Adenophages are an atypical macrophage population in exocrine glands sustained by ILC2-derived GM-CSF

Frederike Westermann1, Selma Tuzlak1, Victor Kreiner1

  • 1Experimental Immunology, University of Zürich, Zurich, Switzerland.

Nature Immunology
|December 30, 2025
PubMed

Insights

Granulocyte-macrophage colony-stimulating factor (GM-CSF) is crucial for salivary gland macrophages called adenophages. These cells, alongside ILC2s and myoepithelial cells, are vital for saliva secretion in humans and other species.

Area of Science:

  • Immunology
  • Cell Biology
  • Physiology

Background:

  • Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a known pro-inflammatory cytokine.
  • GM-CSF plays a homeostatic role in maintaining alveolar macrophages in the lungs.
  • The role of GM-CSF in macrophage development in non-pulmonary tissues remains largely unexplored.

Purpose of the Study:

  • To investigate the role of GM-CSF in the development and function of macrophages in exocrine glands.
  • To identify novel macrophage subsets and their cellular interactions within salivary glands.

Main Methods:

  • Utilized GM-CSF fate-mapping and reporter mouse models.
  • Examined macrophage populations and cellular niches in developing salivary glands.
  • Investigated the presence and conservation of identified macrophage subsets in other exocrine glands and humans.

Main Results:

  • Identified type 2 innate lymphoid cells (ILCs) in salivary glands as a source of GM-CSF.
  • Discovered a novel macrophage subset, termed 'adenophages', derived from fetal monocytes.
  • Demonstrated that adenophages form a critical niche with GM-CSF-producing ILCs and myoepithelial cells, essential for saliva secretion.
  • Confirmed the presence of adenophages in lacrimal and mammary glands, and in human exocrine glands, indicating a conserved role.

Conclusions:

  • GM-CSF is essential for the development and maintenance of adenophages in exocrine glands.
  • Adenophages represent a distinct macrophage subset crucial for the function of salivary and other exocrine glands.
  • The identified cellular interactions and macrophage populations highlight a conserved mechanism across species for exocrine gland homeostasis and function.

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