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Updated: Feb 3, 2026

Reprograming Model of Human Monocyte-derived Macrophages for In-vitro Assays
Published on: April 18, 2025
Macrophage reprogramming by negatively charged membrane phospholipids controls infection
David M Cauvi1, Dennis Hawisher1, Paulo R Dores-Silva1
1Department of Surgery, School of Medicine, University of California San Diego, La Jolla, California, USA; and.
Abstract:
Extracellular vesicles (ECVs) are heterogeneous membrane-enclosed structures containing proteins, nucleic acids, and lipids that participate in intercellular communication by transferring their contents to recipient cells. Although most of the attention has been directed at the biologic effect of proteins and microRNA, the contribution of phospholipids present in ECVs on cellular activation has not been extensively addressed. We investigated the biologic effect of phosphatidylserine (PS) and phosphatidylcholine (PC), 2 phospholipids highly abundant in ECVs. A transcriptomic analysis revealed that ∼4700 genes were specifically modified by exposing peritoneal macrophages to PS or PC liposomes in vivo. Among them, the expression of several chemokines and cytokines was highly upregulated by PS liposome treatment, translating into a massive neutrophil infiltration of the peritoneum capable of neutralizing a septic polymicrobial insult. Both the l and d stereoisomers of PS induced the same response, suggesting that the effect was related to the negative charge of the phospholipid head. We concluded that an increase in the internal negative charge of the cell triggers a signaling cascade activating an innate immune response capable of controlling infection.-Cauvi, D. M., Hawisher, D., Dores-Silva, P. R., Lizardo, R. E., De Maio, A. Macrophage reprogramming by negatively charged membrane phospholipids controls infection.
Insights
Negatively charged membrane phospholipids, like phosphatidylserine (PS), can reprogram macrophages to activate innate immunity. This phospholipid-driven immune response effectively controls infections by triggering neutrophil infiltration.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Extracellular vesicles (ECVs) mediate intercellular communication via lipid and nucleic acid transfer.
- The role of ECV phospholipids in cellular activation is understudied compared to proteins and microRNAs.
- Phosphatidylserine (PS) and phosphatidylcholine (PC) are abundant phospholipids in ECVs.
Purpose of the Study:
- To investigate the biological effects of phosphatidylserine (PS) and phosphatidylcholine (PC) on cellular activation.
- To determine the impact of these phospholipids on innate immune responses and infection control.
Main Methods:
- Exposure of peritoneal macrophages to phosphatidylserine (PS) and phosphatidylcholine (PC) liposomes in vivo.
- Transcriptomic analysis to assess gene expression changes.
- Evaluation of neutrophil infiltration and infection neutralization.
Main Results:
- PS and PC liposome treatment significantly modified gene expression in macrophages (approx. 4700 genes).
- PS liposome treatment upregulated chemokines and cytokines, leading to massive neutrophil infiltration.
- Both L- and D-stereoisomers of PS induced similar responses, indicating the effect relates to negative charge.
Conclusions:
- Increased negative charge within cells can trigger signaling cascades activating innate immune responses.
- Phosphatidylserine-mediated macrophage reprogramming enhances the innate immune system's ability to control infection.
- Membrane phospholipid charge plays a critical role in modulating immune cell function and host defense.
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