The wnt pathway: a macrophage effector molecule that triggers inflammation
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Updated: Jun 24, 2026

A Macrophage Reporter Cell Assay to Examine Toll-Like Receptor-Mediated NF-kB/AP-1 Signaling on Adsorbed Protein Layers on Polymeric Surfaces
Published on: January 7, 2020
Claudia P Pereira1, Esther B Bachli, Gabriele Schoedon
1Department of Medicine, University Hospital of Zurich, Rämistrasse 100, CH-8091 Zurich, Switzerland.
Abstract:
Wnt proteins are members of the highly conserved wingless family of proteins responsible for cell differentiation and development and for neoplastic and degenerative processes. Recently, Toll-like receptor-mediated Wnt signaling was found to be associated with innate immunity in Drosophila. Upregulation of Wnt5A in human macrophages upon microbial challenge indicated a similar mechanism. Toll-like receptor-mediated Wnt5A expression is a key process for sustained inflammatory macrophage activation through autocrine and paracrine signaling. Downregulation of Wnt5A expression and subsequent attenuation of inflammatory macrophage responses by activated protein C supports the link between inflammation and coagulation, another highly conserved biologic system. Direct evidence for the relevance of Wnt5A in severe systemic inflammation is provided by the finding of higher Wnt5A levels in patients with sepsis than in healthy individuals. The fact that Wnt5A signaling can be modulated by anti-inflammatory mediators makes this effector molecule an attractive target for therapeutic intervention in inflammatory diseases.
Insights
Wnt5A protein is crucial for inflammatory responses in macrophages and linked to sepsis. Modulating Wnt5A offers potential therapeutic strategies for inflammatory diseases.
Area of Science:
- Molecular Biology
- Immunology
- Cell Signaling
Background:
- Wnt proteins are vital for development and implicated in disease.
- Toll-like receptor (TLR)-mediated Wnt signaling connects innate immunity and inflammation.
Purpose of the Study:
- To investigate the role of Wnt5A in TLR-mediated inflammatory responses in human macrophages.
- To explore the connection between Wnt5A, inflammation, and coagulation.
- To assess the clinical relevance of Wnt5A in sepsis.
Main Methods:
- Examined Wnt5A expression in human macrophages after microbial challenge.
- Investigated the effect of activated protein C on Wnt5A expression and macrophage response.
- Measured Wnt5A levels in sepsis patients compared to healthy individuals.
Main Results:
- Microbial challenge upregulated Wnt5A in human macrophages, sustaining inflammatory activation.
- Activated protein C downregulated Wnt5A, linking inflammation and coagulation.
- Sepsis patients exhibited higher Wnt5A levels than healthy controls.
Conclusions:
- Toll-like receptor-mediated Wnt5A expression is critical for sustained macrophage inflammation.
- Wnt5A is a key mediator linking innate immunity, inflammation, and coagulation.
- Wnt5A represents a potential therapeutic target for inflammatory diseases like sepsis.
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