Monocyte-derived alveolar macrophages autonomously determine severe outcome of respiratory viral infection

F Li, F Piattini, L Pohlmeier, Q Feng, H Rehrauer… - Science …, 2022 - science.org
F Li, F Piattini, L Pohlmeier, Q Feng, H Rehrauer, M Kopf
Science Immunology, 2022science.org
Various lung insults can result in replacement of resident alveolar macrophages (AM) by
bone marrow monocyte–derived (BMo)–AM. However, the dynamics of this process and its
long-term consequences for respiratory viral infections remain unclear. Using several mouse
models and a marker to unambiguously track fetal monocyte–derived (FeMo)–AM and BMo-
AM, we established the kinetics and extent of replenishment and their function to recurrent
influenza A virus (IAV) infection. A massive loss of FeMo-AM resulted in rapid replenishment …
Various lung insults can result in replacement of resident alveolar macrophages (AM) by bone marrow monocyte–derived (BMo)–AM. However, the dynamics of this process and its long-term consequences for respiratory viral infections remain unclear. Using several mouse models and a marker to unambiguously track fetal monocyte–derived (FeMo)–AM and BMo-AM, we established the kinetics and extent of replenishment and their function to recurrent influenza A virus (IAV) infection. A massive loss of FeMo-AM resulted in rapid replenishment by self-renewal of survivors, followed by the generation of BMo-AM. BMo-AM progressively outcompeted FeMo-AM over several months, and this was due to their increased glycolytic and proliferative capacity. The presence of both naïve and experienced BMo-AM conferred severe pathology to IAV infection, which was associated with a proinflammatory phenotype. Furthermore, upon aging of naïve mice, FeMo-AM were gradually replaced by BMo-AM, which contributed to IAV disease severity in a cell-autonomous manner. Together, our results suggest that the origin rather than training of AM determines long-term function to respiratory viral infection and provide an explanation for the increased severity of infection seen in the elderly.
AAAS