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
Sources and links
- Publisher record via DOI (primary)
- PubMed 36189800
Related
Links from this record
- supports: Innate immune activation
- supports: Cytotoxic and senescent T cells
- discusses: Bronchiolitis obliterans syndrome (BOS)
Linked from (derived)
- author affiliation matches this institution (PubMed): Lung Transplant Program, University of Maryland Medical Center
- author affiliation matches this institution (PubMed): Lung Transplant Program, Washington University in St. Louis and Barnes-Jewish Hospital
Known gaps in this record
- full text not read (abstract only)
- funding statement and grant numbers
- author affiliations
- centre or centres not stated in the abstract
Information resource only. Not medical advice. Not a substitute for the care of the patient's transplant team.