Distinct Profiles of CD163-Positive Macrophages in Idiopathic Interstitial Pneumonias
Masahiro Yamashita1, Ryoko Saito2, Shinji Yasuhira3
1Department of Pulmonary Medicine, Allergy and Rheumatology, Iwate Medical University School of Medicine, Morioka, Japan.
Background:
The types of cells most significantly linked to individual subtypes of idiopathic interstitial pneumonias (IIPs) remain unclear. Few studies have examined CD163+ macrophages in IIPs.
Objective:
We retrospectively aimed to immunohistochemically characterize the CD163+ macrophages in IIPs.
Methods:
Paraffin-embedded lung tissue samples were obtained from 47 patients with IIPs, including idiopathic pulmonary fibrosis (IPF), idiopathic nonspecific interstitial pneumonia (NSIP), and cryptogenic organizing pneumonia (COP), and 12 normal controls were immunohistochemically analyzed, using primary antibodies against CD68 and CD163 as indicators of pan and M2 macrophages, respectively.
Results:
CD68+ macrophage density was significantly increased in the 3 subtypes of IIPs relative to that in the control group, although no difference was detected within the different IIPs. CD163+ macrophage density was significantly increased in NSIP and COP samples relative to that in IPF samples. The density ratio of CD163+ macrophages to CD68+ macrophages was significantly decreased in IPF/UIP samples relative to that in the others, while the densities in NSIP and COP were significantly higher than those in control cases.
Conclusion:
CD163+ macrophages show distinct profiles among IIPs, and the standardized numerical density is decreased in IPF cases that have poor prognoses.
Insights
CD163-positive macrophages differ across idiopathic interstitial pneumonias (IIPs). Their numbers are lower in idiopathic pulmonary fibrosis (IPF), a condition with a poor prognosis, suggesting a role in disease progression.
Area of Science:
- Pulmonary Medicine
- Immunohistochemistry
- Cell Biology
Background:
- The cellular drivers of idiopathic interstitial pneumonias (IIPs) subtypes are not fully understood.
- Limited research exists on CD163-positive macrophages in IIPs.
Purpose of the Study:
- To immunohistochemically analyze CD163-positive macrophages in various IIPs.
- To compare macrophage profiles across different IIP subtypes and controls.
Main Methods:
- Retrospective analysis of lung tissue from 47 IIP patients (IPF, NSIP, COP) and 12 controls.
- Immunohistochemistry using CD68 (pan macrophage) and CD163 (M2 macrophage) antibodies.
Main Results:
- CD68-positive macrophage density increased in all IIPs compared to controls.
- CD163-positive macrophage density was higher in NSIP and COP than in IPF.
- The ratio of CD163/CD68 macrophages was lower in IPF/UIP compared to other IIPs and controls.
Conclusions:
- Distinct CD163-positive macrophage profiles exist among IIP subtypes.
- Reduced CD163-positive macrophage density in IPF correlates with poor prognosis.
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