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Blood, 15 April 2004, Vol. 103, No. 8, pp. 2973-2980.
Prepublished online as a Blood First Edition Paper on December 30, 2003; DOI 10.1182/blood-2003-08-2742.

Submitted August 12, 2003
Accepted December 18, 2003
Reprogramming of human post-mitotic neutrophils into macrophages by growth factors
Hiroto Araki, Naoyuki Katayama*, Yoshihiro Yamashita, Hiroyuki Mano, Atsushi Fujieda, Eiji Usui, Hidetsugu Mitani, Kohshi Ohishi, Kazuhiro Nishii, Masahiro Masuya, Nobuyuki Minami, Tsutomu Nobori, and Hiroshi Shiku
The Second Department of Internal Medicine, Mie University School of Medicine, Tsu, Mie, Japan
Division of Functional Genomics, Jichi Medical School, Kawachi-gun, Tochigi, Japan
Blood Transfusion Service, Mie University Hospital, Tsu, Mie, Japan
* Corresponding author; email: n-kata{at}clin.medic.mie-u.ac.jp.
It is generally recognized that post-mitotic neutrophils give rise to polymorphonuclear neutrophils alone. We obtained evidence for a lineage switch of human post-mitotic neutrophils into macrophages in culture. When the CD15+CD14- cell population, which predominantly consists of band neutrophils, was cultured with granulocyte/macrophage colony-stimulating factor, tumor necrosis factor- , interferon- , and interleukin-4, and subsequently with macrophage colony-stimulating factor alone, the resulting cells had morphological, cytochemical, and phenotypic features of macrophages; in contrast to the starting population, they were negative for myeloperoxidase, specific esterase, and lactoferrin and also upregulated non-specific esterase activity and the expression of macrophage colony-stimulating factor receptor, mannose receptor, and HLA-DR. CD15+CD14- cells proceeded to macrophages through the CD15-CD14- cell population. Microarray analysis of gene expression also disclosed the lineage conversion from neutrophils to macrophages. Macrophages derived from CD15+CD14- neutrophils had phagocytic function. Data obtained using three different techniques, including Ki-67 staining, bromodeoxyuridine incorporation, and cytoplasmic dye labeling, together with the yield of cells, indicated that the generation of macrophages from CD15+CD14- neutrophils did not result from a contamination of progenitors for macrophages. Our data show that in response to cytokines, post-mitotic neutrophils can become macrophages. This may represent another differentiation pathway toward macrophages in human postnatal hematopoiesis.

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