Inflammatory macrophage memory in nonsteroidal anti-inflammatory drug-exacerbated respiratory disease

Pascal Haimerl1, Ulrike Bernhardt2, Sonja Schindela1

  • 1Center of Allergy and Environment, Technical University of Munich and Helmholtz Zentrum München, Munich, Germany.

Abstract

Insights

Macrophages in nonsteroidal anti-inflammatory drug-exacerbated respiratory disease (N-ERD) show epigenetic and metabolic changes. These reprogrammed macrophages contribute to the persistent inflammation seen in N-ERD.

Area of Science:

  • Immunology
  • Metabolomics
  • Epigenetics

Background:

  • Nonsteroidal anti-inflammatory drug-exacerbated respiratory disease (N-ERD) is a chronic inflammatory condition driven by abnormal arachidonic acid metabolism.
  • Macrophages play a key role in arachidonic acid metabolism but have been understudied in N-ERD.

Purpose of the Study:

  • To investigate metabolic and epigenetic reprogramming of macrophages in N-ERD patients.
  • To understand the role of these reprogrammed macrophages in N-ERD pathogenesis.

Main Methods:

  • Assessed transcriptional, metabolic, and lipid mediator profiles of N-ERD patient macrophages using RNA sequencing and Seahorse assays.
  • Quantified metabolites in patient biofluids (nasal lining fluid, sputum, plasma) via targeted metabolomics.
  • Performed genome-wide methylomics to identify epigenetic alterations in N-ERD macrophages.

Main Results:

  • N-ERD macrophages displayed reduced DNA methylation, altered metabolic profiles, and increased chemokine expression, indicating chronic inflammation.
  • Key differentially methylated genes were involved in chemokine signaling and acylcarnitine metabolism.
  • Acylcarnitines and pro-inflammatory mediators were elevated in N-ERD macrophages and biofluids, with increased production upon inflammatory challenge.

Conclusions:

  • Macrophages in N-ERD undergo significant proinflammatory metabolic and epigenetic reprogramming.
  • These findings highlight macrophages as a potential therapeutic target for N-ERD.

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