Department of Surgery (Immunology), Brigham and Women's Hospital/Harvard Medical School, Boston, MA 02115, USA.
Shock. 2011 Aug;36(2):162-9. doi: 10.1097/SHK.0b013e31821af669.
Burn injury initiates an enhanced inflammatory condition referred to as the systemic inflammatory response syndrome or the two-hit response phenotype. Prior reports indicated that macrophages respond to injury and demonstrate a heightened reactivity to Toll-like receptor stimulation. Since we and others observed a significant increase in splenic GR-1 F4/80 CD11b macrophages in burn-injured mice, we wished to test if these macrophages might be the primary macrophage subset that shows heightened LPS reactivity. We report here that burn injury promoted higher level TNF-α expression in GR-1, but not GR-1 macrophages, after LPS activation both in vivo and ex vivo. We next tested whether CD4 T cells, which are known to suppress injury-induced inflammatory responses, might control the activation and expansion of GR-1 macrophages. Interestingly, we found that GR-1 macrophage expansion and LPS-induced TNF-α expression were not significantly different between wild-type and CD4 T cell-deficient CD4(-/-) mice. However, further investigations showed that LPS-induced TNF-α production was significantly influenced by CD4 T cells. Taken together, these data indicate that GR-1 F4/80 CD11b macrophages represent the primary macrophage subset that expands in response to burn injury and that CD4 T cells do not influence the GR-1 macrophage expansion process, but do suppress LPS-induced TNF-α production. These data suggest that modulating GR-1 macrophage activation as well as CD4 T cell responses after severe injury may help control the development of systemic inflammatory response syndrome and the two-hit response phenotype.
烧伤会引发一种增强的炎症状态,称为全身炎症反应综合征或双打击反应表型。先前的报告表明,巨噬细胞对损伤作出反应,并对 Toll 样受体刺激表现出更高的反应性。由于我们和其他人观察到在烧伤小鼠的脾脏 GR-1 F4/80 CD11b 巨噬细胞中存在显著增加,我们希望测试这些巨噬细胞是否可能是表现出更高 LPS 反应性的主要巨噬细胞亚群。我们在这里报告,在 LPS 激活后,烧伤促进了体内和体外 GR-1 但不是 GR-1 巨噬细胞中 TNF-α 的更高水平表达。我们接下来测试了已知可以抑制损伤诱导的炎症反应的 CD4 T 细胞是否可以控制 GR-1 巨噬细胞的激活和扩增。有趣的是,我们发现 GR-1 巨噬细胞扩增和 LPS 诱导的 TNF-α 表达在野生型和 CD4 T 细胞缺陷型 CD4(-/-)小鼠之间没有显著差异。然而,进一步的研究表明,LPS 诱导的 TNF-α 产生受到 CD4 T 细胞的显著影响。总之,这些数据表明,GR-1 F4/80 CD11b 巨噬细胞代表了响应烧伤而扩增的主要巨噬细胞亚群,而 CD4 T 细胞不会影响 GR-1 巨噬细胞的扩增过程,但会抑制 LPS 诱导的 TNF-α 产生。这些数据表明,在严重损伤后调节 GR-1 巨噬细胞激活和 CD4 T 细胞反应可能有助于控制全身炎症反应综合征和双打击反应表型的发展。