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Updated: Mar 28, 2026

An In vitro Model to Study Heterogeneity of Human Macrophage Differentiation and Polarization
Published on: June 12, 2013
Atypical Activin A and IL-10 Production Impairs Human CD16+ Monocyte Differentiation into Anti-Inflammatory
Érika González-Domínguez1, Ángeles Domínguez-Soto2, Concha Nieto2
1Departamento de Biomedicina Molecular, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, 07360 Mexico City, Mexico;
Abstract:
Human CD14(++)CD16(-) and CD14(+/lo)CD16(+) monocyte subsets comprise 85 and 15% of blood monocytes, respectively, and are thought to represent distinct stages in the monocyte differentiation pathway. However, the differentiation fates of both monocyte subsets along the macrophage (Mϕ) lineage have not yet been elucidated. We have now evaluated the potential of CD14(++) CD16(-) and CD16(+) monocytes to differentiate and to be primed toward pro- or anti-inflammatory Mϕs upon culture with GM-CSF or M-CSF, respectively (subsequently referred to as GM14, M14, GM16, or M16). Whereas GM16 and GM14 were phenotypic and functionally analogous, M16 displayed a more proinflammatory profile than did M14. Transcriptomic analyses evidenced that genes associated with M-CSF-driven Mϕ differentiation (including FOLR2, IL10, IGF1, and SERPINB2) are underrepresented in M16 with respect to M14. The preferential proinflammatory skewing of M16 relative to M14 was found to be mediated by the secretion of activin A and the low levels of IL-10 produced by M16. In fact, activin A receptor blockade during the M-CSF-driven differentiation of CD16(+) monocytes, or addition of IL-10-containing M14-conditioned medium, significantly enhanced their expression of anti-inflammatory-associated molecules while impairing their acquisition of proinflammatory-related markers. Thus, we propose that M-CSF drives CD14(++)CD16- monocyte differentiation into bona fide anti-inflammatory Mϕs in a self-autonomous manner, whereas M-CSF-treated CD16(+) monocytes generate Mϕs with a skewed proinflammatory profile by virtue of their high activin A expression unless additional anti-inflammatory stimuli such as IL-10 are provided.
Insights
Human monocytes CD14(++)CD16(-) differentiate into anti-inflammatory macrophages, while CD16(+) monocytes become proinflammatory macrophages unless treated with IL-10. This reveals distinct macrophage differentiation pathways.
Area of Science:
- Immunology
- Cell Biology
- Molecular Biology
Background:
- Human blood monocytes consist of CD14(++)CD16(-) (85%) and CD14(+/lo)CD16(+) (15%) subsets, presumed to represent distinct differentiation stages.
- The specific differentiation fates of these monocyte subsets into macrophages (Mϕ) and their inflammatory polarization remain incompletely understood.
Purpose of the Study:
- To investigate the differentiation potential and inflammatory priming of CD14(++)CD16(-) and CD16(+) monocyte subsets.
- To elucidate the mechanisms underlying the distinct Mϕ polarization induced by M-CSF or GM-CSF in these subsets.
Main Methods:
- Isolation and culture of CD14(++)CD16(-) and CD16(+) monocyte subsets.
- Differentiation induction using M-CSF or GM-CSF, generating M14, M16, GM14, and GM16.
- Phenotypic and functional analysis of differentiated Mϕs, including transcriptomic profiling and cytokine measurements.
- Intervention studies using activin A receptor blockade and IL-10 supplementation.
Main Results:
- GM-CSF-treated monocytes (GM14, GM16) were phenotypically and functionally similar.
- M-CSF-treated CD16(+) monocytes (M16) exhibited a more proinflammatory profile than M-CSF-treated CD14(++)CD16(-) monocytes (M14).
- M16 cells showed underrepresentation of M-CSF-driven Mϕ differentiation genes and higher activin A secretion, with lower IL-10 production compared to M14.
- Blocking activin A or adding IL-10 to M16 cultures shifted their phenotype towards anti-inflammatory Mϕ markers.
Conclusions:
- M-CSF drives CD14(++)CD16(-) monocyte differentiation into anti-inflammatory Mϕs autonomously.
- M-CSF-treated CD16(+) monocytes differentiate into Mϕs with a proinflammatory skew due to high activin A and low IL-10 levels.
- Providing additional anti-inflammatory stimuli like IL-10 can modulate the M16 differentiation towards an anti-inflammatory phenotype.
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