A CCR2 macrophage endocytic pathway mediates extravascular fibrin clearance in vivo

Michael P Motley1, Daniel H Madsen2, Henrik J Jürgensen3

  • 1Oral and Pharyngeal Cancer Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD;

Blood
|December 10, 2015
PubMed

Insights

Extravascular fibrin deposition is cleared via a novel intracellular pathway involving C-C chemokine receptor type 2 (CCR2)-positive macrophages. This process is essential for resolving inflammation and preventing organ damage in various diseases.

Area of Science:

  • Immunology
  • Cell Biology
  • Pathology

Background:

  • Extravascular fibrin deposition is a hallmark of numerous human diseases, contributing to chronic inflammation and organ damage.
  • Efficient clearance of extravascular fibrin is crucial for tissue homeostasis and resolution of inflammatory processes.

Purpose of the Study:

  • To investigate the cellular mechanisms and molecular pathways involved in the removal of extravascular fibrin.
  • To identify the specific cell types responsible for fibrin clearance and the receptors mediating this process.

Main Methods:

  • Intravital microscopy was employed to visualize fibrin degradation in the dermal space of mice.
  • Flow cytometry and genetic manipulation were used to identify and characterize fibrin-uptaking cells, particularly macrophage subpopulations.
  • Functional assays were performed to assess the dependence of fibrin uptake on specific molecular mediators.

Main Results:

  • A novel intracellular pathway for extravascular fibrin degradation via cellular endocytosis and lysosomal targeting was identified.
  • A distinct subpopulation of C-C chemokine receptor type 2 (CCR2)-positive macrophages was found to be the primary cell type responsible for fibrin uptake.
  • Fibrin uptake by these macrophages was dependent on plasminogen and plasminogen activator but independent of αMβ2, ICAM-1, and the mannose receptor.

Conclusions:

  • Extravascular fibrin clearance is mediated by a novel endocytic pathway involving CCR2-positive macrophages.
  • This pathway represents a distinct mechanism from collagen clearance, which involves different macrophage subsets and molecular pathways.
  • Understanding this fibrin clearance mechanism offers potential therapeutic targets for diseases associated with aberrant fibrin deposition.

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