Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophages

Abstract Macrophage dysfunction has been well-described in Cystic Fibrosis (CF) and may contribute to bacterial persistence in the lung. Whether CF macrophage dysfunction is related directly to Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) in macrophages or an indirect consequence of ch...

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Main Authors: Daniel S. Aridgides, Diane L. Mellinger, Lorraine L. Gwilt, Thomas H. Hampton, Dallas L. Mould, Deborah A. Hogan, Alix Ashare
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-38300-9
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author Daniel S. Aridgides
Diane L. Mellinger
Lorraine L. Gwilt
Thomas H. Hampton
Dallas L. Mould
Deborah A. Hogan
Alix Ashare
author_facet Daniel S. Aridgides
Diane L. Mellinger
Lorraine L. Gwilt
Thomas H. Hampton
Dallas L. Mould
Deborah A. Hogan
Alix Ashare
author_sort Daniel S. Aridgides
collection DOAJ
description Abstract Macrophage dysfunction has been well-described in Cystic Fibrosis (CF) and may contribute to bacterial persistence in the lung. Whether CF macrophage dysfunction is related directly to Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) in macrophages or an indirect consequence of chronic inflammation and mucostasis is a subject of ongoing debate. CFTR modulators that restore CFTR function in epithelial cells improve global CF monocyte inflammatory responses but their direct effects on macrophages are less well understood. To address this knowledge gap, we measured phagocytosis, metabolism, and cytokine expression in response to a classical CF pathogen, Pseudomonas aeruginosa in monocyte-derived macrophages (MDM) isolated from CF F508del homozygous subjects and nonCF controls. Unexpectedly, we found that CFTR modulators enhanced phagocytosis in both CF and nonCF cohorts. CFTR triple modulators also inhibited MDM mitochondrial function, consistent with MDM activation. In contrast to studies in humans where CFTR modulators decreased serum inflammatory cytokine levels, modulators did not alter cytokine secretion in our system. Our studies therefore suggest modulator induced metabolic effects may promote bacterial clearance in both CF and nonCF monocyte-derived macrophages.
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spelling doaj.art-3499643d88e04029a4169251b68131a12023-07-30T11:11:57ZengNature PortfolioScientific Reports2045-23222023-07-0113111110.1038/s41598-023-38300-9Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophagesDaniel S. Aridgides0Diane L. Mellinger1Lorraine L. Gwilt2Thomas H. Hampton3Dallas L. Mould4Deborah A. Hogan5Alix Ashare6Section of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical CenterSection of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical CenterSection of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical CenterDepartment of Microbiology and Immunology, Dartmouth College, Geisel School of MedicineDepartment of Microbiology and Immunology, Dartmouth College, Geisel School of MedicineDepartment of Microbiology and Immunology, Dartmouth College, Geisel School of MedicineSection of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical CenterAbstract Macrophage dysfunction has been well-described in Cystic Fibrosis (CF) and may contribute to bacterial persistence in the lung. Whether CF macrophage dysfunction is related directly to Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) in macrophages or an indirect consequence of chronic inflammation and mucostasis is a subject of ongoing debate. CFTR modulators that restore CFTR function in epithelial cells improve global CF monocyte inflammatory responses but their direct effects on macrophages are less well understood. To address this knowledge gap, we measured phagocytosis, metabolism, and cytokine expression in response to a classical CF pathogen, Pseudomonas aeruginosa in monocyte-derived macrophages (MDM) isolated from CF F508del homozygous subjects and nonCF controls. Unexpectedly, we found that CFTR modulators enhanced phagocytosis in both CF and nonCF cohorts. CFTR triple modulators also inhibited MDM mitochondrial function, consistent with MDM activation. In contrast to studies in humans where CFTR modulators decreased serum inflammatory cytokine levels, modulators did not alter cytokine secretion in our system. Our studies therefore suggest modulator induced metabolic effects may promote bacterial clearance in both CF and nonCF monocyte-derived macrophages.https://doi.org/10.1038/s41598-023-38300-9
spellingShingle Daniel S. Aridgides
Diane L. Mellinger
Lorraine L. Gwilt
Thomas H. Hampton
Dallas L. Mould
Deborah A. Hogan
Alix Ashare
Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophages
Scientific Reports
title Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophages
title_full Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophages
title_fullStr Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophages
title_full_unstemmed Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophages
title_short Comparative effects of CFTR modulators on phagocytic, metabolic and inflammatory profiles of CF and nonCF macrophages
title_sort comparative effects of cftr modulators on phagocytic metabolic and inflammatory profiles of cf and noncf macrophages
url https://doi.org/10.1038/s41598-023-38300-9
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