PMID- 30282830 OWN - NLM STAT- MEDLINE DCOM- 20191213 LR - 20191217 IS - 2379-3708 (Electronic) IS - 2379-3708 (Linking) VI - 3 IP - 19 DP - 2018 Oct 4 TI - Myeloid HO-1 modulates macrophage polarization and protects against ischemia-reperfusion injury. LID - 120596 [pii] LID - 10.1172/jci.insight.120596 [doi] LID - e120596 AB - Macrophages polarize into heterogeneous proinflammatory M1 and antiinflammatory M2 subtypes. Heme oxygenase 1 (HO-1) protects against inflammatory processes such as ischemia-reperfusion injury (IRI), organ transplantation, and atherosclerosis. To test our hypothesis that HO-1 regulates macrophage polarization and protects against IRI, we generated myeloid-specific HO-1-knockout (mHO-1-KO) and -transgenic (mHO-1-Tg) mice, with deletion or overexpression of HO-1, in various macrophage populations. Bone marrow-derived macrophages (BMDMs) from mHO-1-KO mice, treated with M1-inducing LPS or M2-inducing IL-4, exhibited increased mRNA expression of M1 (CXCL10, IL-1beta, MCP1) and decreased expression of M2 (Arg1 and CD163) markers as compared with controls, while BMDMs from mHO-1-Tg mice displayed the opposite. A similar pattern was observed in the hepatic M1/M2 expression profile in a mouse model of liver IRI. mHO-1-KO mice displayed increased hepatocellular damage, serum AST/ALT levels, Suzuki's histological score of liver IRI, and neutrophil and macrophage infiltration, while mHO-1-Tg mice exhibited the opposite. In human liver transplant biopsies, subjects with higher HO-1 levels showed lower expression of M1 markers together with decreased hepatocellular damage and improved outcomes. In conclusion, myeloid HO-1 expression modulates macrophage polarization, and protects against liver IRI, at least in part by favoring an M2 phenotype. FAU - Zhang, Min AU - Zhang M AD - Department of Medicine, Division of Cardiology, and. FAU - Nakamura, Kojiro AU - Nakamura K AD - Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA. FAU - Kageyama, Shoichi AU - Kageyama S AD - Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA. FAU - Lawal, Akeem O AU - Lawal AO AD - Department of Medicine, Division of Cardiology, and. FAU - Gong, Ke Wei AU - Gong KW AD - Department of Medicine, Division of Cardiology, and. FAU - Bhetraratana, May AU - Bhetraratana M AD - Department of Medicine, Division of Cardiology, and. FAU - Fujii, Takehiro AU - Fujii T AD - Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA. FAU - Sulaiman, Dawoud AU - Sulaiman D AD - Department of Medicine, Division of Cardiology, and. FAU - Hirao, Hirofumi AU - Hirao H AD - Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA. FAU - Bolisetty, Subhashini AU - Bolisetty S AD - Department of Medicine, University of Alabama, Tuscaloosa, Alabama, USA. FAU - Kupiec-Weglinski, Jerzy W AU - Kupiec-Weglinski JW AD - Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA. FAU - Araujo, Jesus A AU - Araujo JA AD - Department of Medicine, Division of Cardiology, and. AD - Department of Environmental Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, USA. LA - eng GR - R01 ES016959/ES/NIEHS NIH HHS/United States GR - R56 ES016959/ES/NIEHS NIH HHS/United States GR - T32 ES015457/ES/NIEHS NIH HHS/United States GR - K01 DK103931/DK/NIDDK NIH HHS/United States GR - R01 DK062357/DK/NIDDK NIH HHS/United States GR - R01 DK107533/DK/NIDDK NIH HHS/United States GR - R01 DK102110/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20181004 PL - United States TA - JCI Insight JT - JCI insight JID - 101676073 RN - 0 (Membrane Proteins) RN - EC 1.14.14.18 (HMOX1 protein, human) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - EC 1.14.14.18 (Hmox1 protein, mouse) SB - IM MH - Adolescent MH - Adult MH - Allografts/blood supply/cytology/pathology MH - Animals MH - Biopsy MH - Disease Models, Animal MH - Female MH - Graft Rejection/diagnosis/*immunology/pathology MH - Heme Oxygenase-1/genetics/*metabolism MH - Humans MH - Liver/blood supply/cytology/pathology MH - Liver Function Tests MH - Liver Transplantation/*adverse effects MH - Macrophages/*immunology/metabolism MH - Male MH - Membrane Proteins/genetics/*metabolism MH - Mice MH - Mice, Knockout MH - Middle Aged MH - Reperfusion Injury/diagnosis/*immunology/pathology MH - Signal Transduction/immunology MH - Young Adult PMC - PMC6237471 OTO - NOTNLM OT - Hepatology OT - Inflammation OT - Innate immunity COIS- Conflict of interest: The authors have declared that no conflict of interest exists. EDAT- 2018/10/05 06:00 MHDA- 2019/12/18 06:00 PMCR- 2018/10/04 CRDT- 2018/10/05 06:00 PHST- 2018/02/21 00:00 [received] PHST- 2018/08/21 00:00 [accepted] PHST- 2018/10/05 06:00 [entrez] PHST- 2018/10/05 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2018/10/04 00:00 [pmc-release] AID - 120596 [pii] AID - 10.1172/jci.insight.120596 [doi] PST - epublish SO - JCI Insight. 2018 Oct 4;3(19):e120596. doi: 10.1172/jci.insight.120596.