Deficiency of INPP4A promotes M2 macrophage polarization in eosinophilic chronic rhinosinusitis with nasal polyps

Yingying Xu1, Xiaoting Tong1, Peiqiang Liu1

  • 1Department of Rhinology and Allergy, Otolaryngology-Head and Neck Surgery Center, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan, 430060, China.

Abstract

Insights

Inositol polyphosphate-4-phosphatase type IA (INPP4A) deficiency promotes M2 macrophage polarization, increasing eosinophilic inflammation in chronic rhinosinusitis. INPP4A may suppress this inflammation, offering a potential therapeutic target.

Area of Science:

  • Immunology
  • Cell Biology
  • Otorhinolaryngology

Background:

  • Eosinophilic chronic rhinosinusitis with nasal polyps (E-CRSwNP) presents complex pathogenesis.
  • Inositol polyphosphate-4-phosphatase type IA (INPP4A), a lipid phosphatase, is implicated in allergic asthma, but its role in E-CRSwNP is unknown.

Purpose of the Study:

  • To investigate the expression and function of INPP4A in macrophages within the context of E-CRSwNP.
  • To explore INPP4A's potential as a therapeutic target for E-CRSwNP.

Main Methods:

  • Assessed INPP4A expression in human and mouse nasal tissues using immunofluorescence.
  • Investigated INPP4A regulation and function in cytokine-stimulated THP-1 cells.
  • Utilized an INPP4A-overexpressing lentivirus in a murine nasal polyp model.

Main Results:

  • INPP4A+ macrophages decreased in E-CRSwNP, inversely correlating with M2 macrophages.
  • INPP4A overexpression reduced M2 polarization and associated chemokine levels (CCL18, CCL22, CCL24, CCL26).
  • PI3K-AKT pathway involvement was confirmed; INPP4A overexpression attenuated nasal eosinophilic inflammation in mice.

Conclusions:

  • INPP4A deficiency promotes M2 macrophage polarization, amplifying eosinophilic inflammation in E-CRSwNP via chemokine secretion.
  • INPP4A demonstrates a suppressive role in eosinophilic inflammation.
  • INPP4A represents a potential novel therapeutic strategy for E-CRSwNP.