PMID- 29692344 OWN - NLM STAT- MEDLINE DCOM- 20190308 LR - 20190308 IS - 2473-9537 (Electronic) IS - 2473-9529 (Print) IS - 2473-9529 (Linking) VI - 2 IP - 8 DP - 2018 Apr 24 TI - Red pulp macrophages in the human spleen are a distinct cell population with a unique expression of Fc-gamma receptors. PG - 941-953 LID - 10.1182/bloodadvances.2017015008 [doi] AB - Tissue-resident macrophages in the spleen play a major role in the clearance of immunoglobulin G (IgG)-opsonized blood cells, as occurs in immune thrombocytopenia (ITP) and autoimmune hemolytic anemia (AIHA). Blood cells are phagocytosed via the Fc-gamma receptors (FcgammaRs), but little is known about the FcgammaR expression on splenic red pulp macrophages in humans, with only a few previous studies that showed conflicting results. We developed a novel method to specifically isolate red pulp macrophages from 82 human spleens. Surface expression of various receptors and phagocytic capacity was analyzed by flow cytometry and immunofluorescence of tissue sections. Red pulp macrophages were distinct from splenic monocytes and blood monocyte-derived macrophages on various surface markers. Human red pulp macrophages predominantly expressed the low-affinity receptors FcgammaRIIa and FcgammaRIIIa. In contrast to blood monocyte-derived macrophages, red pulp macrophages did not express the inhibitory FcgammaRIIb. Red pulp macrophages expressed very low levels of the high-affinity receptor FcgammaRI. Messenger RNA transcript analysis confirmed this expression pattern. Unexpectedly and despite these differences in FcgammaR expression, phagocytosis of IgG-opsonized blood cells by red pulp macrophages was dependent on the same FcgammaRs as phagocytosis by blood monocyte-derived macrophages, especially in regarding the response to IV immunoglobulin. Concluding, we show the distinct nature of splenic red pulp macrophages in human subjects. Knowledge on the FcgammaR expression and usage of these cells is important for understanding and improving treatment strategies for autoimmune diseases such as ITP and AIHA. CI - (c) 2018 by The American Society of Hematology. FAU - Nagelkerke, Sietse Q AU - Nagelkerke SQ AD - Department of Blood Cell Research, Sanquin Research, Amsterdam, The Netherlands. AD - Landsteiner Laboratory, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. FAU - Bruggeman, Christine W AU - Bruggeman CW AD - Department of Blood Cell Research, Sanquin Research, Amsterdam, The Netherlands. AD - Landsteiner Laboratory, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. FAU - den Haan, Joke M M AU - den Haan JMM AD - Department of Molecular Cell Biology and Immunology, VU University Medical Center, Amsterdam, The Netherlands. FAU - Mul, Erik P J AU - Mul EPJ AD - Landsteiner Laboratory, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. AD - Department of Central Facility Research, Sanquin Research, Amsterdam, The Netherlands; and. FAU - van den Berg, Timo K AU - van den Berg TK AD - Department of Blood Cell Research, Sanquin Research, Amsterdam, The Netherlands. AD - Landsteiner Laboratory, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. FAU - van Bruggen, Robin AU - van Bruggen R AD - Department of Blood Cell Research, Sanquin Research, Amsterdam, The Netherlands. AD - Landsteiner Laboratory, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. FAU - Kuijpers, Taco W AU - Kuijpers TW AD - Department of Blood Cell Research, Sanquin Research, Amsterdam, The Netherlands. AD - Landsteiner Laboratory, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. AD - Department of Pediatric Hematology, Immunology & Infectious Disease, Emma Children's Hospital at the Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Blood Adv JT - Blood advances JID - 101698425 RN - 0 (FCGR2A protein, human) RN - 0 (FCGR3A protein, human) RN - 0 (Receptors, IgG) SB - IM MH - Humans MH - Macrophages/cytology/*metabolism MH - Phagocytosis/immunology MH - Receptors, IgG/analysis/immunology/*metabolism MH - Spleen/*cytology PMC - PMC5916003 COIS- Conflict-of-interest disclosure: The authors declare no competing financial interest. EDAT- 2018/04/26 06:00 MHDA- 2019/03/09 06:00 PMCR- 2018/04/24 CRDT- 2018/04/26 06:00 PHST- 2017/12/06 00:00 [received] PHST- 2018/03/06 00:00 [accepted] PHST- 2018/04/26 06:00 [entrez] PHST- 2018/04/26 06:00 [pubmed] PHST- 2019/03/09 06:00 [medline] PHST- 2018/04/24 00:00 [pmc-release] AID - bloodadvances.2017015008 [pii] AID - 2017/015008 [pii] AID - 10.1182/bloodadvances.2017015008 [doi] PST - ppublish SO - Blood Adv. 2018 Apr 24;2(8):941-953. doi: 10.1182/bloodadvances.2017015008.