Prevention of M2 polarization and temporal limitation of differentiation in monocytes by extracellular ATP

Benedikt F Scherr1,2, Martin F Reiner3, Flavia Baumann4

  • 1Department of Pneumology, Medical Center, Faculty of Medicine, University of Freiburg, Engesserstr. 4 5thFloor, 79106 79108, Freiburg, Germany.

BMC Immunology
|June 23, 2023
PubMed
Abstract

Insights

Extracellular adenosine triphosphate (ATP) inhibits the differentiation of monocytes into M2-like macrophages. This effect is dose- and time-dependent and does not involve P2X or P2Y receptors, offering new insights into immune regulation.

Area of Science:

  • Immunology
  • Cell Biology
  • Molecular Biology

Background:

  • Extracellular adenosine triphosphate (ATP) acts as a danger signal in inflammation, fibrosis, and cancer by modulating immune pathways.
  • Macrophages are key immune cells, with M1 (pro-inflammatory) and M2 (pro-fibrotic) subtypes playing distinct roles.
  • Understanding how ATP influences monocyte differentiation into these macrophage subtypes is crucial for immune response modulation.

Purpose of the Study:

  • To investigate the effect of extracellular adenosine triphosphate (ATP) on the differentiation of human monocytes into M1 and M2 macrophage subtypes.
  • To characterize M1 and M2 macrophage phenotypes by analyzing the release of Interleukin-1beta (IL-1β) and Chemokine (C-C motif) ligand 18 (CCL18).

Main Methods:

  • Human monocytes were stimulated with ATP or the P2X7 receptor agonist Benzoylbenzoyl-ATP (Bz-ATP).
  • Cytokine production (CCL18, IL-1β) and purinergic receptor expression were analyzed over 72 hours.
  • Inhibition studies were performed using P2X/P2Y receptor blockers (PPADS, Suramin) and a P2X7 antagonist (KN62).

Main Results:

  • Monocytes spontaneously differentiated into M2-like macrophages, indicated by increased CCL18 release.
  • ATP significantly reduced CCL18 release in a dose- and time-dependent manner, without affecting IL-1β levels.
  • P2X7 receptor activation mimicked ATP's effect, but receptor blockers failed to reverse ATP-induced inhibition, suggesting a non-canonical pathway.

Conclusions:

  • Extracellular adenosine triphosphate (ATP) effectively inhibits the spontaneous differentiation of monocytes into M2-like macrophages.
  • This inhibitory effect is dose- and time-dependent and appears to be independent of P2X and P2Y receptor signaling.
  • These findings highlight a novel mechanism by which ATP regulates macrophage polarization, with potential implications for inflammatory and fibrotic diseases.