Regulation of monocyte subset proinflammatory responses within the lung microvasculature by the p38 MAPK/MK2 pathway

Kieran P O'Dea1, Justina O Dokpesi, Kate C Tatham

  • 1Section of Anaesthetics, Pain Medicine and Intensive Care, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, United Kingdom.

Insights

The p38/MK2 pathway drives higher inflammatory responses in Gr-1(high) monocytes within the lung microvasculature. This pathway highlights Gr-1(high) monocytes as key orchestrators of acute lung injury and pulmonary microvascular inflammation.

Area of Science:

  • Immunology
  • Pulmonary Medicine
  • Cell Biology

Background:

  • Monocyte margination and activation in lung microcirculation contribute to acute lung injury.
  • Distinct inflammatory responses between Gr-1(high) and Gr-1(low) monocyte subsets in the lung suggest specialized roles.
  • Understanding the mechanisms behind this monocyte heterogeneity is crucial for addressing lung inflammation.

Purpose of the Study:

  • To investigate the mechanisms underlying the differential inflammatory responses of lung-marginated monocyte subsets.
  • To elucidate the role of the p38 mitogen-activated protein kinase (MAPK) pathway in monocyte activation within the pulmonary microcirculation.
  • To identify key cellular players in LPS-induced pulmonary microvascular inflammation.

Main Methods:

  • Utilized a combined in vitro and in vivo approach using mouse models.
  • Co-cultured peripheral blood mononuclear cells with lung endothelial cells to mimic the microenvironment.
  • Quantified proinflammatory gene expression and intracellular phospho-kinases via flow cytometry in response to LPS stimulation and p38 MAPK inhibitors.

Main Results:

  • In vitro, LPS-induced TNF expression was higher in Gr-1(high) monocytes, enhanced by endothelial cell co-culture, and blocked by p38 MAPK inhibitors.
  • Expression of IL-6, inducible nitric oxide synthase (iNOS), and cyclooxygenase-2 (COX-2) was significantly higher in Gr-1(high) monocytes under co-culture conditions and attenuated by p38 inhibition.
  • In vivo, p38/MK2 pathway activation and LPS-induced TNF expression were significantly higher in lung-marginated Gr-1(high) monocytes compared to Gr-1(low) monocytes and neutrophils.

Conclusions:

  • The p38/MK2 pathway is a critical determinant of the heightened responsiveness of Gr-1(high) monocytes in the lung microvasculature.
  • Gr-1(high) monocytes, through p38/MK2 pathway activation, orchestrate a proinflammatory response contributing to pulmonary microvascular inflammation and injury.
  • Targeting the p38/MK2 pathway may offer therapeutic strategies for mitigating acute lung injury.

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