arterial macrophage responses in cardiovascular health and

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Clint Robbins Toronto General Research Institute Peter Munk Centre of Excellence in Aortic Disease Departments of Laboratory Medicine and Pathobiology and Immunology, University of Toronto Ottawa Heart Conference: Inflammation in Cardiometabolic disease March 31, 2017 No disclosures Arterial macrophage responses in cardiovascular health and disease

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Page 1: Arterial macrophage responses in cardiovascular health and

Clint Robbins Toronto General Research Institute Peter Munk Centre of Excellence in Aortic Disease Departments of Laboratory Medicine and Pathobiology and Immunology, University of Toronto

Ottawa Heart Conference: Inflammation in

Cardiometabolic disease March 31, 2017

No disclosures

Arterial macrophage responses in

cardiovascular health and disease

Page 2: Arterial macrophage responses in cardiovascular health and

The normal arterial wall is densely populated by tissue MΦ

Ensan, Li, Besla et al. Nature Immunology 2016

Page 3: Arterial macrophage responses in cardiovascular health and

The normal arterial wall is densely populated by tissue MΦ

50μm CD68 DAPI

arterial adventitia

10μm

CX3CL1 CD68 DAPI

Page 4: Arterial macrophage responses in cardiovascular health and

MΦ occupy multiple arterial sites.

Page 5: Arterial macrophage responses in cardiovascular health and

Spatial distribution of arterial MΦ

Ensan, Li, Besla et al. Nature Immunology 2016

Page 6: Arterial macrophage responses in cardiovascular health and
Page 7: Arterial macrophage responses in cardiovascular health and

DAPI

BrdU

merge

Mac3

Mac3

BrdU

MΦ dominate inflammation in cardiovascular disease

Robbins, Hilgendorf et al. Nature Medicine 2013

Page 8: Arterial macrophage responses in cardiovascular health and

MΦ depletion ameliorates cardiovascular disease

Boring et al. Nature 1998

Are all macrophages created equal?

CCR2

Page 9: Arterial macrophage responses in cardiovascular health and

Diversity among tissue macrophages

Page 10: Arterial macrophage responses in cardiovascular health and

Diversity among tissue macrophages

Up-regulated Down-regulated

Ensan, Li, Besla et al. Nature Immunology 2016

arterial MΦ alveolar MΦ splenic MΦ microglia

ce

ll n

o.

Lyve-1

96% 12% 3% 1%

Page 11: Arterial macrophage responses in cardiovascular health and

Macrophage Origins (beyond environmental influences)

Page 12: Arterial macrophage responses in cardiovascular health and

J Exp Med.1968; 128:415-35.

Page 13: Arterial macrophage responses in cardiovascular health and

Nature Reviews Immunology 14, 392–404 (2014)

The mouse monocyte compartment

Page 14: Arterial macrophage responses in cardiovascular health and

Embryonic MΦ development

Ginhoux et al. Nat Rev Imm 14, 392–404 (2014).

Page 15: Arterial macrophage responses in cardiovascular health and

Perdiguero and Geissmann CSH Symposia 2013

Functional differences between bone marrow dependent and independent macrophage networks

Page 16: Arterial macrophage responses in cardiovascular health and

Arterial Macrophage

Origins

Page 17: Arterial macrophage responses in cardiovascular health and

Embryonic origins of arterial macrophages

Ensan, Li, Besla et al. Nature Immunology 2016

Page 18: Arterial macrophage responses in cardiovascular health and

Embryonic origins of macrophages: Lineage Tracing

• pulse-label CX3CR1-expressing progenitor cells in the yolk sac, fetal liver, etc.

• tamoxifen-induced expression of Cre recombinase

under control of CX3CR1 promoter

tamoxifen

X

CX3CR1creER R26Tomato CX3CR1creER: R26Tomato

Adapted from Hofer et al. Annu Rev Immunol. 2016

Page 19: Arterial macrophage responses in cardiovascular health and

YS progenitor contribution to arterial MΦ

development

Ensan, Li, Besla et al. Nature Immunology 2016

tamoxifen E8.5

Page 20: Arterial macrophage responses in cardiovascular health and

Contribution of YS-derived progenitors to

adult arterial MΦ pool

• YS-derived MΦ persist into adulthood

• what leads to

decline in YS MΦ population shortly after birth?

Ensan, Li, Besla et al. Nature Immunology 2016

Page 21: Arterial macrophage responses in cardiovascular health and

Arterial MΦ colonization associates with a brief

post natal period of monocyte recruitment

Ensan, Li, Besla et al. Nature Immunology 2016

tamoxifen E18.5

Page 22: Arterial macrophage responses in cardiovascular health and

Monocyte accumulation is associated with

increased arterial expression of chemotactic

factors and adhesion molecules

Ensan, Li, Besla et al. Nature Immunology 2016

Page 23: Arterial macrophage responses in cardiovascular health and

Arterial MΦ colonization associates with a brief

post natal period of monocyte recruitment

Ensan, Li, Besla et al. Nature Immunology 2016

Page 24: Arterial macrophage responses in cardiovascular health and

What maintains arterial

MΦ abundance in

adulthood?

Page 25: Arterial macrophage responses in cardiovascular health and

Ensan, Li, Besla et al. Nature Immunology 2016

Maintenance of arterial MΦ in adulthood occurs

largely independent of circulating monocytes

Page 26: Arterial macrophage responses in cardiovascular health and

Maintenance of arterial MΦ in adulthood occurs

largely independent of circulating monocytes

Ensan, Li, Besla et al. Nature Immunology 2016

8 months

parabiosis

C57BL6/J UBC-GFP

Page 27: Arterial macrophage responses in cardiovascular health and

Arterial MΦ turnover kinetics

Ensan, Li, Besla et al. Nature Immunology 2016

DOX

H2B-GFP

chase

Page 28: Arterial macrophage responses in cardiovascular health and

Tissue MΦ renew through local proliferation

Ensan, Li, Besla et al. Nature Immunology 2016

Page 29: Arterial macrophage responses in cardiovascular health and

Arterial MΦ survival

Page 30: Arterial macrophage responses in cardiovascular health and

CX3CR1 expression on arterial MΦ persists

into adulthood

Ensan, Li, Besla et al. Nature Immunology 2016

Page 31: Arterial macrophage responses in cardiovascular health and

CX3CL1-CX3CR1 interactions maintain arterial

MΦ survival

Page 32: Arterial macrophage responses in cardiovascular health and

CX3CL1-CX3CR1 interactions maintain arterial

MΦ survival: The tissue MΦ niche

Ensan, Li, Besla et al. Nature Immunology 2016

Page 33: Arterial macrophage responses in cardiovascular health and

CX3CL1-CX3CR1 interactions maintain arterial

MΦ survival: arterial MΦ niche

Page 34: Arterial macrophage responses in cardiovascular health and

Arterial MΦ responses

during inflammation

Page 35: Arterial macrophage responses in cardiovascular health and

Arterial macrophage diversity during inflammation

Ensan, Li, Besla et al. Nature Immunology 2016

CD45.1 CD45.2

Page 36: Arterial macrophage responses in cardiovascular health and

Arterial macrophage diversity during inflammation

Page 37: Arterial macrophage responses in cardiovascular health and

Macrophage diversity during inflammation

Ensan, Li, Besla et al. Nature Immunology 2016

Page 38: Arterial macrophage responses in cardiovascular health and

Macrophage diversity during inflammation

Ensan, Li, Besla et al. Nature Immunology 2016

Page 39: Arterial macrophage responses in cardiovascular health and

Replenishment of arterial MΦ during inflammation

Ensan, Li, Besla et al. Nature Immunology 2016

Page 40: Arterial macrophage responses in cardiovascular health and

Tissue resident (Lyve-1+) MΦ Bone marrow-derived

(Lyve-1–) MΦ

Fetal liver Yolk sac

CX3CR1+

precursor

CMP HSC

Bone marrow

Monocytes

Inflammation

Resolution

Flt3+

precursor Inflammation

Development and

homeostasis

Adapted from Klapproth et al. Nature Immunology 2016

• Resident arterial MΦ constitute a distinct population among tissue MΦ.

• Arterial MΦ developmental

pathway is unique - arise embryonically from CX3CR1+ precursors and postnatally from bone marrow-derived monocytes that colonize the tissue immediately after birth.

• Survival of arterial MΦ within

the vascular niche depends on a CX3CR1/CX3CL1 axis.

• In adulthood, proliferation

sustains arterial MΦ in the steady state and after severe depletion following sepsis.

• After infection, arterial MΦ

return to functional homeostasis rapidly.

Conclusions

Page 41: Arterial macrophage responses in cardiovascular health and

Collaborators

Myron Cybulsky

Mansoor Husain

Gwendalyn Randolph

Slava Epelman

Cheolho Cheong

Marco Prinz

Ingo Hilgendorf

Filip Swirski

Peter Libby

Anthony Gramolini

Barry Rubin

Acknowledgements

Robbins Lab

Angela Li

Ricky Besla

Sherine Ensan

Eric Shikatani

Shaun Pacheco

Caleb Zavitz

Jake Cosme

Mark Roufaiel

Mahmoud El-Maklizi

Jesse Williams

Peter Wieghofer

Tae Jin Yun

Jun Seong Lee

Funding

•CIHR operating grant MOP133390

•Peter Munk Chair in Aortic Disease

Research