Induction of M2 regulatory macrophages through the β2-adrenergic receptor with protection during endotoxemia and acute lung injury.

Induction of M2 regulatory macrophages through the β2-adrenergic receptor with protection during endotoxemia and acute lung injury.
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DOI:
10.1159/000358524
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发表时间:
2014
影响因子:
5.3
通讯作者:
Ward PA
Ward PA
中科院分区:
医学2区
文献类型:
--
作者:
Grailer JJ;Haggadone MD;Sarma JV;Zetoune FS;Ward PA

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Main drivers of acute inflammation are macrophages, which are known to have receptors for catecholamines. Based on their function, macrophages are broadly categorized as either M1 (pro-inflammatory) or M2 phenotypes (anti-inflammatory). In this study, we investigated catecholamine-induced alterations in the phenotype of activated macrophages. In the presence of lipopolysaccharide (LPS), mouse peritoneal macrophages acquired an M1 phenotype. However, the co-presence of LPS and either epinephrine or norepinephrine resulted in a strong M2 phenotype including high levels of arginase-1 and interleukin (IL) -10, and reduced expression of M1 markers. Furthermore, epinephrine enhanced macrophage phagocytosis and promoted type 2 T cell responses in vitro, which are known features of M2 macrophages. Analysis of M2 subtype-specific markers indicated that LPS and catecholamine co-treated macrophages were not alternatively activated, but of the regulatory macrophage subtype. Interestingly, catecholamines signaled through the β2 adrenergic receptor, but not the canonical cAMP/protein kinase A signaling pathway. Instead, the M2 pathway required an intact phosphoinositol 3-kinase pathway. Blockade of the β2 adrenergic receptor reduced survival and enhanced injury during mouse models of endotoxemia and LPS-induced acute lung injury, respectively. These results demonstrate a role for the β2 adrenergic receptor in promoting the M2 macrophage phenotype.
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