the context of human macrophage polarization is the identification of unique or restricted markers to be used for research and clinical purposes. Innovative approaches, including intravital imaging and other in vivo techniques, will be of great help in the identification of "real" subsets of macrophages in addition to more static antigens expressed on their cellular surface following cell polarization. An example of this broader approach is summarized by the identification of at least 6 different subsets of mouse tumor-associated macrophages (TAMs) based on their distinct functional features CONTRIBUTION OF MACROPHAGE POLARIZATION TO INNATE IMMUNE RESPONSES REGULATORY MACROPHAGES (RMs) As mentioned, diversity is a key feature of macrophage activation. In addition to M1 and M2 macrophages, RMs have recently emerged as an important population of cells that play a pivotal role in limiting inflammation during innate and adaptive immune responses Interestingly, a recent study has identified a subpopulation of Foxp3 + macrophages in the mouse 2394 TheScientificWorldJOURNAL (2011TheScientificWorldJOURNAL ( ) 11, 2391TheScientificWorldJOURNAL ( -2402 Manrique et al. reported that F4/80 + Foxp3 − cells could be converted into FoxP3 + cells by stimulation with TGF-β, Vascular Endothelial Growth Factor (VEGF), or TLR ligands Although cell activation is critical for the induction of an effective immune response to pathogens or tumors, inappropriate and sustained activation/polarization of macrophages leads to tissue damage, immune dysfunction, and disease. As with exacerbated M1 and M2 responses, dysfunctional regulatory responses contribute to tumor progression and growth (as discussed below) and can predispose the host to infection. Several pathogens including Staphylococcus aureus MACROPHAGE DIVERSITY IN SYSTEMS BIOLOGY Systems biology approaches have provided important insights into the heterogeneity of mononuclear phagocyte populations, the plasticity of macrophage activation, and the molecular pathways associated with polarization. Transcriptome profiling has been commonly used to examine networks of molecules and transcription factors linked to activation. Using this approach, Martinez et al. obtained a comprehensive global view of human macrophage polarization Epigenetic studies have begun to unravel how polarized macrophages acquire and maintain their activation phenotype. M2 genes in mice, including Chi3l3, Retnla, and Arg-1, were shown to be epigenetically regulated as a result of signal transducer and activator of transcription 6-(STAT6-) dependent induction of the H3K27 demethylase Jmjd3 Thus, systems biology will keep providing a constantly updated global view of the networks regulating or involved in macrophage polarization, allowing us to evaluate key issues related to macrophage heterogeneity and plasticity. 2395 TheScientificWorldJOURNAL (2011TheScientificWorldJOURNAL ( ) 11, 2391TheScientificWorldJOURNAL ( -2402 MACROPHAGE POLARIZATION IN CANCER BIOLOGY: A MATTER OF GOOD OR BAD EDUCATION All solid tumors recruit monocytes and local macrophages into their microenvironment making them TAM; it is being increasingly clear that TAMs play several, sometimes opposite, roles during tumor development. Originally it was believed that these cells were attempting to reject the immunologically non-self entity made of transformed cells (that frequently lose or modify their MHC profile). Indeed, macrophages can effectively kill tumor cells in vitro In conclusion, tumors can affect macrophages playing with their impressive plastic nature in order to modify the microenvironment and consequently alter the function and the strength of the cellular and innate immune response. These studies together provide useful models to investigate how cancer cells (and viruses, as discussed later on) crosstalk with macrophages; the potential application of this information will be the identification of soluble factors or inhibitors that will "reeducate" macrophages against pathogens and neoplastic lesions

Generation of potent neutralizing human monoclonal antibodies against cytomegalovirus infection from immune B cells

<p>Abstract</p> <p>Background</p> <p>Human monoclonal antibodies (mAbs) generated as a result of the immune response are likely to be the most effective therapeutic antibodies, particularly in the case of infectious diseases against which the immune response is protective.</p> <p>Human cytomegalovirus (HCMV) is an ubiquitous opportunistic virus that is the most serious pathogenic agent in transplant patients. The available therapeutic armamentarium (e.g. HCMV hyperimmune globulins or antivirals) is associated with severe side effects and the emergence of drug-resistant strains; therefore, neutralizing human mAb may be a decisive alternative in the prevention of primary and re-activated HCMV infections in these patients.</p> <p>Results</p> <p>The purpose of this study was to generate neutralizing mAb against HCMV from the immunological repertoire of immune donors. To this aim, we designed an efficient technology relying on two discrete and sequential steps: first, human B-lymphocytes are stimulated with TLR9-agonists and IL-2; second, after both additives are removed, the cells are infected with EBV. Using this strategy we obtained 29 clones secreting IgG neutralizing the HCMV infectivity; four among these were further characterized. All of the mAbs neutralize the infection in different combinations of HCMV strains and target cells, with a potency ~20 fold higher than that of the HCMV hyperimmune globulins, currently used in transplant recipients. Recombinant human monoclonal IgG1 suitable as a prophylactic or therapeutic tool in clinical applications has been generated.</p> <p>Conclusion</p> <p>The technology described has proven to be more reproducible, efficient and rapid than previously reported techniques, and can be adopted at low overall costs by any cell biology laboratory for the development of fully human mAbs for immunotherapeutic uses.</p

Influence of substrate on molecular order for self-assembled adlayers of CoPc and FePc

Self-assembled metal phthalocyanine thin films are receiving considerable interest due to their potential technological applications. In this study, we present a comprehensive study of CoPc and FePc thin films of about 50 nm thickness on technologically relevant substrates such as SiOx/Si, indium tin oxide (ITO) and polycrystalline gold in order to investigate the substrate induced effects on molecular stacking and crystal structure. Raman spectroscopic analysis reveals lower intensity for the vibrational bands corresponding to phthalocyanine macrocycle for the CoPc and FePc thin films grown on ITO as compared to SiOx/Si due to the higher order of phthalocyanine molecules on SiOx/Si. Atomic force microscopy analysis displays higher grain size for FePc and CoPc thin films on ITO as compared to SiOx/Si and polycrystalline gold indicating towards the influence of molecule\u2013substrate interactions on the molecular stacking. Grazing incidence X-ray diffraction reciprocal space maps reveal that FePc and CoPc molecules adopt a combination of herringbone and brickstone arrangement on SiOx/Si and polycrystalline gold substrate, which can have significant implications on the optoelectronic properties of the films due to unique molecular stacking

Beating Cancer by 2030: Mission Impossible?

Cancer has been for many years the second leading cause of mortality right after cardiovascular diseases, representing 25% of all the deaths reported yearly and this tendency is expected to increase. Although the recent public health emergency caused by COVID-19 pandemic diverted much of the attention of policy makers, the public opinion and even researchers from other important, economical relevant and deadly diseases, cancer still remains as one of the major healthcare issues. Moreover, recent studies revealed the negative effects of COVID-19 pandemic on the increase of avoidable cancer-related deaths. It is then the perfect time to bring back the spotlight onto the topic of cancer.The aim of this paper is to share the outcomes of the workshop organized by the COST (European Cooperation in Science and Technology) Association, bringing together sixty participants representing a broad variety of stakeholders, to discuss a holistic approach on how to beat cancer by 2030.The conclusions of this workshop are highly relevant for the community and are supporting the work being undertaken by the EU Mission Board on Cancer. This report lays down the main conclusions and recommendations agreed by the workshop participants, focusing on different aspects such as better stakeholder collaboration, citizen education, innovative therapies, and patient-centric care

A human iPSC line capable of differentiating into functional macrophages expressing ZsGreen: a tool for the study and in vivo tracking of therapeutic cells

We describe the production of a human induced pluripotent stem cell (iPSC) line, SFCi55-ZsGr, that has been engineered to express the fluorescent reporter gene, ZsGreen, in a constitutive manner. The CAG-driven ZsGreen expression cassette was inserted into the AAVS1 locus and a high level of expression was observed in undifferentiated iPSCs and in cell lineages derived from all three germ layers including haematopoietic cells, hepatocytes and neurons. We demonstrate efficient production of terminally differentiated macrophages from the SFCi55-ZsGreen iPSC line and show that they are indistinguishable from those generated from their parental SFCi55 iPSC line in terms of gene expression, cell surface marker expression and phagocytic activity. The high level of ZsGreen expression had no effect on the ability of macrophages to be activated to an M(LPS + IFNγ), M(IL10) or M(IL4) phenotype nor on their plasticity, assessed by their ability to switch from one phenotype to another. Thus, targeting of the AAVS1 locus in iPSCs allows for the production of fully functional, fluorescently tagged human macrophages that can be used for in vivo tracking in disease models. The strategy also provides a platform for the introduction of factors that are predicted to modulate and/or stabilize macrophage function. This article is part of the theme issue ‘Designer human tissue: coming to a lab near you’

Systemic influences of mammary cancer on monocytes in mice

SIMPLE SUMMARY: Using a mouse model of breast cancer driven by the mammary epithelial expression of the polyoma middle T oncoprotein in which the tumors progress from benign to malignant metastatic stages, we show that cancer causes an increase in circulating monocytes and a splenomegaly. This increase in monocyte number is due to their increased proliferation in the bone marrow and not turnover rates in the blood. Single cell sequencing also shows that new populations of monocytes do not arise during cancer. Cancer also drives systemic changes in the monocyte transcriptome, with a notable down-regulation of interferon signaling. These systemic influences start in the bone marrow but intensify in the blood. Comparison of cancer prone and cancer resistant mouse inbred strains carrying the same oncogene reveals that the genetic background of the strain causes different monocyte transcriptional changes. Similarly, a comparison of the mouse transcriptome to human breast cancer monocyte profiles indicates limited similarities, to the extent that interferon signaling is enhanced in humans. Systemic responses are different in the same model of cancer on different genetic backgrounds within a species and even greater changes are found across species. These data suggest that at the very least this mouse model will be limited when it comes to exploring the mechanism behind systemic changes in humans. ABSTRACT: There is a growing body of evidence that cancer causes systemic changes. These influences are most evident in the bone marrow and the blood, particularly in the myeloid compartment. Here, we show that there is an increase in the number of bone marrow, circulating and splenic monocytes by using mouse models of breast cancer caused by the mammary epithelial expression of the polyoma middle T antigen. Cancer does not affect ratios of classical to non-classical populations of monocytes in the circulation nor does it affect their half-lives. Single cell RNA sequencing also indicates that cancer does not induce any new monocyte populations. Cancer does not change the monocytic progenitor number in the bone marrow, but the proliferation rate of monocytes is higher, thus providing an explanation for the expansion of the circulating numbers. Deep RNA sequencing of these monocytic populations reveals that cancer causes changes in the classical monocyte compartment, with changes evident in bone marrow monocytes and even more so in the blood, suggesting influences in both compartments, with the down-regulation of interferon type 1 signaling and antigen presentation being the most prominent of these. Consistent with this analysis, down-regulated genes are enriched with STAT1/STAT2 binding sites in their promoter, which are transcription factors required for type 1 interferon signaling. However, these transcriptome changes in mice did not replicate those found in patients with breast cancer. Consequently, this mouse model of breast cancer may be insufficient to study the systemic influences of human cancer

Deciphering myeloid-derived suppressor cells: isolation and markers in humans, mice and non-human primates

International audienceIn cancer, infection and inflammation, the immune system's function can be dysregulated. Instead of fighting disease, immune cells may increase pathology and suppress host-protective immune responses. Myeloid cells show high plasticity and adapt to changing conditions and pathological challenges. Despite their relevance in disease pathophysiology, the identity, heterogeneity and biology of myeloid cells is still poorly understood. We will focus on phenotypical and functional markers of one of the key myeloid regulatory subtypes, the myeloid derived suppressor cells (MDSC), in humans, mice and non-human primates. Technical issues regarding the isolation of the cells from tissues and blood, timing and sample handling of MDSC will be detailed. Localization of MDSC in a tissue context is of crucial importance and immunohistochemistry approaches for this purpose are discussed. A minimal antibody panel for MDSC research is provided as part of the Mye-EUNITER COST action. Strategies for the identification of additional markers applying state of the art technologies such as mass cytometry will be highlighted. Such marker sets can be used to study MDSC phenotypes across tissues, diseases as well as species and will be crucial to accelerate MDSC research in health and disease

CCL2-induced chemokine cascade promotes breast cancer metastasis by enhancing retention of metastasis-associated macrophages

Pulmonary metastasis of breast cancer cells is promoted by a distinct population of macrophages, metastasis-associated macrophages (MAMs), which originate from inflammatory monocytes (IMs) recruited by the CC-chemokine ligand 2 (CCL2). We demonstrate here that, through activation of the CCL2 receptor CCR2, the recruited MAMs secrete another chemokine ligand CCL3. Genetic deletion of CCL3 or its receptor CCR1 in macrophages reduces the number of lung metastasis foci, as well as the number of MAMs accumulated in tumor-challenged lung in mice. Adoptive transfer of WT IMs increases the reduced number of lung metastasis foci in Ccl3 deficient mice. Mechanistically, Ccr1 deficiency prevents MAM retention in the lung by reducing MAM–cancer cell interactions. These findings collectively indicate that the CCL2-triggered chemokine cascade in macrophages promotes metastatic seeding of breast cancer cells thereby amplifying the pathology already extant in the system. These data suggest that inhibition of CCR1, the distal part of this signaling relay, may have a therapeutic impact in metastatic disease with lower toxicity than blocking upstream targets