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Macrophage Function Advanced article Disorders Article Contents . Introduction Keith M Lee, McMaster Immunology Research Centre & M. G. DeGroote Institute for . Macrophage Functions . Macrophage Phenotypic Diversity Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada . Role in Disease Charles Yin, McMaster Immunology Research Centre & M. G. DeGroote Institute for Infectious . Primary Immunodeficiencies in Macrophage Function Disease Research, McMaster University, Hamilton, Ontario, Canada . Concluding Remarks Chris P Verschoor, McMaster Immunology Research Centre & M. G. DeGroote Institute for Online posting date: 20th September 2013 Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada Dawn ME Bowdish, McMaster Immunology Research Centre & M. G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada Based in part on the previous version of this eLS article ‘Macrophage Function Disorders’ (2009) by Dawn ME Bowdish and Siamon Gordon. Macrophages are sentinel cells of the innate immune tissue microenvironment and can change considerably response. Macrophages recognise pathogen-associated with exposure to infectious and antigenic agents. They are molecular patterns (e.g. microbial products) and endo- relatively long-lived, biosynthetically active cells and genous ligands (e.g. apoptotic cells) through a broad and express diverse surface receptors and secretory products. They adapt readily to changes in their milieu and help to adaptable range of pattern-recognition receptors. The maintain homoeostasis locally and systemically. If unable consequence of this recognition is generally effective to deal adequately with an infectious or injurious stimulus, clearance via phagocytosis; however, when this is not macrophages initiate a chronic inflammatory process, effective, macrophages may become inappropriately which can contribute to persistent tissue damage; they can activated and initiate an inappropriate inflammatory also mediate acute, sometimes massive, responses from response. Because macrophages are extremely variable in other cell types and organ systems (Mukhopadhyay et al., phenotype and function and share a common ancestry with 2009). monocytes and dendritic cells, there are very few genes Although primary deficiencies of macrophage function that are expressed exclusively in macrophages. Conse- in human disease are relatively uncommon, macrophages quently, macrophage-specific immunodeficiencies are contribute to, and play a central role in, many major rare. There are, however, a number of genetic immunode- disease processes. These include storage diseases, chronic infections and immunological disorders, as well as ficiencies that affect macrophage function. In addition, as responses to metabolic injury (Table 1). Macrophages may macrophages are exquisitely attuned to their micro- participate in the pathology of disease by producing environment, their function appears to be adversely affec- secretory products or by altering functional phenotype, ted by and contributes to chronic inflammatory conditions which can be characterised by changes in the expression of such as cancer, atherosclerosis and obesity. Thus, genetic their receptors (for further information see Taylor et al. deficiencies, in addition to microenvironmental dysregu- (2005)). Herein the authors discuss a subset of macrophage lation, can contribute to macrophage function disorders. functions, focussing especially on their role in infectious and chronic diseases, and highlight the recent advances in human genetics that contribute to our understanding of Introduction macrophage function disorders. See also: Inflammation: Chronic; Macrophages Macrophages are a heterogenous family of cells whose phenotype and function depend considerably on their Macrophage Functions eLS subject area: Immunology In 1883, Ellie Metchnikoff described highly motile, amoe- How to cite: boid-like cells that were associated with phagocytosis or Lee, Keith M; Yin, Charles; Verschoor, Chris P; and Bowdish, Dawn ME ‘eating’ particulates of either exogenous (e.g. bacterial) or (September 2013) Macrophage Function Disorders. In: eLS. John Wiley endogenous (e.g. damaged host cells) origin (Metschnikoff, & Sons, Ltd: Chichester. 1884). Since then it has become clear that the diversity DOI: 10.1002/9780470015902.a0002174.pub3 of macrophage function is dazzling and includes such eLS & 2013, John Wiley & Sons, Ltd. www.els.net 1 Macrophage Function Disorders Table 1 Diseases in which macrophages play a significant role Type Example Mechanism 1. Storage Gauche’s disease Genetic lysosomal hydrolase deficiency Haemosiderosis Secondary Fe2+ accumulation in reticuloendothelial system Hasmochromatosis Primary Fe2+ overload (also other tissues) 2. Chronic Silicosis and asbestosis Nondegradable, bioactive particle accumulation in the lungs inflammation and the pleura Rheumatoid arthritis Autoimmune destruction Inflammatory bowel disease Defects in intracellular sensing of bacteria lead to a skewed cytokine response 3. Infection Septic shock (Gram-negative Release of vasoactive mediators and cytokines, especially and -positive) tumour necrosis factor a and interleukin 1b Tuberculosis Cellular immunity activates MØ, via interferon g Malaria Uptake of parasitised erythrocytes and release of mediators Acquired immune deficiency Human immunodeficiency virus infects M0 and CD4 T cells syndrome leading to failure of cellular immunity Dengue virus Antibody-dependent enhancement leads to increased infection of FcgR-expressing cells 4. Metabolic injury Atherosclerosis Oxidised lipopratelns induce foam cell formation in major arteries Alzheimer disease Nondegradable amyloid peptide induces MØ secretion of neuratoxic products 5. Malignancy Cancer Mfp within the tumour microenvironment facilitate angiogenesis, extracellular-matrix remodelling and promote tumour cell motility disparate activities as memory generation (Derecki et al., can similarly be recognised by PRRs, and are known as 2011), thermoregulation (Nguyen et al., 2011) and danger-associated molecular patterns (DAMPs). Detec- embryonic development (Hopkinson-Woolley et al., 1994). tion of PAMPs or DAMPs by PRRs activates signalling Generally speaking, macrophages have two major func- cascades that induce the production of proinflammatory tions, phagocytosis (and subsequent processing of inter- molecules and ultimately activation and maturation of the nalised matter) (Whelan et al., 2012) and production of macrophage (Mukhopadhyay et al., 2009). See also: Innate proinflammatory, antiinflammatory and angiogenic fac- Immune Mechanisms: Nonself Recognition tors such as cytokines. These two functions are essential for PRRs are expressed both on the cell surface and intra- both host defence and homoeostasis and require plasma cellularly (Figure 1). Intracellular PRRs can be localised to membrane and cytosolic pattern-recognition receptors either the endosomes or to the cytosol, allowing macro- (PRRs). phages to recognise both extracellular and intracellular PAMPs. Three broad classes of PRRs exist, namely toll- Pattern recognition like receptors (TLRs), nucleotide-binding domain and leucine-rich repeat (LRR) containing receptors (NLRs), Macrophages bind and phagocytose microbes and parti- and retinoic acid-inducible gene I-like receptors (RLRs). culates, and initiate inflammatory responses that recruit Genetic studies in mice and rare cases of mutations in leucocytes to a site of infection or tissue damage. This humans have demonstrated that these receptors are vital response is mediated by proinflammatory cytokines and for the host defence against infectious diseases. As such, chemokines produced by macrophages following pathogen mutations and polymorphisms in PRR genes can con- or danger signal recognition. Macrophages express a tribute to autoimmune disorders, chronic inflammatory variety of PRRs that are able to recognise conserved conditions and conditions such as septic shock, in which an molecular patterns, both pathogenic and harmless. Mole- overactive immune response can lead to death. See also: cular patterns derived from microbes and viruses, such as Pattern Recognition Receptor bacterial cell wall components and viral deoxyribonucleic acid/ribonucleic acid (DNA/RNA) sequences, are known as pathogen-associated molecular patterns (PAMPs), or TLRs microbe-associated molecular patterns as these conserved TLRs recognise a broad range of microbial products, host- components are not unique to pathogens. Host molecules derived molecules and synthetic agents (Table 2; Kawai and that are indicative of tissue injury, including heat shock Akira, 2010). The 13 known mammalian TLRs (10 human proteins and extracellular adenosine triphosphate (ATP), and 13 mouse) can be divided into those found 2 eLS & 2013, John Wiley & Sons, Ltd. www.els.net TLR5 TLR10 TLR4 TLR2/6 TLR11 TLR12 TLR1/2 MD2 MD2 MAL MyD88 MyD88 MAL MyD88 MyD88 MAL MyD88 Translocate MyD88 MAL MAL MyD88 (PI3K) MyD88 MAL Inflammasomes eLS Endosome & IRAKs 2013, John Wiley & Sons, Ltd. www.els.net NOD1 TRAF6 ASC NOD2 ASC PYD TLR7 TLR8 TLR9 TLR3 TLR13 Pro-caspase-1 Pro-caspase-1 TLR4 P IκB RIP2 pro-IL-1 IL-1 CARD TRIF RIP2 MyD88 pro-IL-18 IL-18 Release yD88 TRIF M NF-κB TRIF TRAM TRIF TRAM Translocate MAVS TRAF3 RIG-1 Proinflammatory IKKs κ NF- B cytokines (e.g. IL-1) P RIG-I-like receptors IRF3/7 MDA5 MAVS Antiviral/Antibacterial P Macrophage Function Disorders Translocate IRF3/7 Cytokines (e.g. IFN/) Nucleus Figure 1 Inflammatory
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