Browsing by Subject "Macrophage"

Mycobacterial infection leads to the formation of characteristic immune cell aggregates called granulomas. In humans and animal models, tuberculous granuloma formation is accompanied by dramatic remodeling of host vasculature which ultimately benefits the infecting mycobacteria, suggesting the bacteria may actively drive this host process. First, we sought to identify bacterial factors that promote granuloma vascularization. Using Mycobacterium marinum transposon mutants in a zebrafish infection model, we revealed the enzyme Proximal Cyclopropane Synthase of alpha-Mycolates (PcaA) as an important bacterial determinant of host angiogenesis. We found that PcaA-modified trehalose dimycolate, an abundant glycolipid in the mycobacterial cell wall, drives activation of host VEGF signaling and subsequent granuloma vascularization. To facilitate our continuing investigation of granuloma dynamics, we next sought to expand and improve upon the transgenic tools for studying macrophages in the zebrafish model. I describe two such tools: i) the macrophage-specific zebrafish mfap4 promoter, which allows long-term in vivo visualization and manipulation of macrophages during mycobacterial infection, and ii) the first zebrafish transgenic line with constitutive, ubiquitous Cas9 expression, as well as a transgene design capable of generating sgRNAs using macrophage-specific promoters. These tools allow CRISPR/Cas9 gene editing in vivo in the zebrafish in a macrophage-restricted manner.

Pathological angiogenesis is a widespread biological phenomenon that influences the progression of various diseases, including autoimmune conditions, cancers, and microbial infections. One infection in particular, tuberculosis, is associated with the induction of a potent pro-angiogenic signaling cascade that facilitates bacterial growth and accelerates disease progression. A synthesis of early studies on bacterial factors that drive host angiogenesis with modern genetic findings identified the mycobacterial glycolipid trehalose 6-6'-dimycolate (TDM) as a critical factor driving vascular endothelial growth factor (VEGFA) production and angiogenesis during mycobacterial infection. Despite these recent findings, many of the underlying host response mechanisms remain unknown. The introductory chapter will serve to introduce the reader to the major concepts addressed in this work: Mycobacterium tuberculosis and the disease it causes, the role of macrophages in health and disease, the function of pattern recognition receptors in detecting microbial ligands, the specific downstream intracellular signaling pathway of interest for this work (mediated by the transcription factor, nuclear factor of activated T cells, NFAT), the contributions of angiogenesis to diverse contexts and pathologies, and the promise of host-directed therapies to overcome challenges associated with traditional treatment approaches in infectious disease. Chapter 2 describes the new and existing methodological approaches that were required to complete this work. This work utilizes the zebrafish-Mycobacterium marinum model of tuberculosis infection to facilitate in depth in vivo observation and quantitation of these phenomena. Using this model in tandem with human macrophage cell culture, I was able to model major aspects of the host-pathogen interface, enabling me to identify a critical role for a macrophage-C-type lectin receptor-NFATC2-VEGFA signaling axis required for the angiogenic response to mycobacterial infection and TDM, findings that comprise the core of this work and are detailed at length in Chapter 3. The analysis of the large amounts of data generated in this work required creative approaches to data processing and analysis. To this end, I have developed a set of novel processing modalities in Python and R that are capable of the rapid and reproducible processing of images as well as certain aspects of automated data collection therefrom. These macros, many written for the FIJI/ImageJ programming environment, serve as the infrastructure on which the rest of this work has been built. These will be detailed in Chapter 4. Finally, this body of work leaves many questions as yet unanswered. While it is clear that NFAT signaling is required for VEGFA production, the precise mechanism by which this may work is unclear and could be mediated by either direct DNA binding or indirect activation or cooperative binding with some other transcriptional activator. There also exist a variety of other potential NFAT- and angiogenesis-related phenotypes worthy of exploring using the tools and approaches I have developed. It is my hope that the findings herein stimulate further study on the contributions of NFAT signaling to the host immune response to mycobacterial infection and evaluation of the potential of NFAT inhibition as host-directed therapy to tuberculosis.

The key components of innate immune defense to pathogens are various migratory as well as tissue resident innate immune cells, however, their interactions with pathogens as well as their immune-orchestrating roles are often poorly understood. While immune cells encounter pathogens at barrier sites and mount the first line of defense, pathogens are well adapted to bypass, inactivate and even exploit the functions of these cells. Better understanding of the interactions between pathogens and innate immune cells can teach us how pathogens avoid or exploit immune cells and how to overcome these mechanisms of pathogenesis by therapeutic interventions. In this work, we examined two scenarios of pathogen invasion and sought to understand the complex ways of external targeting of innate immunocytes that can either benefit the pathogen or the host.

First, we studied the migratory innate immunocytes in draining lymph nodes upon entry of Yersinia pestis via the skin and identified how this plague-causing bacterium coopted host cell death pathways of infiltrated mononuclear phagocytes. By employing time-lapse microscopy and flow cytometry, we demonstrated that within the confines of infected lymph nodes, bacteria-triggered necroptotic cell death resulted in the release of intracellular bacteria into the extracellular environment and attracted neighboring phagocytic cells, promoting their infection by these recently released bacteria. This expansion of bacteria-bearing immune cells which eventually migrate to secondary lymph nodes, enables large numbers of Y. pestis to disseminate from one node to the next via the lymphatic system. We show this mechanism of dissemination being essential for the transition of plague from a bubonic to septicemic stage and demonstrate immunotherapeutic potential of necroptosis inhibitors.

Next, we focused on mast cells, a resident innate immunocyte in the context of skin infection by Staphylococcus aureus. We showed that connective tissue mast cells promoted recruitment of neutrophils at the early stage and CD301b+ dendritic cells at the later stages of infection, which played critical roles in infection control and repair, respectively. We further demonstrated that exogenous activation of skin mast cells via a mast cell-specific G protein-coupled receptor controlled infection as well as enhanced mobilization of dendritic cells to draining lymph nodes in a mast-cell dependent manner and protected mice from re-infection. Therefore, selective activation of mast cells appears to orchestrate immunomodulation integrating both the innate and adaptive immune arms.

These studies reveal the yin and yang of innate immune cells in two very different infectious settings. They emphasize how different strategies to target these cells at the immune checkpoints can be beneficial for host-directed therapy against bacterial infections.

Concurrent with the global escalation of the AIDS pandemic, cryptococcal infections are increasing and are of significant medical importance. Although improvements in antifungal therapy have advanced the treatment of cryptococcosis, the mortality rate is approximately 12% in medically advanced countries, and approaches 50% in less developed regions. Additionally, C. neoformans can cause infection in seemingly healthy individuals, elevating its status as a primary human pathogen. Although numerous studies have examined virulence properties, less is understood regarding host immune factors in the lungs during early stages of fungal infection. In the present thesis studies, I examined the roles played by pulmonary surfactant proteins in response to C. neoformans in vitro and in vivo. We demonstrate that SP-D, but not SP-A, binds to the yeast and increases phagocytosis of poorly encapsulated yeast cells by macrophages, yet concomitantly protects the pathogenic microbes from macrophage-mediated defense mechanisms. Furthermore, we show that SP-D functions as risk factor in vivo by protecting the yeast cells against oxidant species and thus facilitating disease progression. The results of these studies provide a new paradigm on the role played by surfactant protein D during host responses to C. neoformans and, consequently, impart insight into potential future treatment strategies for cryptococcosis.

Appropriately modulating inflammation after traumatic brain injury (TBI) may prevent disabilities in the millions that suffer TBI every year. Important mediators of inflammation include macrophages and microglia and these cell types can possess a range of phenotypes. An anti-inflammatory, “M2-like” macrophage phenotype after TBI is associated with neurogenesis, axonal regeneration, and improved white matter integrity. To boost these subpopulations, a promising approach is the enrichment of two cytokines: Fractalkine (FKN, CX3CL1) or Interleukin-4 (IL-4). FKN is a chemokine and thus recruits non-classical monocytes which are precursors to M2-like macrophages. IL-4 polarizes and proliferates M2-like macrophages. However, delivering recombinant or purified cytokines is not ideal due to their short half-lives, suboptimal efficacy, immunogenic potential, batch variabilities, and cost. Here we explore two strategies to enrich endogenous FKN or IL-4, obviating the need for delivery of exogenous proteins.

In the first study, we synthesize a biomaterial to elevate endogenous FKN at an injury site. Modified FKN-binding-aptamers are integrated with poly(ethylene glycol) diacrylate to form aptamer-functionalized hydrogels (“aptagels”) that dramatically enrich and passively release FKN in vitro for at least one week. Implantation in a mouse model of excisional skin injury demonstrates that aptagels enrich endogenous FKN and stimulate local increases in non-classical monocytes and M2-like macrophages.

In our second approach, we augment mesenchymal stem/stromal cells (MSCs), to transiently express IL-4. As MSCs do not endogenously synthesize IL-4, we transfect them with synthetic IL-4 mRNA. We suggest that mRNA transfection is a better strategy than DNA transfection, viral transduction, and recombinant IL-4 delivery for TBI. Our studies first characterize the IL-4 expression. Then, in a TBI model of closed head injury, we observe that IL-4 expressing MSCs successfully induce a robust M2-like macrophage phenotype and promote anti-inflammatory gene expression. Curiously, this does not translate to improvements in function, histology, or white matter integrity.

The results demonstrate that orchestrators of inflammation can be manipulated without delivery of foreign proteins. Both FKN-aptamer functionalized biomaterials and IL-4 expressing MSCs may be promising approaches to boost anti-inflammatory subpopulations at sites of injury. However, our studies also begin to question whether M2-like macrophages alone orchestrate the neurogenesis, axonal regeneration, and improved white matter integrity that has previously been observed.

Finally, both strategies could have important immunomodulatory roles outside of TBI. Aptagels are readily synthesized, highly customizable and could combine different aptamers to treat complex diseases in which regulation or enrichment of multiple proteins may be therapeutic. IL-4 expressing MSCs could assist tissue regeneration in cavitary diseases or improve biomaterial integration into tissues.

Although anti-retroviral therapy (ART) is effective at controlling HIV-1 replication, it does not eradicate the virus from viral reservoirs established throughout the body of infected individuals before therapy initiation.

Increasing evidence supports the kidney as such a reservoir. Although it is recognized that HIV-1 infects renal tubule epithelial (RTE) cells, how the virus enters kidney cells and their fate following infection requires further investigation. Previous work has demonstrated that HIV-1 infected CD4+ T-cells transfer virus to RTE through cell-to-cell contact. In addition to CD4+ T-cells, macrophages represent the other major target of HIV-1. Renal macrophages induce and regulate inflammatory responses and are critical to homeostatic regulation of the kidney environment. Combined with their ability to harbor virus, macrophages may also play an important role in the spread of HIV-1 infection in the kidney.

Here we show that macrophages are abundantly present in the renal inflammatory infiltrate of individuals with HIV-associated nephropathy (HIVAN). Using a co-culture system, we observed contact-dependent HIV-1 transfer from infected macrophages to both primary and immortalized renal cells. Live imaging of HIV-1 infected RTE cells revealed four different fates: proliferation, hypertrophy, latency and cell death.

The work described here indicates that macrophages may play an important role in the dissemination of HIV-1 in the kidney and that proliferation of infected renal cells may contribute to HIV-1 persistence in this compartment. Additionally, the model presented here shows that renal cell infection results in pathological changes consistent with what is seen in vivo.

Essential and diverse biological processes such as cell division, morphogenesis and migration are regulated by a family of molecular switches called Rho GTPases. These proteins cycle between active, GTP-bound states and inactive, GDP-bound state and this cycle is regulated by families of proteins called Rho GEFs and GAPs. GAPs are proteins that stimulate the intrinsic GTPase activity of Rho-family proteins, potentiating the active to inactive transition. GAPs target specific spatiotemporal pools of GTPases by responding to cellular cues and utilizing protein-protein interactions. By dissecting these interactions and pathways, we can infer and then decipher the biological functions of these GAPs.

This work focuses on the characterization of a novel Rho-family GAP called srGAP2. In this study, we identify that srGAP2 is a Rac-specific GAP that binds a Formin-family member, Formin-like 1 (FMNL1). FMNL1 is activated by Rac and polymerizes, bundles and severs actin filaments. srGAP2 specifically inhibits the actin severing of active FMNL1, and the assembly of an srGAP2-FMNL1 complex is regulated by Rac. Work on FMNL1 shows that it plays important roles in regulating phagocytosis and adhesion in macrophages. To learn more about srGAP2 and its role in regulating FMNL1, we studied macrophages isolated from an srGAP2 KO mouse we have recently generated. This has proven quite fruitful: loss of srGAP2 decreases the ability for macrophages to invade through extracellular matrix but increases phagocytosis. These results suggest that these two processes might be coordinated in vivo by srGAP2 and that srGAP2 might be a critical regulator of the innate immune system.

The success of implanted medical devices, such as biosensors, is dependent on the immune reaction to the surface of the implanted material. This immune reaction, termed the foreign body reaction, is potentially affected by the physical and chemical properties of the implanted material. Macrophages interact with the surface of the implanted material and secrete intercellular signals, including cytokines and growth factors, which direct the actions of immune cells in the surrounding tissue. The type and quantity of cytokines and growth factors produced by macrophages at an implant surface could be an indicator of the outcome of the foreign body reaction.

This study investigated the effect of the surface chemistry of an implanted device on the production of cytokines and growth factors. First, microdialysis sampling was characterized as a technique for collecting cytokines and growth factors from the tissue surrounding an implant. Based on this characterization, it was determined that a direct sampling method would be more suitable than microdialysis sampling for determining accurate tissue concentrations of cytokines and growth factors. Second, an in vitro model was developed and utilized to assess cytokine and growth factor production from monocyte/macrophage cultures seeded onto commonly implanted polymeric biomaterials with varying surface chemistries. The materials included in this study were polyethylene (PE), polyurethane (PU), polymethyl methacrylate (PMMA), expanded polytetrafluoroethylene (ePTFE), and a cytotoxic organo-tin polyvinyl chloride (ot-PVC) as a positive control. From this in vitro model, it was determined that the varying surface chemistries of these non-toxic materials, excluding ot-PVC, did not significantly affect the types and quantities of cytokines and growth factors produced. Finally, an in vivo model for evaluating the cytokine and growth factor response to an implanted biomaterial was utilized for comparison with the in vitro findings. In this model, biomaterials were implanted subcutaneously within the lumen of a stainless steel mesh cage. The mesh cage served to create a "pocket" where wound exudate fluid collected within the cage, surrounding the implanted biomaterial. The materials included in this study were PE, PU, and ot-PVC. Cytokines and growth factors produced at the material surface were sampled directly from the exudate fluid. The results from this in vivo study indicate that cytokine and growth factor production were not significantly impacted by the varying surface chemistries of the implanted biomaterials. The in vivo data support the findings from the in vitro model, suggesting that the foreign body reaction proceeds in a similar fashion for each of these non-cytotoxic, polymeric biomaterials with varying surface chemistries.

Lung inflammation, caused by acute exposure to ozone (O3)– one of the six criteria air pollutants – is a significant source of morbidity in susceptible individuals. The adverse effects of ozone (O3) on respiratory health and its significant impact on global public health are well-established, but the cellular mechanisms that drive these effects remain poorly understood. This study explores mechanisms that regulate resolution of O3-induced lung inflammation, specifically focused on the function of alveolar macrophages. Alveolar macrophages (AMØs) are central regulators of lung immune responses including both the initiation and resolution of inflammation. They regulate inflammation via functions such as production of cytokines, phagocytosis, and efferocytosis. While prior O3 exposure studies have highlighted that exposure leads to an increase in AMØs, the specific role of AMØs in promoting resolution of O3-induced lung inflammation remains unclear.One reason that it is challenging to define the role of AMØs following acute O3 exposure is that within the lung, macrophages can have different origins (ontogeny). This has directed a series of studies focused on determining if differences in AMØ functions are due to their distinct ontogeny. While it has been observed that AMØ derived from circulating monocytes (i.e. monocyte-derived AMØs) play a critical role in regulating chronic/severe injury, the ontogeny of AMØs (i.e. tissue-resident versus monocyte-derived) following acute O3 exposure has been undefined. Using mouse models (lineage labeled, genetic knockouts, and wildtype), we traced the origin of AMØs and found them to be predominantly tissue-resident AMØs following acute O3 exposure, which was then confirmed using data from O3-exposed human volunteers. Depletion of these tissue-resident AMØs resulted in a persistence of neutrophils in the alveolar space after O3 exposure, indicating impaired clearance and persistent inflammation. This impaired clearance was associated with reduced efferocytosis, the clearance of apoptotic cells, a process crucial for resolving inflammation. Mice with a genetic deficiency in MerTK – a key receptor regulating efferocytosis – also resulted in impaired clearance of apoptotic neutrophils following O3 exposure. We thus defined the pivotal role of tissue-resident AMØs in resolving O3-induced inflammation via MerTK-mediated efferocytosis. We then focused on intracellular mechanisms of inflammation resolution that occur within AMØs. We focused on a previously established pathway of inflammation resolution regulation through the metabolism of the amino acid, L-arginine. While L-arginine metabolism by nitric oxide synthase can promote inflammatory responses, L-arginine metabolism by arginase-1 generates metabolites that have the potential to direct inflammation resolution. One such metabolite of L-arginine is spermidine, and it is of interest due to its anti-inflammatory properties observed in many tissues (pulmonary and non-pulmonary) and macrophages. Additionally, prior research suggests that spermidine inhibits N-methyl-d-aspartate (NMDA) receptor activation. We therefore hypothesized that the mechanism by which spermidine leads to resolution of macrophage-derived inflammation is via inhibition of NMDA, and thereby reducing the activation of the pro-inflammatory Nuclear factor kappa B (NF-κB) signaling. Here we expand the understanding of the mechanism for spermidine effect in macrophages via impact on NF-κB signaling via the NMDA receptor. To address this, we initially utilized a mouse model to assess the concentration of L-arginine and its metabolites in BALF following acute O3 exposure. Here, we identified a decrease of L-arginine at 12h post-exposure, with a subsequent increase in spermidine present at 24h post-exposure, a time point critical for resolution of O3-induced lung inflammation. We then conducted a pretreatment exposure in which the mice were treated with spermidine prior to O3 exposure to determine if there was a reduction in inflammation. Mice pretreated with spermidine, when compared to control mice, demonstrated reduced O3-induced lung inflammation. This suggests that spermidine may drive a reduction in pro-inflammatory signaling following acute O3 exposure. We next sought to understand the potential intracellular mechanism driving this response. To test this, we conducted in vitro studies in MH-S cells, AMØ-like immortalized cells. We utilized MH-S cells to define spermidine's effect on pro-inflammatory signaling following Lipopolysaccharide (LPS) exposure. We utilized LPS as a known pro-inflammatory stimulus in AMØ and a canonical activator of NF-κB. Utilizing a rescue model, in which spermidine was given following an initial LPS exposure, we found that spermidine decreased the expression and concentration of NF-κB associated pro-inflammatory cytokines, supporting a role in the resolution of inflammation. Then we pretreated MH-S cells with spermidine and determined that spermidine decreases the activation of NF-κB. We then utilized a known agonist, NMDA, for the NMDA receptor and found that NMDA activates NF-κB. In summary, the research highlights the pivotal role of tissue-resident AMØs and explores the potential of spermidine as a therapeutic agent for resolving environmental-induced lung inflammation.

When designing biomaterials for clinical applications, the performance of these platforms hinges on their interaction with the host immune system. A failure in engaging and incorporating the correct immune response would lead to foreign body response and subsequent rejection of the materials. To improve the biocompatibility of biomaterials and avoid undesired immune reactions, the key immunomodulatory cell type macrophage needs to be engaged and its phenotype modulated properly and timely. Therefore, the design parameters of biomaterials should be carefully considered in the context of macrophage modulation. Microporous annealed particle scaffolds (MAPS) are a new class of immunomodulatory granular materials generated through the interlinking of microgels. The modular nature of MAPS offers enormous tunability in not only the individual microgel design but also the homogenous or heterogenous microgel assembly into the bulk scaffold. We leveraged the plug-and-play feature of MAPS to study the effect of two design parameters, microgel crosslinking peptide (comprised of L- or D-amino acids) and spatial confinement (achieved through varying microgel size), on macrophage modulation and host responses. We uncovered that a fine balance between pro-regenerative and pro-inflammatory macrophage phenotypes in MAPS with D-amino acid-based crosslinker was an indicator for regenerative scaffolds in a subcutaneous implantation model. We also discovered that scaffolds comprised of large microgels with pore size that can accommodate ~40 µm diameter spheres induced a more balanced pro-regenerative macrophage response and better wound healing outcomes with more mature collagen regeneration and reduced inflammation level. The role of spatial confinement on macrophage response was further explored in vitro, where we demonstrated that size-dependent macrophage response to M1/M2 cytokine stimulations was tied to the change in cell morphology and motility. This work offers valuable insights into the dynamic immune response to synthetic porous scaffolds with a specific focus on macrophages, and establishes a foundation for further optimization of immunomodulatory pro-regenerative outcomes for would healing and biomaterial implants.