Sepsis induces incomplete M2 phenotype polarization in peritoneal exudate cells in mice

Nobuo Watanabe1, Yusuke Suzuki1, Sadaki Inokuchi1

  • 1Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Shimokasuya 143, Isehara, Kanagawa 259-1193 Japan.

Journal of Intensive Care
|January 14, 2016
PubMed
Abstract

Insights

Sepsis shifts macrophages to an anti-inflammatory M2 state, but these cells fail to express key M2 chemokines, potentially causing immune suppression after infection.

Area of Science:

  • Immunology
  • Cell Biology
  • Sepsis Research

Background:

  • Macrophages exhibit plasticity, polarizing into pro-inflammatory (M1) or anti-inflammatory (M2) phenotypes.
  • The M1/M2 macrophage polarization dynamics in polymicrobial sepsis remain incompletely understood.

Purpose of the Study:

  • To characterize macrophage polarization in polymicrobial sepsis.
  • To investigate the functional response of septic macrophages to lipopolysaccharide (LPS) stimulation.

Main Methods:

  • Cecal ligation and puncture (CLP) model in mice to induce polymicrobial sepsis.
  • Analysis of peritoneal exudate (PE) cells for M1/M2 phenotype markers.
  • Assessment of cytokine and chemokine expression in response to LPS.

Main Results:

  • PE cells from CLP mice exhibited a shift towards the M2 phenotype, indicated by marker enzyme expression.
  • Septic PE cells showed suppressed pro-inflammatory cytokine (e.g., TNF-α) production upon LPS stimulation.
  • Anti-inflammatory cytokine (e.g., IL-10) expression was induced in septic PE cells.
  • Crucially, septic PE cells failed to express M2 chemokines (CCL17, CCL22, CCL24) essential for T cell recruitment.

Conclusions:

  • Polymicrobial sepsis induces a shift in monocytes/macrophages towards the M2 phenotype.
  • The absence of M2 chemokine expression in septic macrophages may contribute to post-septic immunosuppression.
  • These findings highlight a potential mechanism for immune dysregulation during sepsis recovery.

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