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Resolution of acute inflammation bridges the gap between innate and adaptive immunity
Justine Newson1, Melanie Stables1, Efthimia Karra1
1Division of Medicine, Centre for Clinical Pharmacology and Therapeutics, University College London, London, United Kingdom;
Abstract:
Acute inflammation is traditionally characterized by polymorphonuclear leukocytes (PMN) influx followed by phagocytosing macrophage (Mφs) that clear injurious stimuli leading to resolution and tissue homeostasis. However, using the peritoneal cavity, we found that although innate immune-mediated responses to low-dose zymosan or bacteria resolve within days, these stimuli, but not hyperinflammatory stimuli, trigger a previously overlooked second wave of leukocyte influx into tissues that persists for weeks. These cells comprise distinct populations of tissue-resident Mφs (resMφs), Ly6c(hi) monocyte-derived Mφs (moMφs), monocyte-derived dendritic cells (moDCs), and myeloid-derived suppressor cells (MDSCs). Postresolution mononuclear phagocytes were observed alongside lymph node expansion and increased numbers of blood and peritoneal memory T and B lymphocytes. The resMφs and moMφs triggered FoxP3 expression within CD4 cells, whereas moDCs drive T-cell proliferation. The resMφs preferentially clear apoptotic PMNs and migrate to lymph nodes to bring about their contraction in an inducible nitric oxide synthase-dependent manner. Finally, moMφs remain in tissues for months postresolution, alongside altered numbers of T cells collectively dictating the magnitude of subsequent acute inflammatory reactions. These data challenge the prevailing idea that resolution leads back to homeostasis and asserts that resolution acts as a bridge between innate and adaptive immunity, as well as tissue reprogramming.
Insights
Resolution of acute inflammation involves a second wave of immune cells, not just a return to homeostasis. This process bridges innate and adaptive immunity, influencing future inflammatory responses.
Area of Science:
- Immunology
- Cell Biology
- Inflammation Research
Background:
- Acute inflammation typically resolves with macrophage clearance of stimuli and return to homeostasis.
- Traditional resolution models overlook complex immune cell dynamics post-inflammation.
Purpose of the Study:
- To investigate the immune cell landscape following resolution of acute inflammation.
- To understand the role of post-inflammatory immune cells in tissue reprogramming and adaptive immunity.
Main Methods:
- Analysis of leukocyte influx in the peritoneal cavity after low-dose zymosan or bacterial challenge.
- Characterization of distinct mononuclear phagocyte populations (tissue-resident Mφs, monocyte-derived Mφs, moDCs, MDSCs).
- Assessment of T and B lymphocyte populations and their interactions with myeloid cells.
Main Results:
- A second, prolonged wave of leukocyte influx, including diverse myeloid and lymphoid cells, occurs post-resolution.
- Mononuclear phagocytes (resMφs, moMφs) induce regulatory T cell (FoxP3+) development.
- Monocyte-derived dendritic cells (moDCs) drive T-cell proliferation, and resMφs facilitate T-cell contraction.
- Monocyte-derived Mφs persist long-term, influencing subsequent inflammatory responses and tissue reprogramming.
Conclusions:
- Inflammation resolution is not a return to homeostasis but a dynamic transition linking innate and adaptive immunity.
- Persistent myeloid cells and altered lymphocyte populations dictate tissue memory and future inflammatory reactions.
- Resolution involves significant tissue reprogramming beyond simple clearance of inflammatory stimuli.
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