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Hemolysis transforms liver macrophages into antiinflammatory erythrophagocytes
Marc Pfefferlé, Giada Ingoglia, Christian A. Schaer, Ayla Yalamanoglu, Raphael Buzzi, Irina L. Dubach, Ge Tan, Emilio Y. López-Cano, Nadja Schulthess, Kerstin Hansen, Rok Humar, Dominik J. Schaer, Florence Vallelian
Marc Pfefferlé, Giada Ingoglia, Christian A. Schaer, Ayla Yalamanoglu, Raphael Buzzi, Irina L. Dubach, Ge Tan, Emilio Y. López-Cano, Nadja Schulthess, Kerstin Hansen, Rok Humar, Dominik J. Schaer, Florence Vallelian
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Research Article Hematology

Hemolysis transforms liver macrophages into antiinflammatory erythrophagocytes

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Abstract

During hemolysis, macrophages in the liver phagocytose damaged erythrocytes to prevent the toxic effects of cell-free hemoglobin and heme. It remains unclear how this homeostatic process modulates phagocyte functions in inflammatory diseases. Using a genetic mouse model of spherocytosis and single-cell RNA sequencing, we found that erythrophagocytosis skewed liver macrophages into an antiinflammatory phenotype that we defined as MarcohiHmoxhiMHC class IIlo erythrophagocytes. This phenotype transformation profoundly mitigated disease expression in a model of an anti-CD40–induced hyperinflammatory syndrome with necrotic hepatitis and in a nonalcoholic steatohepatitis model, representing 2 macrophage-driven sterile inflammatory diseases. We reproduced the antiinflammatory erythrophagocyte transformation in vitro by heme exposure of mouse and human macrophages, yielding a distinctive transcriptional signature that segregated heme-polarized from M1- and M2-polarized cells. Mapping transposase-accessible chromatin in single cells by sequencing defined the transcription factor NFE2L2/NRF2 as a critical driver of erythrophagocytes, and Nfe2l2/Nrf2 deficiency restored heme-suppressed inflammation. Our findings point to a pathway that regulates macrophage functions to link erythrocyte homeostasis with innate immunity.

Authors

Marc Pfefferlé, Giada Ingoglia, Christian A. Schaer, Ayla Yalamanoglu, Raphael Buzzi, Irina L. Dubach, Ge Tan, Emilio Y. López-Cano, Nadja Schulthess, Kerstin Hansen, Rok Humar, Dominik J. Schaer, Florence Vallelian

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Figure 4

Antiinflammatory function of erythrophagocytes.

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Antiinflammatory function of erythrophagocytes.
(A) Schematic representa...
(A) Schematic representation of experimental design: mice were treated with an agonistic anti-CD40 antibody for 30 hours (for macrophage isolation and blood removal) or 48 hours (for liver collection). (B) Representative histology image for H&E staining of a thrombus with an ischemic liver infarct after treatment of Sptawt/wt mouse with anti-CD40 antibody. Scale bar: 200 μm. (C) Plasma alanine transaminase (ALT) concentrations in LysM-Cre Cd40fl/fl (Cre+/–, knockout) or Cd40fl/fl (Cre–/–, control) mice treated with saline or anti-CD40 antibody (n = 3–6). (D) Plasma ALT concentrations in Sptawt/wt (WT, blue) and Sptasph/sph (Sph, red) mice treated with saline or anti-CD40 antibody (n = 6–8). (E) Photographs of representative liver lobes from Sptasph/sph and Sptawt/wt mice treated with anti-CD40 antibody. (F) Hierarchical clustering analysis of plasma cytokines from Sptasph/sph and WT littermates treated with anti-CD40 antibody (yellow = low concentration, red = high concentration) or saline. (G) Bulk RNA-seq data of F4/80-enriched nonparenchymal liver cell suspensions from 3 Sptasph/sph and Sptawt/wt mice treated with anti-CD40 antibody or saline. Hierarchical clustering analysis of the 2000 top significantly DEGs (rows) between the anti-CD40 and saline-treated Sptawt/wt (column). In total, 5803 DEGs were identified based on an absolute log2(ratio) > 0.5 and P value < 0.01 threshold. (H) GSEA of DEGs of KCs in Sptawt/wt mice treated with anti-CD40 antibody versus saline. Enrichment plots of the top 4 positively enriched hallmark gene sets are shown. Plots display running enrichment score and position of gene set members on the rank-ordered list. (I) Normalized count data for key inflammatory genes expressed in KCs from anti-CD40– or saline-treated (cont) Sptawt/wt (blue) and Sptasph/sph (red) mice. Each data point represents a single mouse. ***P < 0.001; **P < 0.01 by ANOVA with Tukey’s post hoc test for C and D; counts were normalized using DEseq2 for I.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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