[PDF][PDF] The cardiac microenvironment instructs divergent monocyte fates and functions in myocarditis

X Hou, G Chen, W Bracamonte-Baran, HS Choi… - Cell reports, 2019 - cell.com
X Hou, G Chen, W Bracamonte-Baran, HS Choi, NL Diny, J Sung, D Hughes, T Won
Cell reports, 2019cell.com
Two types of monocytes, Ly6C hi and Ly6C lo, infiltrate the heart in murine experimental
autoimmune myocarditis (EAM). We discovered a role for cardiac fibroblasts in facilitating
monocyte-to-macrophage differentiation of both Ly6C hi and Ly6C lo cells, allowing these
macrophages to perform divergent functions in myocarditis progression. During the acute
phase of EAM, IL-17A is highly abundant. It signals through cardiac fibroblasts to attenuate
efferocytosis of Ly6C hi monocyte-derived macrophages (MDMs) and simultaneously …
Summary
Two types of monocytes, Ly6Chi and Ly6Clo, infiltrate the heart in murine experimental autoimmune myocarditis (EAM). We discovered a role for cardiac fibroblasts in facilitating monocyte-to-macrophage differentiation of both Ly6Chi and Ly6Clo cells, allowing these macrophages to perform divergent functions in myocarditis progression. During the acute phase of EAM, IL-17A is highly abundant. It signals through cardiac fibroblasts to attenuate efferocytosis of Ly6Chi monocyte-derived macrophages (MDMs) and simultaneously prevents Ly6Clo monocyte-to-macrophage differentiation. We demonstrated an inverse clinical correlation between heart IL-17A levels and efferocytic receptor expressions in humans with heart failure (HF). In the absence of IL-17A signaling, Ly6Chi MDMs act as robust phagocytes and are less pro-inflammatory, whereas Ly6Clo monocytes resume their differentiation into MHCII+ macrophages. We propose that MHCII+Ly6Clo MDMs are associated with the reduction of cardiac fibrosis and prevention of the myocarditis sequalae.
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