PMID- 37401390 OWN - NLM STAT- MEDLINE DCOM- 20230809 LR - 20230816 IS - 1522-1504 (Electronic) IS - 1040-0605 (Linking) VI - 325 IP - 2 DP - 2023 Aug 1 TI - Gremlin 1 is required for macrophage M2 polarization. PG - L270-L276 LID - 10.1152/ajplung.00163.2023 [doi] AB - Pro-proliferative, M2-like polarization of macrophages is a critical step in the development of fibrosis and remodeling in chronic lung diseases such as pulmonary fibrosis and pulmonary hypertension. Macrophages in healthy and diseased lungs express gremlin 1 (Grem1), a secreted glycoprotein that acts in both paracrine and autocrine manners to modulate cellular function. Increased Grem1 expression plays a central role in pulmonary fibrosis and remodeling, however, the role of Grem1 in M2-like polarization of macrophages has not previously been explored. The results reported here show that recombinant Grem1 potentiated M2-like polarization of mouse macrophages and bone marrow-derived macrophages (BMDMs) in response to the Th2 cytokines IL4 and IL13. Genetic depletion of Grem1 in BMDMs inhibited M2 polarization while exogenous gremlin 1 could partially rescue this effect. Taken together, these findings reveal that gremlin 1 is required for M2-like polarization of macrophages.NEW & NOTEWORTHY We show here that gremlin 1 potentiated M2 polarization of mouse bone marrow-derived macrophages (BMDMs) in response to the Th2 cytokines IL4 and IL13. Genetic depletion of Grem1 in BMDMs inhibited M2 polarization while exogenous gremlin 1 partially rescued this effect. Taken together, these findings reveal a previously unknown requirement for gremlin 1 in M2 polarization of macrophages and suggest a novel cellular mechanism promoting fibrosis and remodeling in lung diseases. FAU - Mthunzi, Liberty AU - Mthunzi L AUID- ORCID: 0000-0002-4636-4884 AD - School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. FAU - Rowan, Simon C AU - Rowan SC AUID- ORCID: 0000-0002-4103-4421 AD - School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. FAU - Kostyunina, Daria S AU - Kostyunina DS AUID- ORCID: 0000-0003-0842-2526 AD - School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. FAU - Baugh, John A AU - Baugh JA AUID- ORCID: 0000-0002-5357-5575 AD - School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. FAU - Knaus, Ulla G AU - Knaus UG AD - School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. FAU - McLoughlin, Paul AU - McLoughlin P AUID- ORCID: 0000-0001-6200-016X AD - School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. LA - eng SI - figshare/10.6084/m9.figshare.23678034 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230704 PL - United States TA - Am J Physiol Lung Cell Mol Physiol JT - American journal of physiology. Lung cellular and molecular physiology JID - 100901229 RN - 207137-56-2 (Interleukin-4) RN - 0 (Interleukin-13) RN - 0 (Cytokines) SB - IM MH - Mice MH - Animals MH - *Pulmonary Fibrosis/genetics/metabolism MH - Interleukin-4/genetics/pharmacology/metabolism MH - Interleukin-13/metabolism MH - Macrophages/metabolism MH - Cytokines/metabolism MH - Fibrosis OTO - NOTNLM OT - M2 polarization OT - fibrosis OT - gremlin 1 OT - macrophage OT - remodeling EDAT- 2023/07/04 06:42 MHDA- 2023/08/09 06:43 CRDT- 2023/07/04 04:03 PHST- 2023/08/09 06:43 [medline] PHST- 2023/07/04 06:42 [pubmed] PHST- 2023/07/04 04:03 [entrez] AID - 10.1152/ajplung.00163.2023 [doi] PST - ppublish SO - Am J Physiol Lung Cell Mol Physiol. 2023 Aug 1;325(2):L270-L276. doi: 10.1152/ajplung.00163.2023. Epub 2023 Jul 4.