Sessile alveolar macrophages communicate with alveolar epithelium to modulate immunity

K Westphalen, GA Gusarova, MN Islam… - Nature, 2014 - nature.com
K Westphalen, GA Gusarova, MN Islam, M Subramanian, TS Cohen, AS Prince
Nature, 2014nature.com
The tissue-resident macrophages of barrier organs constitute the first line of defence against
pathogens at the systemic interface with the ambient environment. In the lung, resident
alveolar macrophages (AMs) provide a sentinel function against inhaled pathogens.
Bacterial constituents ligate Toll-like receptors (TLRs) on AMs, causing AMs to secrete
proinflammatory cytokines that activate alveolar epithelial receptors, leading to recruitment
of neutrophils that engulf pathogens,. Because the AM-induced response could itself cause …
Abstract
The tissue-resident macrophages of barrier organs constitute the first line of defence against pathogens at the systemic interface with the ambient environment. In the lung, resident alveolar macrophages (AMs) provide a sentinel function against inhaled pathogens. Bacterial constituents ligate Toll-like receptors (TLRs) on AMs, causing AMs to secrete proinflammatory cytokines that activate alveolar epithelial receptors, leading to recruitment of neutrophils that engulf pathogens,. Because the AM-induced response could itself cause tissue injury, it is unclear how AMs modulate the response to prevent injury. Here, using real-time alveolar imaging in situ, we show that a subset of AMs attached to the alveolar wall form connexin 43 (Cx43)-containing gap junction channels with the epithelium. During lipopolysaccharide-induced inflammation, the AMs remained sessile and attached to the alveoli, and they established intercommunication through synchronized Ca2+ waves, using the epithelium as the conducting pathway. The intercommunication was immunosuppressive, involving Ca2+-dependent activation of Akt, because AM-specific knockout of Cx43 enhanced alveolar neutrophil recruitment and secretion of proinflammatory cytokines in the bronchoalveolar lavage. A picture emerges of a novel immunomodulatory process in which a subset of alveolus-attached AMs intercommunicates immunosuppressive signals to reduce endotoxin-induced lung inflammation.
nature.com