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Prepublished online as a Blood First Edition Paper on August 8, 2002; DOI 10.1182/blood-2002-04-1102.
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Blood, 1 December 2002, Vol. 100, No. 12, pp. 4193-4200
PHAGOCYTES
GM-CSF, via PU.1, regulates alveolar macrophage Fc R-mediated
phagocytosis and the IL-18/IFN- -mediated molecular connection
between innate and adaptive immunity in the lung
Pierre-Yves Berclaz,
Yoko Shibata,
Jeffrey A. Whitsett, and
Bruce C. Trapnell
From Children's Hospital Medical Center, Cincinnati,
OH.
Severely impaired pulmonary microbial clearance was observed in
granulocyte-macrophage colony-stimulating factor (GM-CSF)-deficient mice. To determine mechanisms by which GM-CSF mediates lung host defense, Fc R-mediated phagocytosis (opsonophagocytosis) by alveolar macrophages (AMs) was assessed in GM-CSF-sufficient
(GM+/+) and -deficient (GM / ) mice and in
GM / mice expressing GM-CSF only in the lungs from a
surfactant protein C (SPC) promoter
(SPC-GM+/+/GM / ). Opsonophagocytosis
by GM / AMs was severely impaired and was restored by
pulmonary GM-CSF expression in vivo or by PU.1 expression in vitro.
Defective opsonophagocytosis by GM / AMs was associated
with decreased Fc R expression. Because interferon- (IFN- )
augments macrophage Fc R levels, the role of GM-CSF/PU.1 in the
regulation of AM Fc R expression by IFN- was assessed during
adenoviral lung infection. Adenoviral infection stimulated IFN-
production and augmented Fc R levels on AMs in GM-CSF-expressing but
not GM / mice. However, IFN- exposure ex vivo
stimulated Fc R expression on GM / AMs. Because
interleukin-18 (IL-18) and IL-12 stimulate IFN- production during
adenoviral infection, their role in GM-CSF/PU.1 regulation of
IFN- -augmented Fc R expression on AMs was assessed. Adenoviral
infection stimulated IL-18 and IL-12 production in GM-CSF-expressing
mice, but both were markedly reduced or absent in GM /
mice. IL-18 expression by GM / AMs was severely impaired
and was restored by pulmonary GM-CSF expression in vivo or by PU.1
expression in vitro. Pulmonary administration of IL-18 in
GM / mice stimulated IFN- production and restored
Fc R expression on AMs. These results show that GM-CSF, via PU.1,
regulates constitutive AM Fc R expression and opsonophagocytosis and
is required for the IFN- -dependent regulation of AM Fc R
expression, enabling AMs to release IL-18/IL-12 during lung infection.

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