Trypsin, Tryptase, and Thrombin Polarize Macrophages towards a Pro-Fibrotic M2a Phenotype

Michael J V White1, Richard H Gomer1

  • 1Department of Biology, Texas A&M University, College Station, Texas, United States of America.

Plos One
|September 26, 2015
PubMed

Insights

Proteases like thrombin and tryptase promote scar tissue formation by directing monocyte differentiation towards pro-fibrotic M2a macrophages. This research reveals a new mechanism in fibrotic lesion development.

Area of Science:

  • Immunology
  • Cell Biology
  • Biochemistry

Background:

  • Circulating monocytes differentiate into fibrocytes and M2a macrophages, crucial for scar tissue formation during wound healing and fibrosis.
  • Proteases thrombin and tryptase are known to enhance fibroblast proliferation and fibrocyte differentiation.
  • The impact of these proteases on macrophage differentiation remains largely uncharacterized.

Purpose of the Study:

  • To investigate the effect of proteases (thrombin, tryptase, and trypsin) on human monocyte differentiation.
  • To determine if proteases influence macrophage polarization towards a pro-fibrotic phenotype.
  • To elucidate the role of protease-activated receptors in this process.

Main Methods:

  • Human monocytes were cultured and exposed to thrombin, tryptase, or trypsin.
  • Macrophage differentiation and polarization were assessed.
  • Expression levels of pro-fibrotic markers, such as galectin-3, were quantified.
  • The involvement of protease-activated receptors was examined.

Main Results:

  • Thrombin, tryptase, and trypsin biased human monocyte differentiation towards the pro-fibrotic M2a phenotype.
  • This M2a polarization occurred from unpolarized monocytes, M1, and M2 macrophages.
  • Elevated galectin-3 expression was observed in protease-treated macrophages.
  • These effects were mediated through protease-activated receptors.

Conclusions:

  • Proteases significantly influence macrophage differentiation, promoting a pro-fibrotic M2a phenotype.
  • This protease-driven M2a polarization contributes to scar tissue formation.
  • The findings suggest proteases are key initiators in fibrotic processes involving fibroblasts, fibrocytes, and macrophages.

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