Macrophages polarize to the pro-inflammatory phenotype and delay neutrophil efferocytosis to augment Aggregatibacter

Koren Hashai1,2, Fairuz Abadi1,2, Dana Clyman1,2

  • 1Faculty of Dental Medicine, The Hebrew University, Jerusalem, Israel.

PubMed
Abstract

Insights

During Aggregatibacter actinomycetemcomitance (JP2) infection, macrophages delay neutrophil efferocytosis, promoting bacterial clearance but potentially increasing periodontal tissue damage. This neutrophil-macrophage cross-talk is key to understanding inflammatory resolution in periodontitis.

Area of Science:

  • Investigates the complex interplay between immune cells in the context of periodontal disease.
  • Focuses on neutrophil and macrophage interactions during infection with Aggregatibacter actinomycetemcomitance (JP2).

Background:

  • Molar-incisor pattern periodontitis (MIPP) is initiated by sub-gingival bacteria, with unresolved host responses contributing to tissue destruction.
  • Neutrophils are implicated in MIPP pathogenesis, but their clearance by macrophages during inflammatory resolution is not well understood.

Purpose of the Study:

  • To examine neutrophil-macrophage cross-talk during JP2 infection.
  • To identify factors involved in inflammatory resolution and efferocytosis in this context.

Main Methods:

  • Utilized differentiated human neutrophils and macrophages (from HL60 and THP1 cells, respectively) exposed to JP2.
  • Measured reactive oxygen species (ROS), CD47 expression, cell vitality, macrophage polarization (CD163, CD68), cytokine secretion (TNFα, IL-10), and efferocytosis.
  • Employed in vivo models with C57Bl/6 mice, including macrophage depletion and assessment of neutrophil CD47 levels.

Main Results:

  • JP2 infection increased extracellular ROS. Macrophages exhibited M1 polarization and prolonged neutrophil survival by inhibiting CD47 down-expression.
  • Macrophages delayed neutrophil efferocytosis during JP2 infection, enhancing bacterial clearance but potentially contributing to inflammation.
  • Macrophage depletion in mice reduced bacterial clearance and neutrophil CD47 reduction, mirroring in vitro findings.

Conclusions:

  • Reduced neutrophil efferocytosis during JP2 infection may promote bacterial clearance.
  • This process could contribute to inflammatory-mediated periodontal tissue damage, highlighting a critical aspect of MIPP pathogenesis.