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Paper

Reprogramming alveolar macrophage responses to TGF-β reveals CCR2+ monocyte activity that promotes bronchiolitis obliterans syndrome

Evidence level: mouse lung transplant model; abstract-only

A mouse study in which TGF-beta signalling in alveolar macrophages and CCR2-positive monocytes promoted BOS through expansion of CD8 T cells, with extracorporeal photopheresis blunting this pathway.

As of . Primary source: Publisher record via DOI.

Summary

In a mouse lung transplant model, the abstract reports that extracorporeal photopheresis (ECP) lowered airway TGF-beta availability and inhibited BOS. ECP-treated leukocytes were taken up by alveolar macrophages, which became less responsive to TGF-beta and secreted decorin, an antagonist of TGF-beta. In untreated recipients, high airway TGF-beta activity led macrophages to express CCL2, which drew in CCR2-positive monocytes. Differentiation of these monocytes into monocyte-derived alveolar macrophages was required for BOS, and these macrophages expanded tissue-resident memory CD8 T cells that injured the airway through granzyme B. The findings come from mice and are not shown here to apply to people.

Details

doi
10.1172/jci159229
pmid
36189800
authors
Liu Z, Liao F, Zhu J, Zhou D, Heo GS, Leuhmann HP, Scozzi D, Parks A, Hachem R, Byers DE, Tague LK, Kulkarni HS, Cano M, Wong BW, Li W, Haung HJ, Krupnick AS, Kreisel D, Liu Y, Gelman AE
journal
Journal of Clinical Investigation
year
2022
volume
132
issue
19
articleNumber
e159229

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