Liver-Resident Macrophage Necroptosis Orchestrates Type 1 Microbicidal Inflammation and Type-2- Mediated Tissue Repair during Bacterial Infection

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Liver-Resident Macrophage Necroptosis Orchestrates Type 1 Microbicidal Inflammation and Type-2- Mediated Tissue Repair during Bacterial Infection Camille Blériot, Théo Dupuis, Grégory Jouvion, Gérard Eberl, Olivier Disson, and Marc Lecuit Dominika Lukovic PhD Student at the Department of Internal Medicine II

Introduction Liver innate immune effectors against bacterial infection Tissue-resident macrophages Known as Kupffer cells Local self-renewal activity Embryonic derived Type-2-like anti-inflammatory phenotype (M2-like) Monocyte-derived macrophages Bone-marrow derived Type-1-like pro-inflammatory phenotype (M1-like)

M1-like vs. M2-like phenotype M1 macrophages (Monocyte-derived M. ) -activated by LPS and IFN gamma -secret high levels of IL-12, low levels of IL-10 -inhibit cells proliferation and promote tissue damage -pro-inflammatory response - Fight program -arginine-> nitric oxide M2 macrophages (Kupffer cells) -activated by IL-4 -secret high levels of IL-10, TGF-beta and low level of IL-12 -Promote cell proliferation and tissue repair -anti-inflammatory response - Fix program -arginine-> ornithine

Elimination of microorganisms by liver 1.LM enters intestinal barrier and reaches the liver 2. LM is engulfed by KCs 3. Recruitment of monocytes 4. Micro-abscesses formation 5. pro-inflammatory response

Macrophages (F4/80+) Liver cells (E-cadherin +) Neutrophils (Ly/6G+) Lm Induces Local Proliferation of Liver Macrophages After the infection increased total liver macrophages Macrophages proliferation was detectable in 24 hours, peaked at 3 dpi Bacteria were totally cleared before 10 dpi

Lm Induces Local Proliferation of Liver Macrophages A- FACS analysis of liver cells (Percentage of Ki67+ cells out of CD45+F4/80+ cells) B+C- Confocal imaging of frozen liver sections (F4/80, Ki67, Listeria, Ly-6G) D- Quantification over time of F4/80+Ki67+ cells in forzen liver sections E- Kinetics of liver bacterial load from WT mice

Lm-induced Liver macrophage Proliferation Requires M-CSF and Basophil- Derived IL-4 GW2580 (inhibitor of M-CSFR) total liver macrophages decreased in infected and uninfected mouse In IL4 -/- mice was decreased liver macrophage proliferation, whereas level of bone marrow monocyte was stable Basophils as a source of IL4 (CD49b int FcεR1 int CD117 - ) +GW2580

Lm-induced Liver macrophage Proliferation Requires M-CSF and IL-4 A- Quantification of F4/80+Ki67+ cells in liver sections (G2580 is M-CSFR inhibitor) B-FACS analysis of gated CD45+F4/80+ liver cells, percentages of Ki67+ cells C- Quantification of Ki67+ cells out of F4/80+ cells on frozen sections of the liver D- FACS analysis of liver CD45+ cells (Basophils CD49b int FcεR1 int CD117 - )

Lm-induced Liver macrophage Proliferation Requires M-CSF and Basophil- Derived IL-4 IL4 -/- GW2580 (inhibitor of M-CSFR) total liver macrophages decreased in infected and uninfected mouse In IL4 -/- mice was decreased liver macrophage proliferation, whereas level of bone marrow monocyte was stable Basophils as a source of IL4 (CD49b int FcεR1 int CD117 - )

Lm-induced Liver macrophage Proliferation Requires M-CSF and Basophil- Derived IL-4 E- Confocal imaging on frozen liver sections (CD200R3 basophils) F-ELISA of Il-4 in supernatants of the homogenized liver of of the LM-infected mice G- relative expression of IL-4 in sorted liver basophils obtained in uninfected and infected mice H- LM bacterial burden in the liver of LM-infected mice

Proliferating Liver Macrophages Derive from Recruited Monocytes A-FACS analysis of gated CD45+/F4/80+ liver cells KCs (F4/80 hi CD11b lo Ly6C lo ); inflammatory monocytes (F4/80 lo CD11b int Ly6C hi ); monocyte derived macrophages (F4/80 int CD11b hi Ly6C int )

Proliferating Liver Macrophages Derive from Recruited Monocytes B- FACS analysis of liver KCs from WT mice. C- Quantification of F4/80+ and F4/80+Ki67+ cells G- FACS analysis of liver KCs obtained from GFP+ monocytetransferred WT

Lm induces Kupffer Cell Necroptosis

Lm induces Kupffer Cell Necroptosis

Hepatocytes-derived IL-33 induces monocyte-derived macrophage proliferation A: IL-33 production peaks at 24h (expression & ELISA) B: blocking cell death by necrostatin-1s >> decreased IL-33 production C: necrostatin-1s >> decreased proliferation of macrophages D: IL-33-receptor deficient mice shows decreased MoMs proliferation. Same with Ab inhibition of IL33 receptor.

The Type 1 inflammatory liver response to Lm is counterbalanced by type 2 response

The Type 1 inflammatory liver response to Lm is counterbalanced by type 2 response

Lm-induced macrophage proliferation dampens inflammation allowing the liver to return to homeostasis no treatment Lm.inf. 21dpi. baso-depl. uninf.

Lm hepatic infection Type1 inflammation Type2 inflammation Resolution KCs MOMs KCs death Lm infection Recruitment & differentiation neutrophils basophils (M1) MoMs Phagocyt. Protective responses M2 Replace KCs

Summary Phagocytized bacteria induce necroptosis of liver- resident macrophages Macrophages necroptosis triggers both type 1 and type2 responses Monocyte-derived macrophages replace dead tissue resident macrophages Sequential type 1 and type2 responses orchestrate liver return to homeostasis

Thank you for attention