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Platelet derived growth factor-CC secreted by M2 macrophages induces alpha-smooth muscle actin expression by dermal
Judith E Glim1, Frank B Niessen, Vincent Everts
1Department of Molecular Cell Biology and Immunology, VU University Medical Center, Amsterdam, The Netherlands. je.glim@vumc.nl
Abstract:
Dermal wounds can heal detrimentally by formation of excess fibrosis or hypertrophic scarring. These phenomena are normally absent in the oral mucosa. Macrophages play an important role in wound repair, have a marked heterogeneity and are thought to contribute to fibrosis. To investigate to what extend macrophages are involved in the occurrence of fibrosis, the effect of differently activated macrophages on dermal and gingival fibroblasts was studied in vitro. Macrophages were differentiated into a classical (M1) or alternative (M2) phenotype, which was assessed by receptor expression (CD40/mannose receptor) and cytokine secretion (interleukin-4 and -12). Fibroblasts were exposed to these macrophages and/or conditioned medium (cm), and differentiation into α-SMA-expressing myofibroblasts was quantified. M2, but not M1 macrophages induced α-SMA expression in both dermal and gingival fibroblasts. Blocking of transforming growth factor-β1 did not decrease the α-SMA expression mediated by M2 macrophages. It appeared that this induction was mediated by platelet derived growth factor-CC (PDGF-CC), produced by M2 macrophages. The expression and role of this growth factor was confirmed by ELISA, RT-PCR, and blocking experiments. Our results indicate that M2 macrophages are able to induce myofibroblast differentiation via production of PDGF-CC. Based on our findings we conclude that PDGF-CC may play a hitherto unknown role in the differentiation of myofibroblasts.
Insights
M2 macrophages promote fibrosis by producing platelet-derived growth factor-CC (PDGF-CC), which drives myofibroblast differentiation in wound healing. This contrasts with M1 macrophages, highlighting a key mechanism in scar formation.
Area of Science:
- Wound healing research
- Cell biology
- Immunology
Background:
- Dermal wound healing can result in detrimental fibrosis and scarring.
- Oral mucosa typically heals without significant scarring.
- Macrophages are key players in wound repair and exhibit heterogeneity, potentially contributing to fibrosis.
Purpose of the Study:
- To investigate the role of differently activated macrophages in fibrosis.
- To study the in vitro effect of M1 and M2 macrophages on dermal and gingival fibroblasts.
- To identify the mechanisms by which macrophages influence myofibroblast differentiation.
Main Methods:
- Macrophages were differentiated into M1 or M2 phenotypes.
- Fibroblasts were exposed to macrophages and/or conditioned medium.
- Myofibroblast differentiation was quantified by α-SMA expression.
- Receptor expression (CD40/mannose receptor) and cytokine secretion (IL-4/-12) were assessed.
- Platelet-derived growth factor-CC (PDGF-CC) involvement was confirmed via ELISA, RT-PCR, and blocking experiments.
Main Results:
- M2 macrophages, but not M1, induced α-SMA expression in both dermal and gingival fibroblasts.
- Transforming growth factor-β1 (TGF-β1) blocking did not inhibit M2-mediated α-SMA expression.
- M2 macrophages produced PDGF-CC, which mediated myofibroblast differentiation.
- PDGF-CC was confirmed as the key mediator through various experimental approaches.
Conclusions:
- M2 macrophages induce myofibroblast differentiation through PDGF-CC production.
- PDGF-CC plays a significant, previously unrecognized role in myofibroblast differentiation.
- Understanding this M2 macrophage-PDGF-CC pathway may offer insights into controlling fibrotic scarring.
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