Fibrosis induced by resident macrophages has divergent roles in pancreas inflammatory injury and PDAC

John M Baer1, Chong Zuo1, Liang-I Kang2

  • 1Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Nature Immunology
|August 10, 2023
PubMed

Insights

Tissue-resident macrophages (TRMs) are key players in pancreatic inflammation and cancer. These cells protect against pancreatitis but promote cancer progression by regulating fibrosis.

Area of Science:

  • Immunology
  • Gastroenterology
  • Oncology

Background:

  • Tissue-resident macrophages (TRMs) are distinct from monocyte-derived macrophages and play crucial roles in tissue homeostasis.
  • The specific roles of TRMs versus monocyte-derived macrophages in pancreatic pathologies remain unclear.

Purpose of the Study:

  • To investigate the origin and function of macrophages in pancreatitis and pancreatic cancer.
  • To elucidate the distinct roles of TRMs in these distinct pancreatic diseases.

Main Methods:

  • Utilized mouse models of pancreatitis and pancreatic cancer.
  • Analyzed macrophage populations and their phenotypes.
  • Investigated the impact of TRM depletion on disease progression.

Main Results:

  • Macrophages accumulating in pancreatitis and pancreatic cancer largely originated from expanded TRMs.
  • Pancreatic TRMs exhibit an extracellular matrix remodeling phenotype crucial for tissue homeostasis during inflammation.
  • Loss of TRMs exacerbated pancreatitis, impairing acinar cell survival and recovery.
  • TRMs initiated protective fibrosis during pancreatitis but this same fibrosis drove pancreatic cancer progression.
  • TRMs regulate stromagenesis, influencing both pancreatitis and cancer pathogenesis.

Conclusions:

  • TRMs play divergent roles in pancreatitis and pancreatic cancer.
  • TRM-mediated fibrosis is protective in pancreatitis but pathogenic in pancreatic cancer.
  • TRMs are critical regulators of pancreatic stromagenesis with context-dependent roles in disease.

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