Title M1-like macrophages are potent producers of anti-viral interferons and M1-associated marker-positive lung macrophages are decreased during rhinovirus-induced asthma exacerbations.
Author Nikonova, Alexandra; Khaitov, Musa; Jackson, David J; Traub, Stephanie; Trujillo-Torralbo, Maria-Belen; Kudlay, Dmitriy A; Dvornikov, Anton S; Del-Rosario, Ajerico; Valenta, Rudolf; Stanciu, Luminita A; Khaitov, Rahim; Johnston, Sebastian L
Journal EBioMedicine Publication Year/Month 2020-Apr
PMID 32279057 PMCID PMC7152663
Affiliation + expend 1.National Heart and Lung Institute, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom; MRC and Asthma UK Centre in Allergic Mechanisms of Asthma, Norfolk Place, London W2 1PG, United Kingdom; NRC Institute of Immunology FMBA, Kashirskoe shosse 24, 115478 Moscow, Russian Federation; Mechnikov Research Institute for Vaccines and Sera, M. Kazenny per., 5A, 105064 Moscow, Russian Federation. Electronic address: aa.nikonova@nrcii.ru.

BACKGROUND: Macrophages (Msmall ef, Cyrillic) can be M1/M2 polarized by Th1/2 signals, respectively. M2-like Msmall ef, Cyrillic are thought to be important in asthma pathogenesis, and M1-like in anti-infective immunity, however their roles in virus-induced asthma exacerbations are unknown. Our objectives were (i) to assess polarised Msmall ef, Cyrillic phenotype responses to rhinovirus (RV) infection in vitro and (ii) to assess Msmall ef, Cyrillic phenotypes in healthy subjects and people with asthma before and during experimental RV infection in vivo. METHODS: We investigated characteristics of polarized/unpolarized human monocyte-derived Msmall ef, Cyrillic (MDM, from 3-6 independent donors) in vitro and evaluated frequencies of M1/M2-like bronchoalveolar lavage (BAL) Msmall ef, Cyrillic in experimental RV-induced asthma exacerbation in 7 healthy controls and 17 (at baseline) and 18 (at day 4 post infection) people with asthma. FINDINGS: We observed in vitro: M1-like but not M2-like or unpolarized MDM are potent producers of type I and III interferons in response to RV infection (P<0.0001), and M1-like are more resistant to RV infection (P<0.05); compared to M1-like, M2-like MDM constitutively produced higher levels of CCL22/MDC (P = 0.007) and CCL17/TARC (P<0.0001); RV-infected M1-like MDM were characterized as CD14(+)CD80(+)CD197(+) (P = 0.002 vs M2-like, P<0.0001 vs unpolarized MDM). In vivo we found reduced percentages of M1-like CD14(+)CD80(+)CD197(+) BAL Msmall ef, Cyrillic in asthma during experimental RV16 infection compared to baseline (P = 0.024). INTERPRETATION: Human M1-like BAL Msmall ef, Cyrillic are likely important contributors to anti-viral immunity and their numbers are reduced in patients with allergic asthma during RV-induced asthma exacerbations. This mechanism may be one explanation why RV-triggered clinical and pathologic outcomes are more severe in allergic patients than in healthy subjects. FUNDING: ERC FP7 Advanced grant 233015, MRC Centre Grant G1000758, Asthma UK grant 08-048, NIHR Biomedical Research Centre funding scheme, NIHR BRC Centre grant P26095, the Predicta FP7 Collaborative Project grant 260895, RSF grant 19-15-00272, Megagrant No 14.W03.31.0024.

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