PMID- 32082309 OWN - NLM STAT- MEDLINE DCOM- 20210219 LR - 20210219 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 11 DP - 2020 TI - Calreticulin Blockade Attenuates Murine Acute Lung Injury by Inducing Polarization of M2 Subtype Macrophages. PG - 11 LID - 10.3389/fimmu.2020.00011 [doi] LID - 11 AB - Calreticulin (CALR) has anti-tumor effects by increasing dendritic cell maturation and tumor antigen presentation. However, whether CALR affects macrophages and modulates progression of acute respiratory distress syndrome/acute lung injury (ARDS/ALI) remains unknown. In this study, we discovered that CALR protein was highly expressed in the mice with LPS-induced ALI and CALR expression level was positively correlated to the severity of ALI. Commercial anti-CALR antibody (aCALR) can neutralize recombinant CALR (rCALR) and suppress the expression of TNF-alpha and IL-6 in the rCALR-treated macrophages. Blocking CALR activity by intraperitoneal (i.p.) administration of aCALR significantly suppressed ALI, accompanied with lower total cell counts, neutrophil and T cell infiltration in bronchoalveolar lavage (BAL) and lung tissues. The expression of CXCL15, IL-6, IL-1beta, TNF-alpha, and CALR were significantly reduced, in association with more polarization of Siglec F+CD206+M2 subtype macrophages in the aCALR-treated mice. Pre-depletion of circulating monocytes did not abolish the aCALR-mediated suppression of ALI. Further analysis in bone marrow-derived macrophages (BMDMs) showed that aCALR suppressed the expression of CD80, IL-6, IL-1beta, IL-18, NLRP3, and p-p38 MAPK; but enhanced the expression of CD206 and IL-10. In addition, we observed more expression and phosphorylation of STAT6 in the aCALR-treated BMDM. Lack of STAT6 resulted in comparable and slightly higher expression of CALR, TNF-alpha and IL-6 in the aCALR-treated STAT6-/- BMDMs than the untreated cells. Therefore, we conclude that CALR is a novel biomarker in the evaluation of ALI. Blocking CALR activity by aCALR effectively suppressed ALI independent of circulating monocytes. Siglec F+CD206+M2 subtype macrophages and p38 MAPK/STAT6 signaling pathway played important role in the immune regulation of aCALR. Blocking CALR activity is a promising therapeutic approach in the treatment of ARDS/ALI. CI - Copyright (c) 2020 Jiang, Chen, Hu, Qiu and Zhu. FAU - Jiang, Zhilong AU - Jiang Z AD - Department of Pulmonary Medicine, Fudan University Zhongshan Hospital, Shanghai, China. FAU - Chen, Zhihong AU - Chen Z AD - Department of Pulmonary Medicine, Fudan University Zhongshan Hospital, Shanghai, China. FAU - Hu, Lu AU - Hu L AD - Department of Pulmonary Medicine, Fudan University Zhongshan Hospital, Shanghai, China. FAU - Qiu, Lin AU - Qiu L AD - Shanghai Institute of Nutrition and Health, Chinese Academy of Sciences, Shanghai, China. FAU - Zhu, Lei AU - Zhu L AD - Department of Pulmonary Medicine, Fudan University Zhongshan Hospital, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200130 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antibodies) RN - 0 (Calreticulin) RN - 0 (Cytokines) RN - 0 (Lipopolysaccharides) RN - 0 (Recombinant Proteins) RN - 0 (STAT6 Transcription Factor) RN - 0 (Stat6 protein, mouse) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) SB - IM MH - Acute Lung Injury/blood/chemically induced/*drug therapy MH - Animals MH - Antibodies/*administration & dosage/*immunology MH - Calreticulin/*antagonists & inhibitors/blood/*immunology MH - Cell Polarity/*drug effects/immunology MH - Cytokines/blood MH - Disease Models, Animal MH - Injections, Intraperitoneal MH - Lipopolysaccharides/adverse effects MH - Macrophages/*immunology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Recombinant Proteins/immunology/metabolism MH - Respiratory Distress Syndrome/drug therapy MH - STAT6 Transcription Factor/metabolism MH - Signal Transduction/drug effects MH - p38 Mitogen-Activated Protein Kinases/metabolism PMC - PMC7002388 OTO - NOTNLM OT - acute lung injury (ALI) OT - anti-calreticulin antibody (aCALR) OT - calreticulin (CALR) OT - cytokines OT - macrophages EDAT- 2020/02/23 06:00 MHDA- 2021/02/20 06:00 PMCR- 2020/01/01 CRDT- 2020/02/22 06:00 PHST- 2019/09/18 00:00 [received] PHST- 2020/01/06 00:00 [accepted] PHST- 2020/02/22 06:00 [entrez] PHST- 2020/02/23 06:00 [pubmed] PHST- 2021/02/20 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2020.00011 [doi] PST - epublish SO - Front Immunol. 2020 Jan 30;11:11. doi: 10.3389/fimmu.2020.00011. eCollection 2020.